Claims Specialist

2 weeks ago

Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Insurance Full time $60,000 - $120,000 per year

The commercial claim specialist plays a pivotal role in managing and assessing workman injury claims. This position requires a seasoned professional with extensive expertise in the general insurance domain, particularly in the field of claim assessment.

Key Responsibilities

  • Claims assessment: Utilize deep knowledge and experience in the general insurance space to meticulously assess, investigate, and evaluate workman injury compensation claims. 
  • Policy adherence: Ensure compliance with company policies, local regulations, and industry standards while handling and processing workman injury claim. 
  • Communication and coordination: Collaborate effectively with internal teams such as operation, finance and sales; external stakeholders which include distributors, loss adjustors, investigators, lawyers, medical experts; and claimants to facilitate seamless claim processing and resolution. 
  • Documentation and reporting:Maintain accurate records, prepare comprehensive reports, and document all stages of the claims process, ensuring clarity, transparency, and compliance. 
  • Negotiation and settlement:Negotiate effectively with stakeholders to reach fair and equitable settlements for workman injury claims, considering all relevant factors and legal precedents. 
  • Continuous improvement: Enhance claim handling procedures and contribute to the continuous improvement of claims management protocols by staying updated with industry trends, legal changes, and best practices.
  • Market knowledge: Stay updated with market trends, regulatory trends and in particular, MOM WICA legislative changes. 
  • Customer experience: Deliver excellent service to claimants and distributors and ensure that customers have a positive claims experience.

Qualifications and skills

  • A minimum of 2 to 3 years of experience in assessing and managing workman injury compensation claims. 
  • Recognized diploma in any discipline. 
  • Possess CGI certificate. 
  • Profound understanding of workman injury compensation processes, Singapore regulations and relevant legal frameworks. Knowledge in medical claims will be preferred. 
  • Excellent verbal and written communication skills to interact with diverse stakeholders and convey complex information clearly and concisely. 
  • Meticulous attention to detail to ensure accuracy in claim assessment, documentation and reporting.
  • Ability to adapt to changing environment, prioritize tasks efficiently, and handle a variety of tasks effectively. 
  • Good knowledge of MS Office software and any other technology applications.

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