Senior Claims Specialist

1 day ago

Kuala Lumpur, Kuala Lumpur, Malaysia LiveWell Full time 60,000 - 120,000 per year

Purpose

To examine and investigate large disability, death and lump sum individual or group life claims. To develop personal competence and contribute to the timely decisions and settlement of claims and delivery of excellent customer service.

Key Accountabilities

  • Approve claims within limits of authority.
  • May proactively and constantly refining case strategy
  • Ensure that claims processes and procedures meet local requirements and that life claims decisions comply with known case law precedents.
  • Conduct analysis into life claims activity and produce operational and analytical reports for management.
  • May handle insurance department and consumer complaints.
  • Work and communicate on cases where litigation is anticipated or outside counsel is directly involved in the resolution of a claims issue.
  • Review life claims involving complex, investigative considerations and assist examiners in managing complex cases.
  • Evaluate life claims recommended for denial or where reconsideration of earlier action has been requested.
  • Summarize pertinent issues and formulate final recommendation to management.
  • Consult with Fraud Unit, Medical Director, Underwriting department, and Legal department on medical and legal issues related to life claims.
  • Assist in preparation of life claims statistical reports
  • Conduct operational reviews for compliance and quality.

Performance Management Capabilities

  • Demonstrate commitment to corporate values.
  • Take accountability for participating in the performance management cycle.
  • Take action to improve performance on the job.
  • Assist and support co-workers.
  • Take action to manage own personal development.

At Zurich we are proud of our culture. We are passionate about Diversity and Inclusion. We want you to bring your whole self to work we have a diverse mix of customers, and we want our employee base to reflect that.

Our diversity and inclusion initiatives are creating an environment where everyone feels welcome regardless of protected characteristics.

With the above in mind, we accept applications from everyone regardless of your background, beliefs, or culture.

We are committed to continuous improvement, and we offer access to a comprehensive range of training and development opportunities. Zurich is passionate about supporting employees to help others by getting involved in volunteering, charitable and community activity.

So, make a difference. Be challenged. Be inspired. Be supported, Love what you do. Work for us.


You are the heart & soul of Zurich

At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right? We highly value the experience and know-how of our employees and offer a wide range of opportunities across business areas to encourage you to apply for new opportunities within Zurich when you are ready for your next career step. We're proud to have earned Great Place To Work Certification. Our company culture is our top priority #GPTWcertified

Let's continue to grow together

Location(s): MY - Kuala Lumpur
Schedule: Full Time
Recruiter name: Jesreena Kaur

  • A&H Claims Specialist

    1 day ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Hyppies Full time 60,000 - 120,000 per year

    Here's your chance to join one of the most prominent Insurance companies as anA&H Claims Specialist (Executive/Senior Executive)Key ResponsibilitiesAssess and process Accident & Health (A&H) claims accurately and fairly within agreed timelines.Ensure all claims decisions comply with policy terms, internal guidelines, regulatory standards, and reinsurance...

  • Senior Claims Specialist, Marine

    1 day ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Services Full time 120,000 - 240,000 per year

    Allianz Services is part of Allianz Group, one of the world's leading insurers and asset managers and has succeeded in becoming one individual business segment by combining various businesses from different parent companies. Allianz Services is running service delivery operations in Romania, India, Mauritius and Morocco as well as is operating Consulting...

  • 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 ResponsibilitiesClaims assessment: Utilize deep knowledge and experience in the general insurance space...

  • Claims Specialist, TPD

    2 days ago

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

    The Motor Claim Specialist is responsible for managing and processing third-party property damage claims related to motor accidents. With over 5 years of experience in the insurance industry, the specialist will handle complex claims, ensuring efficient and fair resolution in line with local regulations and company policies.Objectives & Key Performance...

  • Claims Specialist, TPD

    1 day ago

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

    The Motor Claim Specialist is responsible for managing and processing third-party property damage claims related to motor accidents. With over 5 years of experience in the insurance industry, the specialist will handle complex claims, ensuring efficient and fair resolution in line with local regulations and company policies. Objectives & Key Performance...

  • Senior Claims Specialist, Financial Lines

    1 day ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Services Full time 120,000 - 240,000 per year

    Allianz Services is part of Allianz Group, one of the world's leading insurers and asset managers and has succeeded in becoming one individual business segment by combining various businesses from different parent companies. Allianz Services is running service delivery operations in Romania, India, Mauritius and Morocco as well as is operating Consulting...

  • Senior Claims Specialist

    1 day ago

    Kuala Lumpur, Kuala Lumpur, Malaysia LiveWell Full time 120,000 - 240,000 per year

    Job Title: Assistant Manager – Property & Engineering ClaimsRole Overview: As Assistant Manager – Property Claims, you will play a key role in managing and supporting the property claims process. You will lead a team of claims professionals, ensuring prompt, fair, and accurate settlement of property claims, while delivering excellent customer service...

  • Claims Specialist, TPBI

    1 day ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Services Full time 90,000 - 120,000 per year

    The Motor Claim Specialist is responsible for managing and processing third-party bodily injury claims related to motor accidents. With extensive experience in the insurance industry, the specialist will handle complex claims, ensuring timely and fair resolution in compliance with local regulations and company policies.Objectives & Key Performance...

  • Claims Specialist, Personal Lines

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Insurance Full time 120,000 - 360,000 per year

    The personal lines claim specialist plays a pivotal role in managing and assessing all personal lines claims. This position requires an experienced professional with a deep understanding of the insurance industry, particularly in the context of Singapore. The Claims Specialist will be responsible for managing and processing claims efficiently, ensuring...

  • Medical Claims Analyst

    1 day ago

    Kuala Lumpur, Kuala Lumpur, Malaysia LiveWell Full time 80,000 - 120,000 per year

    Job Summary Utilize established financial systems and roll out enhanced analytics capabilities to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency. Job Accountabilities - Key AccountabilitiesEnsure monthly reporting of Business Units to the data warehouse and constantly improve data quality and...