Assistant Manager/Senior Executive, Claims

2 days ago

Klang, Selangor, Malaysia Hong Leong Assurance Berhad Full time 90,000 - 120,000 per year

Responsibilities:

  • Process and review claim cases within specified authority limit and TAT.
  • Attend to claim enquiries, appeals and complaints from internal and external parties (e.g. OFS, BNM or Third Party Administrator) and constantly follow up for pending cases.
  • Ensure that issues highlighted are resolved effectively and promptly through the established departmental processes and procedures.
  • Perform investigation on potential fraudulent claims or suspicious cases
  • Monitor and ensure that productivity and Service Level Agreement are met within the team.
  • Assist in preparing monthly reports and maintain documentation of processes.
  • Participate in process improvement project initiatives to improve efficiency and productivity of the department.
  • Backup team members and assume the responsibilities as and when required.
  • Ensure compliance to policies, guidelines and regulations.
  • Perform other duties as delegated by the Management.

Requirements:

  • Candidate must possess at least a Bachelor's Degree in Medical Science, Nursing, Biology or equivalent
  • Minimum 3 years of claim assessment skills in life insurance industry; Assistant Manager level at least 5 years experience with at least 2 years of supervisory experience
  • Good knowledge of general medical knowledge, understanding and application of Insurance Guidelines and Insurance Act.
  • Demonstrate good interpersonal skills, customer service skills, and ability to work under pressure.

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