Claims Investigator (General Insurance) | Kuala Lumpur, MY

Job Summary

The Claims Investigator is responsible for all aspects of the investigation process to include creation of investigation plans, identification and assignment of relevant enquiries and reporting on findings. The investigator will provide assistance to the claims examiner in progressing the claim and will leverage knowledge and expertise to ensure that the fraud risk to Allianz is minimized.

Key responsibilities

• Investigating suspicious insurance claims or related activities covering all lines of business involving claimants, brokers, lawyers, medical providers, etc., to support the Claims organisation.
• Managing all aspects of the claim's investigation, including analyzing facts on issues in question, and conducting thorough reviews of interviews and statements from witnesses, employers, claimants, and other relevant parties.
• Obtaining and preserving physical and documentary evidence to support investigations.
• Coordinating necessary investigative techniques and resources, such as fieldwork through internal or external field resources, cognitive interviews, etc., ensuring quality is accurate, timely and appropriate on all cases.
• Producing reports based on evidential findings, providing adjusters with the information required to progress the claim as appropriate.
• Handling caseload across relevant jurisdictions while ensuring all tasks are completed properly.
• Testifying and presenting evidence at administrative and criminal court proceedings as required.
• Establishing and maintaining professional working relationships with insured, claimants, witnesses, lawyers, corporate employees, police, and relevant fraud bodies.
• Identifying, creating, and completing fraud training for various lines of business as requested by your manager.
• Completing targeted claims reviews for all lines of business within Allianz as assigned, including analysis, documentation of results and suggestions for improvement.
• Accurately identifying and recording all financial impacts for cases worked in the case management system.
• Assisting the Head of Claims Special Unit as appropriate in ensuring key deliverables and business objectives are met.
• Awareness of, and adherence to local laws regarding techniques used for information gathering in countries where operating.

Key requirements

• Recognized university degree and/or professional qualification with a minimum of five (5) years relevant experience in insurance claims, investigation, or litigation support.
• Attendance at courses or seminars related to insurance fraud.
• An understanding of laws that pertain to public and insurance funds.
• Aware of the legal limits of a private investigation and always adhere to the correct procedures and guidelines.
• Investigative mindset.
• Strong communication, interpersonal, analytical, and problem-solving skills.
• Able to manage multiple engagements and deadline driven.
• Good written and communication skills in English and Bahasa Malaysia, with factual and accurate investigation report writing on findings of cases investigated.

58227 | Customer Services & Claims | Professional | Non-Executive | Allianz Malaysia | Full-Time | Permanent

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.
Join us. Let's care for tomorrow.