Proactively manage claims from notification to closure of files. Ensure claims are processed in accordance with the Company’s Claims Service Standard and/or Bank Negara’s Guidelines on Claims Settlement Practices.
Work proactively to develop and manage strong relations with various stakeholders i.e. policyholders, marketers, agents, underwriters, co/reinsurers, finance department, and others.
Assist in organizing workflow and allocation for effective handling of claims. Ensure that policies and procedures are followed, service standards maintained, and claims data processing input is accurate and maintained at a high standard.
Review/follow up on all outstanding claims on a regular basis to ensure claims reserves are adequate and status updated. Maintain a low pending ratio of outstanding claims (prompt disposal of claims to reduce the number of outstanding claims).
Identify any deficiency in policy coverage, issues, and adverse claims trends so that corrective measures can be taken.
Handle major large losses/event losses/complicated/litigated claims i.e. preparation of Major Loss Advice (MLR), preliminary loss/development, and settlement loss/cash calls advices to co/reinsurers in a timely manner. Keep Reinsurance and Finance advised of any material claims as set in the claims manual/procedures and work with Reinsurance to effect recoveries.
Additional Responsibilities:
Reviewing and implementing workflows and best practices in business processes.
UAT on new products, system enhancements, etc.
Initiatives, projects, and assignments as and when the need arises.
Requirements:
Min Degree holder/Associate MII/CII.
Minimum 2 years in non-motor claims handling experience.
Experience with handling litigation matters, preferred with legal background.
Awareness of compliance from BNM/authorities guidelines and the relevant acts i.e. FSA/Insurance Act and others.
Strong verbal and written communications.
Good analytical, problem-solving, decision-making, and organizational skills.