About The Job

The claims assistant manager supports the claims manager in overseeing claim processing, ensuring compliance with company policies and improving efficiency in rendering claims decision and settlements.

Key Responsibilities

Assess, review and approve claims within delegated authority limits.
Assist in investigating and resolving claims disputes and complaints.
Analyze claim trends and suggest improvements to claim processes.
Ensure compliance with company policies, regulations and industry standards.
Provide guidance and technical support to junior claims assessor on complex cases.
Support training and development programs for claims staff.
Collaborate with underwriters, customer service personnel, legal teams and external investigators to facilitate effective claims management.
Prepare and review claims reports, including claims notifications, settlements, outstanding cases, fraud investigations, and performance metrics.
Review and construct recommendation for case escalation to management as and when necessary, accordance with guidelines.
Take accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.
Maintains awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.
Highlights any potential concerns /risks and proactively shares best risk management practices.

We are looking for people who

Tertiary qualification, preferably in science, biomedical science, mathematics and/or with insurance or takaful qualification/certification as added advantage.
More than 5 years in claims handling, with some supervisory experience.
Knowledge of regulatory and legal aspects of takaful/insurance claims.
Ability to work under pressure and meeting daily productivity targets.
Strong analytical and problem-solving skills.
Good leadership skills and team management capabilities.
Excellent communication and negotiation skills.
High level of integrity, takes accountability of work and good attitude over teamwork.
Takes initiative to improve current state of things and adaptable to embrace new changes.

Assistant Manager, Claims - Family & Banca Takaful (Great Eastern Takaful Berhad)