Claims, Executive (Penang Branch)

We are looking for a dedicated and detail-oriented Claims Executive to join our Penang Branch. This role is responsible for managing the end-to-end claims process, ensuring prompt and fair settlement of claims while delivering excellent customer service to claimants and intermediaries. The successful candidate will also ensure compliance with company policies, regulatory requirements, and claims service standards while safeguarding the Company's interests.

Key Responsibilities

• Investigate, assess, negotiate, and settle insurance claims within the approved authority limits.
• Provide prompt, professional, and efficient claims services to claimants and intermediaries.
• Monitor and review claims reserves to ensure adequate provisioning and protect the Company's interests.
• Maintain accurate claims records, documentation, and correspondence.
• Monitor and manage service providers to ensure effective and cost-efficient claims handling.
• Investigate suspicious or fraudulent claims and recommend appropriate actions.
• Pursue subrogation and recovery opportunities where applicable.
• Ensure compliance with BNM guidelines, company policies, quality objectives, and customer service standards.
• Conduct periodic claims reviews and identify adverse claims trends for reporting.
• Collaborate with underwriters, marketers, and other stakeholders to resolve claims-related matters.
• Provide guidance and support to team members and perform other duties assigned by management.

Requirements

• Diploma or Degree in Insurance, Business Studies, Law, or a related discipline.
• Minimum 3-5 years of experience in insurance claims handling will be an added advantage.
• Strong analytical, negotiation, and problem-solving skills.
• Good communication and interpersonal skills.
• Proficient in Microsoft Office applications.
• Able to work independently and as part of a team.
• Fresh graduates with relevant qualifications are encouraged to apply.