Job Description
Job Descriptions:
Utilize acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records. May require additional contact with other parties (i.e. employer, claimants, third parties such as medical providers, auto repair centers, etc.) as deemed necessary
Ensure proper follow up on cases to resolve outstanding issues and to ensure timely processing and closure of claim
Provide timely service throughout the life of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, responding to incoming inquires according to company policies, following agreed internal and external processes, policies and procedures to ensure quality and service standards are met. This includes all forms of communications to internal and external parties
Maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information
Ensure that reserves are accurately updated in a timely manner
Identify subrogation opportunities and fraud potential and make appropriate referrals
Provide mentorship to less tenured examiners
Job Requirement/Qualifications:
Minimum Qualification: Diploma / Bachelor's Degree in Actuarial Science, Business Admin, Psychology, HR
Ability to prioritize and multi-task effectively in a fast-paced environment
Ability to communicate information clearly and concisely both verbally and in writing
Proficiency in English and Mandarin
Require proficiency in Desk Management, phone etiquette, time management and dealing with difficult customers
Computer literate; experience with Microsoft Office Products.
Must be willing to work during Malaysia public holiday and perform overtime as and when required due to business requirements.
Experience in the field of Customer Service and/or Personal Accident Claims Processing (advantage)
Working Hours: Monday - Friday 4AM - 1PM / 8.30 AM - 5.30 PM
