Search by job, company or skills

C

Senior Claims Examiner, P&C

Save
  • Posted 12 hours ago
  • Be among the first 10 applicants
Early Applicant

Job Description

Job Description

  • Processing new marine claims in accordance with Claims Best Practice/SOP, and Letter of Authority.
  • Issue acknowledgement to insured/intermediaries/marketers.
  • Appoint marine surveyors/adjusters as needed.
  • Ensure prompt and accurate claim registration within 5 working days.
  • Ensure claims file creation in Workview.
  • Reserves created in PolisyAsia & Meridian.
  • File all correspondence and documents.
  • Follow up for initial reports from marine surveyor/adjuster/expert.
  • Manage CABFAC/CABCO recoveries for outward placements.
  • Ensure timely issuance of PLAs, RLAs, and SLAs to all following insurers and treaty reinsurers
  • Monitoring the progress of claims
  • Follow up with marine surveyors/adjusters/experts for claim status and reserve updates.
  • Follow up for Preliminary/Status/Final Reports.
  • Remind insured/intermediaries/marketers for outstanding documents/information.
  • Diary/pend outstanding files for monitoring.
  • Claim processing

a ) Approve claims within 7 working days upon receipt of all required reports.

b ) Ensure fair and timely settlement per marine policy terms and regulatory requirements.

c ) Communicate claim decisions (offer/denial) to insured/intermediaries/marketers.

d ) Ensure accurate claims payment and proper documentation.

e ) Maintain consistency in file status across Workview, PolisyAsia & Meridian.

  • Handling of complaints i.e.

a ) Monitor and manage complaints/disputes.

b ) Evaluate complaints to reduce recurring service issues

  • Responding to claims enquiries from claimants, business units, and intermediaries (internal/external calls)
  • Timely submission of periodic and ad hoc requests for data, analysis and reporting i.e. large loss report to management, monthly XOL report, PIAM Quarterly report etc.
  • Conduct file review – minimum once a year.
  • Others

a ) Vendor management – ensure compliance of service standard

b ) Fraud identification & management

c ) Subrogation Recovery – early action.

Qualifications

  • Preferably with at least 3 years experience in handling Marine claims.
  • A degree and preferably with professional insurance qualifications

More Info

Job Type:
Industry:
Function:
Employment Type:

About Company

Job ID: 148951101

Similar Jobs

Malaysia, Kuala Lumpur

Skills:

WorkviewClaims Best Practice SOPData AnalysisPolisyAsia MeridianReporting