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