Engage proactively in projects to improve processing efficiency and enhance system functionalities. Additionally, process Non-motor claims, including Property, Marine Hull, Marine Cargo, Personal Accident (PA), Liability, and Health& Safety (H).
You'll be responsible for:
- Identifying and proposing enhancements for both processing and system functionalities of Non-motor Claims in the endeavor of ensuring an effective claims processing
- Collaborate with IT, vendors, and end-users from various departments to define requirements, testing scopes, and execute user acceptance tests for system enhancements.
- Evaluating, processing, and managing insurance claims to ensure accuracy, adherence to policy terms, and timely resolution. Key responsibilities include:
- Claim Review: Analyzing claims to determine coverage eligibility, policy terms, and applicable deductibles.
- Documentation: Gathering and reviewing claim documentation, such as incident reports, medical records, photographs, and other evidence.
- Coverage Determination: Assessing policy coverage to determine whether the claim falls within the scope of the policy and its limitations.
- Adjudication: Making final decisions on claim settlements and payments based on policy terms, investigation results, and legal considerations.
- Negotiation: Engaging in negotiations with claimants, policyholders, and other relevant parties to settle claims and address any disputes.
- Communication: Effectively communicating with claimants, policyholders, agents, and legal representatives to provide updates on claim status, request additional information, and address inquiries.
- Fraud Detection: Identifying and flagging potentially fraudulent claims and working with investigative teams to mitigate fraud risk.
- Customer Service: Providing high-quality customer service by addressing claimants' concerns, answering questions, and guiding them through the claims process.
- Monitor outstanding claims files, ensure proper claims management by service providers i.e. Adjuster, Surveyors, Lawyers etc.
- Attend to claims related queries and discussions with customers, agents, brokers, sales and any other stakeholders.
- Offer insights from claims perspective to support business acquisition and product development efforts and conduct necessary claims training for relevant stakeholders whenever required.
- Bachelors’ Degree or equivalent, in any related field.
- Fresh graduates are welcome to apply.
- Possessing working experience in system enhancement projects in financial institutions will be advantageous.
- Possessing working experience in claim processing will be advantageous.
- Able to work independently and as a team player.
- Good communication skills.
- Ability to leverage AI tools like ChatGPT for data analysis and generating actionable insights.
Important: All updates regarding your application status will be communicated via email. Please ensure you frequently check your email for updates and further instructions.
Note: Allianz will not accept any forward unsolicited resumes from any source to our employees email other than directly from a candidate. We will not be responsible for any fees and charges impose.
68935 | Customer Services& Claims | Professional | Non-Executive | Allianz Malaysia | Full-Time | Temporary
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