Job Summary
To conduct a comprehensive review and processing of third-party bodily injury claims, and provide recommendations for suitable offers/mandates for resolution.
Key Responsibilities
- Conduct thorough assessment of claims by gathering necessary documentation from insured, third party solicitors, branches, agents, brokers, etc., with a keen attention to detail in identifying potential fraud, ensuring timely and fair settlements in compliance with internal policies and regulatory guidelines (PIAM, BNM).
- Engage in timely and effective negotiations with third parties or their solicitors to achieve claims settlement, minimize the risk of litigation, and enhance cost efficiency.
- Collaborate with panel solicitors to strategies and achieve a timely, fair and reasonable settlement.
- Craft, develop and implement efficient settlement strategies including those for complex claims, emphasizing workflow enhancements to streamline claim closures.
- Collaborate with stakeholders including customers, brokers, agents, and both inter/intra department teams to maintain vigilance for fraud indicators and develop robust fraud prevention measures
- Bachelor's Degree in Law/Insurance/Biomedicine
- Minimum 2 years’ experience in related fields.
- Good policy understanding in terms of the policy conditions, exclusions etc.
- Good judgement with ability to make informed decisions.
- Excellent communication and negotiation skills
- Familiarity with using ChatGPT for automating routine tasks and enhancing productivity
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