Claims Examiner Executive, Non-Motor at Allianz Global Corporate & Specialty SE

Kuala Lumpur, Kuala Lumpur, Malaysia -

Full Time

Start Date

Immediate

Expiry Date

26 Dec, 25

Salary

0.0

Posted On

27 Sep, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Processing, Documentation, Coverage Determination, Adjudication, Negotiation, Communication, Fraud Detection, Customer Service, System Enhancement, Project Management, Data Analysis, Team Collaboration, IT Collaboration, User Acceptance Testing, Problem Solving, Attention to Detail

Industry

Financial Services

Description

Job Summary 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&S). 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. Important to your success: 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. Disclaimer Thank you for your interest in joining our team. Due to the high volume of applications we receive, we are unable to provide individual feedback to every applicant. If you do not hear from us within 14 days of submitting your application, please assume that you have not been selected for this position. 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. Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in. We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation. Great to have you on board. Let's care for tomorrow.

Responsibilities

The Claims Examiner Executive will engage in projects to improve processing efficiency and enhance system functionalities while processing Non-motor claims. Key responsibilities include analyzing claims, determining coverage eligibility, and making final decisions on claim settlements.