Claims Specialist (WICA) at Allianz Global Corporate & Specialty SE

Kuala Lumpur, Kuala Lumpur, Malaysia -

Full Time

Start Date

Immediate

Expiry Date

10 Jan, 26

Salary

0.0

Posted On

12 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Assessment, Policy Adherence, Communication, Coordination, Documentation, Reporting, Negotiation, Settlement, Continuous Improvement, Market Knowledge, Customer Experience, Attention to Detail, Adaptability, MS Office, Medical Claims Knowledge

Industry

Financial Services

Description

The commercial claim specialist plays a pivotal role in managing and assessing workman injury claims. This position requires a seasoned professional with extensive expertise in the general insurance domain, particularly in the field of claim assessment. Key Responsibilities Claims assessment: Utilize deep knowledge and experience in the general insurance space to meticulously assess, investigate, and evaluate workman injury compensation claims. Policy adherence: Ensure compliance with company policies, local regulations, and industry standards while handling and processing workman injury claim. Communication and coordination: Collaborate effectively with internal teams such as operation, finance and sales; external stakeholders which include distributors, loss adjustors, investigators, lawyers, medical experts; and claimants to facilitate seamless claim processing and resolution. Documentation and reporting:Maintain accurate records, prepare comprehensive reports, and document all stages of the claims process, ensuring clarity, transparency, and compliance. Negotiation and settlement:Negotiate effectively with stakeholders to reach fair and equitable settlements for workman injury claims, considering all relevant factors and legal precedents. Continuous improvement: Enhance claim handling procedures and contribute to the continuous improvement of claims management protocols by staying updated with industry trends, legal changes, and best practices. Market knowledge: Stay updated with market trends, regulatory trends and in particular, MOM WICA legislative changes. Customer experience: Deliver excellent service to claimants and distributors and ensure that customers have a positive claims experience. Qualifications and skills A minimum of 2 to 3 years of experience in assessing and managing workman injury compensation claims. Recognized diploma in any discipline. Possess CGI certificate. Profound understanding of workman injury compensation processes, Singapore regulations and relevant legal frameworks. Knowledge in medical claims will be preferred. Excellent verbal and written communication skills to interact with diverse stakeholders and convey complex information clearly and concisely. Meticulous attention to detail to ensure accuracy in claim assessment, documentation and reporting. Ability to adapt to changing environment, prioritize tasks efficiently, and handle a variety of tasks effectively. Good knowledge of MS Office software and any other technology applications.

Responsibilities

The Claims Specialist is responsible for assessing and managing workman injury claims, ensuring compliance with policies and regulations. They will collaborate with various stakeholders to facilitate claim processing and enhance procedures.