Claims Examiner Executive, Non-Motor job opportunity at Allianz SE.

Bachelor's (B.Sc.)

Kuala Lumpur,, Malaysia

Kuala Lumpur,....Malaysia

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.