Claims Examiner - Third Party Bodily Injury

Job description

74410 | Customer Services & Claims | Professional | [[custPositionClusterCSB]] | Allianz Malaysia | Full-Time | Permanent

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

Requirements

• 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