Claim Handling Officer

Position: Claim Handling Officer/ Operations Support

Contract Duration: 6 months

Working Hour: Monday-Friday (8.30am – 5.30pm)

Work location: Menara Prudential TRX

 

Job Description

• To conduct claims investigation of suspicious, early and fraudulent claims, engaging with team members to efficiently manage investigation for a fast resolution
• To carry out claims due diligence and investigation as per established claims standard operating procedures (SOP) and guidelines
• To obtain further information or reports from clinics, hospitals, or other relevant sources as required to gather the necessary information for the respective cases
• To liaise with other insurers to obtain and to handle enquiries regarding to policy information and past claims records
• To handle incoming enquiries from internal or external parties via emails, phone calls, letter and walk in customers
• Active engagement with servicing agent or assured on all policy under investigation to ensure parties involved are fully kept informed on the progress and follow-up closely on requirement(s)
• To drive fast claims due diligence and investigation outcome for a quick resolution
• To partake in activities and share ideas to curb claims loss ratio
• To provide exceptional customer experience during their moment of truth while ensuring that we are in full compliance of Company's governance and best practices, local regulations and Group's standards and guidelines
• Resolving agents' and other queries relating to claims due diligence and investigation within agreed authority, investigating the cause of any complaints, gathering information from claims department and reviewing claims supporting documents
• Making fair, impartial decisions on whether to uphold a complaint in line with company and regulatory frameworks treating all customer fairly
• Gather customer and agency feedbacks to improve claims service standards and customer experience where appropriate
• Summarizing any additional actions required, advising agents or customer when they can expect a final response, drafting and sending out correspondence
• Ensuring compliance with legal requirements, industry regulations, organizational policies and professional code of conducts
• Updating and submission of reports as required by management within the agreed service standards
• Continuously attend/ involve with training for personal and career development
• Undertake projects/ other work and duties allocated by management as and when required 
• Preferred with experience in Life claims or customer relation, i.e. 1 to 2 years in the Life Insurance Industry
• Good command of English, Bahasa Malaysia and Mandarin (optional)
• Able to work and have good communication skills both written and spoken 
• Must be computer literate

Work Schedule:
This job has the following work schedule:
Monday - Friday Benefits & Perks
This job has the following benefits:
Paid overtime This job is located in Bandar Tun Razak, KL, Malaysia. Are you interested in this position? If so, apply now and get a response from us fast!
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