Claims Examiner

Purpose
With moderate direction, handles single and multi-party personal or commercial line claims of low to moderate exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

Key Accountabilities

• Document claims file by accurately capturing and updating claims data/information.
• To determine liability by gathering and analyzing relevant facts.Analyse and determine policy coverage.
• Work to have a timely resolution to claims by developing case strategy, developing a case evaluation, escalating issues as appropriate.
• Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits.
• Assess damages.Negotiate settlement of claim by establishing an appropriate negotiation strategy.
• Meet quality standards by following best practices.
• Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols.
• Aligned to the organization's Claims Vendor Management strategy.
• Ensure legal compliance by following laws and regulations and internal control requirements.Refer claim to subrogation and fraud teams.
• Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed.
• Protect Zurich's reputation by keeping claims information confidential.
• Understand the current with industry trends and establish personal networks and participate in professional societies.

Performance Management Accountabilities

• Demonstrate commitment to corporate values.
• Take accountability for participating in the performance management cycle.
• Take action to improve performance on the job.
• Assist and support co-workers. Take action to manage own personal development.

Requirements :-

• Diploma/Degree in Business, Insurance, or related field.

• Strong communication and negotiation skills.

• Detail-oriented, well-organized, and capable of handling high volumes of cases.

• Able to work independently and under pressure in a fast-paced environment.

Location  : Kuala Lumpur