Claims Examiner
- Kuala Lumpur
- Permanent
- Full-time
- Document claims file by accurately capturing and updating claims data/information.
- 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 protocol 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.
- A diploma or degree in insurance, business, law, or a related field is preferred
- Strong analytical and decision-making skills
- High attention to detail and accuracy in documentation
- Effective communication and negotiation abilities
- Ability to manage multiple claims and meet deadlines.
- Customer-centric mindset with empathy and professionalism.
- Location(s): MY - Kuala Lumpur
- Schedule: Full Time
- Recruiter name: Eilma Fatehah Sabri