Assistant Manager/Manager Claims Control & Specialised Claims Unit
Kuala Lumpur, MY
Job Summary
- Management and administration.
- Market intelligence.
- Claims Specialist.
- Performance Management.
- Fraud management.
Key Responsibilities
- Regular review of open files in order to identify root causes of claims leakage and the translation of those findings into action plans to reduce leakage through process improvements and/or training.
- To manage the specialised claims from point of notification up to settlement i.e.manage the progress of Adjusters investigation
- Periodic monitoring outstanding claim files with Adjusters.
- Review work processes and provide solutions in improvement of claim guidelines and work processes.
- To assist in department’s administrative works, systems and procedures for smooth operations and continuous improvement.
- Performs investigation of potential fraud cases to uncover the fraud pattern and also the parties involved.
- Developing claim reviews plans (including outstanding and closed cases).
- Review, investigate and actively involved in all complex and contentious claims referred to the team to ensure compliance with policy requirements and smooth settlement.
- Analyses and maintains an up-to-date knowledge and data of fraud trends in the market.
- Backup team members and assume the responsibilities as and when required.
- Perform other duties as delegates by the Management.
- Ensure compliance to policies, guidelines and regulations
Key Requirements
- Bachelors’ Degree or equivalent, in any related field / Associated MII / CII.
- Minimum 5 years’ experience in P&C claim handling.
- Well verse with claims processes and handling.
- Good policy understanding in terms of the policy conditions, exclusions etc.
- Good judgement and able to make decision.
- Good communication skills
- Familiar with the use of AI tools such as ChatGPT for tasks simplification
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges is what makes us a unique employer.
We are united by a shared commitment: to put our customers first and at the centre of everything we do. Their needs inspire our thinking and guide our actions.
Together, we can build an environment where everyone feels empowered and confident to explore, grow and shape a better future – for our customers and for the world around us. At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and where integrity, fairness, inclusion and trust are at the heart of our culture.
We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
Join us. Let’s care for tomorrow.