Claims Executive/Claims Senior Executive

Reposted 17 Days Ago
Be an Early Applicant
Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur
In-Office
Mid level
Fintech • Financial Services
The Role
The Claims Executive ensures claims are registered, reserves are adequate, provides customer support, monitors reports, and handles fraud issues. The role involves decision-making on claims, guiding staff, and ensuring compliance with policies and regulations.
Summary Generated by Built In
  • Ensure the claim is registered and adequacy of reserve provision.
  • To appoint Adjusters or Solicitors on a case to case basis.
  • Closely monitor the submission of the Adjuster report in accordance to the Internal/ External guidelines.
  • To attend incoming phone calls/ emails from customers/ agents/ solicitor/ internal parties.
  • To monitor on the fraud elements and adjuster irregularity while processing the claim and informed to the direct superior for the further action
  • To verify, assess, approve and authorize payment promptly all claims within authority and for claims exceeding authority to process, recommend and submit to Unit Head/ Head, BA/FA for consideration in order to meet Customer Service.
  • To ensure all recovery cases are actively pursued. Monitored, updated and reported to the Unit Head/ Head, BA/FA on monthly basis.
  • To provide guidance and direction to subordinates/ Branches/ Customers in relation to technical claims matters in enhancing customers service standard.
  • To refer immediately any complaints received from Customers, BNM, PIAM, OFS, Branches to Unit Head/ HOD, so that these are promptly and effectively resolved.
  • To monitor and review files at least once a year.
  • Ensure each claims and potential claims are adequately reserved.
  • To ensure all claims suspected having fraud elements or in violation of policy conditions are brought to attention of Unit Head/Head, BA/FA claims and in the absence to the Head, BA/FA/Chief Executive Officer before repudiation.
  • Ensure all necessary advices to Treaty Reinsurers/ XOL are submitted as required and laid down under the Reinsurance Agreement.
  • Ensure adherence to all laws, regulations and BNM Policy Document on Claims Settlement Practices (CSP PD) dated 1st July 2024.
  • To carry out duties and functions as and when required or instructed by Unit Head/ Head, BA/FA/Management.
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Kuala Lumpur
14,000 Employees
Year Founded: 1997

What We Do

We are a multinational regional financial services provider that is committed to deliver complete solutions to our clients through differentiated segment offerings and an ecosystem that supports simple, fast and seamless customer experience, underpinned by cohesive and inspired workforce and relationship built with stakeholders

Headquartered and listed in Malaysia, RHB Banking Group is the longest established local bank, formed though the mergers of several banks, the oldest of which was founded in 1913. RHB Banking Group and its subsidiaries provide a full range of services ranging from retail banking, business banking, corporate and investment banking, Islamic banking, transaction banking to treasury, insurance, asset management, private equity and stockbroking services.

TOGETHER WE PROGRESS

Our strong heritage is the foundation of our commitment to continue serving the community. For over a 100 years, we have been helping people and businesses grow and succeed, and will continue to do so.

Our experience gives us an in-depth understanding of the needs of our customers and partners, inspiring us to constantly innovate and improve to serve them better. With their unending support, we have established ourselves with a strong footprint throughout Malaysia and we are now present in 9 other countries across the ASEAN region.

We hope our legacy and pursuit for excellence continues as we tirelessly cultivate and nurture the next generation through our actions and words, preparing a brighter future ahead.

We thank those who believe in us and welcome everyone to join us on our exciting journey of progress. The time has come for us to move forward in unison, to realise our greater potential together. Our new brand promise "Together We Progress” honours our past, celebrates the present and welcomes the future.

We invite you to join us as we work towards a better and brighter future for all.

Similar Jobs

In-Office
Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, MYS
52292 Employees

Pfizer Logo Pfizer

Team Lead

Artificial Intelligence • Healthtech • Machine Learning • Natural Language Processing • Biotech • Pharmaceutical
Hybrid
2 Locations
121990 Employees

Cloudflare Logo Cloudflare

Senior Contract Manager

Cloud • Information Technology • Security • Software • Cybersecurity
Hybrid
Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, MYS
4400 Employees

Cloudflare Logo Cloudflare

Technical Support

Cloud • Information Technology • Security • Software • Cybersecurity
Hybrid
3 Locations
4400 Employees

Similar Companies Hiring

Camber Thumbnail
Social Impact • Healthtech • Fintech
New York, NY
53 Employees
Rain Thumbnail
Web3 • Payments • Infrastructure as a Service (IaaS) • Fintech • Financial Services • Cryptocurrency • Blockchain
New York, NY
40 Employees
Scotch Thumbnail
Software • Retail • Payments • Fintech • eCommerce • Artificial Intelligence • Analytics
US
25 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account