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Claim Processing Analyst, Asia

QBE Insurance Group Limited Petaling Jaya, Malaysia
Posted 16 days ago Permanent Competitive
Claim Processing Analyst, Asia
Primary Details
Time Type: Full time

Worker Type: Employee

This role is responsible for end-to-end management of claims. Providing delivery of claims services, determining proper policy coverage to conclude, investigate, evaluate and negotiate assigned cases. Ensuring customer satisfaction and equitable solution to claims in accordance with company guidelines.

Responsibilities :
  • Manage claims end to end within parameters of claims manual, DTPs, policies and relevant legislation and regulations.
  • Ensure compliance within delegated authority limits.
  • Maintain effective and proactive communication with customers.
  • Ensure effective coordination with suppliers.
  • Set possible cost of claim and updates on time as reports are sent through by assessors.
  • Raises payment within delegations of authority.
  • Interpreting policy coverage and determining if coverage's apply to claims submitted. Promptly informing customer of acceptance/ decline of claim and escalating issues or proper endorsement as needed.
  • Decide on the best fulfillment method to settle claim.
  • Identify suspicious or potentially fraudulent claims in accordance with QBE fraud indicators. Refer these claims to the Fraud Investigations team.
  • Identify recovery opportunities on claims.
  • Provide information and feedback on claims activity and developing trends to underwriters/risk assessors to enable appropriate actions to be carried out.
  • Provide feedback to the underwriting team for details that need to be flagged/ noted in the policy that is relevant upon renewal.

Requirement :
  • Bachelor's Degree or equivalent combination of education and work experience.
  • Analytical and negotiation skills.
  • Excellent verbal and written communication skills (English).
  • Preferably with Case Management Skills.

Application Close Date: 14/06/2024 11:59 PM

How to Apply:

To submit your application, click "Apply" and follow the step by step process.

Equal Employment Opportunity:

QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
Job ID  324333
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