Claims Management Analyst

Accenture Southeast Asia


Date: 3 weeks ago
City: Subang Jaya
Contract type: Full time
Job Descriptions:


  • Utilize acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, review and analyze documentation, policy provisions and other records. May require additional contact with other parties (i.e. employer, claimants, third parties such as medical providers, auto repair centers, etc.) as deemed necessary
  • Ensure proper follow up on cases to resolve outstanding issues and to ensure timely processing and closure of claim
  • Provide timely service throughout the life of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, responding to incoming inquires according to company policies, following agreed internal and external processes, policies and procedures to ensure quality and service standards are met. This includes all forms of communications to internal and external parties
  • Maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information
  • Ensure that reserves are accurately updated in a timely manner
  • Identify subrogation opportunities and fraud potential and make appropriate referrals
  • Provide mentorship to less tenured examiners


    • Job Requirement/Qualifications:


  • Must have Diploma / Bachelor’s Degree in Actuarial Science, Business Admin, Psychology, HR
  • Must have insurance related certificates, including BCP, PGI, and HI Certification
  • Ability to prioritize and multi-task effectively in a fast-paced environment
  • Ability to communicate information clearly and concisely both verbally and in writing
  • Require proficiency in Desk Management, phone ‘etiquette’, time management and dealing with difficult customers
  • Computer literate; experience with Microsoft Office Products.
  • Must be willing to work during Malaysia public holiday and perform overtime as and when required due to business requirements.
  • Experience in the field of Customer Service and/or Personal Accident Claims Processing (advantage)
  • Working Hours: Mon - Fri 4AM - 1PM


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