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Xionex Hiring! Full Time Insurance claims specialist in Federal Territory - Ricebowl

Insurance claims specialist

Xionex

KL City, Federal Territory

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Working Location

  • Kuala Lumpur Federal Territory Malaysia

Job Description

Responsibilities

Company Description Xionex partners with banks, insurers, and large enterprises to reduce costs and modernize back‑office operations through governed AI and specialized vertical AI agents. The company combines deep domain expertise with a high‑performance global service‑delivery model to streamline processes and improve quality. Xionex focuses on unlocking new efficiency opportunities in highly regulated industries, ensuring that technology solutions are reliable, secure, and scalable. Team members work in an environment that values innovation, operational excellence, and continuous improvement in support of clients worldwide.


Role Description The Insurance Claims Specialist is a full-time hybrid role based in Greater Kuala Lumpur, with a mix of on-site and work-from-home arrangements. The specialist will review, validate, and process insurance claims, ensuring accuracy, compliance with policy terms, and adherence to regulatory and internal guidelines. Day-to-day responsibilities include gathering and analyzing claim documentation, communicating with clients, brokers, and other stakeholders to clarify information, and making recommendations or decisions on claim outcomes. The role involves identifying potential fraud or inconsistencies, maintaining detailed records in claims management systems, and collaborating with team members to improve claims workflows and service quality. The specialist will also contribute to continuous process optimization, support reporting and analytics, and uphold high standards of customer service and professional integrity.


Qualifications

  • Strong claims management and claims handling skills, with experience processing and reviewing insurance claims.
  • Solid analytical skills to evaluate claim information, identify patterns or discrepancies, and support sound decision-making.
  • Knowledge of insurance products, policy wording, and regulatory requirements in relevant markets.
  • Clear and professional communication skills for interacting with customers, internal teams, and external partners.
  • Attention to detail, high level of accuracy, and strong organizational skills in a fast-paced environment.
  • Comfort with digital tools and claims management systems; ability to learn new technologies quickly.
  • Ability to work effectively in a hybrid setup, manage time independently, and collaborate with cross-functional teams.
  • Relevant experience in insurance or financial services claims operations; prior exposure to process improvement or automation is an advantage.
  • Diploma or degree in Business, Finance, Insurance, or a related field (or equivalent practical experience).
  • Proficiency in English; additional language skills in regional languages are beneficial.

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