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100+ Claims Jobs in Federal Territory - September 2026 - High Salaries
Showing 103 jobs results for
"claims"
in Federal Territory
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Manage Alert
Undisclosed
KL City
- Performing sanctions checks on all relevant parties and ensuring that all claims are in compliance with both internal and external regulatory requirements.
- To monitor the performance of the appointed TPA and be proactive on liaising with TPA on resolving issues.
- Keeping constant communication with management and underwriting teams. ...
Posted
a day ago
Undisclosed
KL City
- Perform audits and reviews of claims files, processes and documentation to check accuracy, quality and adherence to standards.
- Prepare clear file review and audit reports that enable managers to understand issues and implement remediation.
- Ensure timely communication of key findings and issues to all relevant stakeholders. ...
Posted
2 days ago
Undisclosed
KL City
- Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.
- High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.
- Must obtain and maintain required adjuster license(s) ...
Posted
2 days ago
Undisclosed
KL City
- Participate in system enhancement, process improvement and digital projects. Role and Responsibilities including:
- Liaise and coordinate with superior and IT /Stakeholders.
- Participate in project meeting. ...
Posted
a day ago
Undisclosed
KL City
- Key in and update claims information accurately in the system.
- Follow up on incomplete or missing documents from hospitals, clinics, employees, or relevant parties.
- Liaise with hospitals, clinics, employees, insurance companies, and clients regarding claims matters. ...
Posted
17 days ago
Undisclosed
KL City
- Continuous Improvement: Identify opportunities and contribute to the development of best practices in claims management.
- Education: Bachelor’s degree in Law, Insurance, or a related field.
- Experience: Minimum of 2 years of experience handling third-party bodily injury claims, preferably in an insurance or legal environment. ...
Posted
7 days ago
Undisclosed
KL City
- Coordinating with insurance providers to facilitate approvals and resolve outstanding issues
- Maintaining well-organised and up-to-date records across all claim activities
- Acting as a first point of contact for member queries, delivering clear and professional responses ...
Posted
8 days ago
MYR4,500 - MYR5,500 Per Month
KL City
- Evaluate claims and recommend settlement amounts within delegated authority limits
- Liaise with claimants, agents, brokers, medical providers, adjusters, and other stakeholders to facilitate smooth claims handling
- Ensure accurate claims registration, data entry, and reserving in accordance with company guidelines ...
Posted
8 days ago
Undisclosed
KL City
- Evaluate claims and recommend settlement amounts within delegated authority limits
- Liaise with claimants, agents, brokers, medical providers, adjusters, and other stakeholders to facilitate smooth claims handling
- Ensure accurate claims registration, data entry, and reserving in accordance with company guidelines ...
Posted
8 days ago
Undisclosed
KL City
- Claims Processing / Operations Professionals – Kuala Lumpur – Contract Position
- We are looking to connect with experienced claims processing professionals for potential project-based opportunities with a large multinational organisation.
- We are interested in candidates with hands-on operational experience in areas such as claims processing, claims assessment, documentation review, case management and claims administration. ...
Posted
18 days ago
Undisclosed
KL City
- Claims Processing / Operations Professionals – Kuala Lumpur – Contract Position
- We are looking to connect with experienced claims processing professionals for potential project-based opportunities with a large multinational organisation.
- We are interested in candidates with hands-on operational experience in areas such as claims processing, claims assessment, documentation review, case management and claims administration. ...
Posted
18 days ago
Undisclosed
KL City
- Claims Processing / Operations Professionals – Kuala Lumpur – Contract Position
- We are looking to connect with experienced claims processing professionals for potential project-based opportunities with a large multinational organisation.
- We are interested in candidates with hands-on operational experience in areas such as claims processing, claims assessment, documentation review, case management and claims administration. ...
Posted
19 days ago
Undisclosed
KL City
- Ensure appoint Vendor and surveyor to arrange for the rework witin 1 working day
- Follow all the steps as per SOP for Pre & Post transloading activities
- Ensure DagangNet declared, NMC obtained from terminal & ZB3 submitted and approved. ...
Posted
21 days ago
Undisclosed
KL City
- Performing sanctions checks on all relevant parties and ensuring that all claims are in compliance with both internal and external regulatory requirements.
- To monitor the performance of the appointed TPA and be proactive on liaising with TPA on resolving issues.
- Keeping constant communication with management and underwriting teams. ...
Posted
23 days ago
Undisclosed
KL City
- Ensure compliance with Bank Negara Malaysia (BNM) guidelines, the Company's claims policies, Customer Service Standards, and the Claims Department's Quality Objectives; conduct scheduled claims reviews, minimise claims leakages, and escalate suspicious and/or fraudulent claims to superiors for thorough investigation and appropriate action.
- Liaise regularly with underwriters and business units on policy- and claims-related issues, report adverse claims trends to the Business Manager or Functional Manager, and complete any other tasks assigned by superiors.
- Degree Holder, preferably with professional insurance qualifications. ...
Posted
16 days ago
Undisclosed
KL City
- Strong knowledge of life, health, medical, and major claims assessment principles, claims operations, and regulatory requirements.
- Proven experience in managing complex claims investigations, claim escalations, disputes, and stakeholder negotiations.
- Strong understanding of insurance industry regulations, governance, compliance requirements, and fair claims practices. ...
Posted
2 days ago
MYR3,000 - MYR3,000 Per Month
KL City
- Review and follow up on items listed in the monthly suspense report, including suspense clearance, outstanding shortfalls, and future claim clawback arrangements.
- Perform system checking for cases requiring manual approval.
- Conduct manual review and follow-up on provider overpayment refunds to ensure timely recovery and account clearance. ...
Posted
23 days ago
Undisclosed
KL City
- Manage incoming work items and ensure service standards and turnaround times are met.
- Perform routine quality checks to ensure data integrity and compliance with internal procedures.
- Assist with claim registration, and other administrative claim support activities as required. ...
Posted
17 days ago
Undisclosed
KL City
- Performance Management.
- Fraud management.
- 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. ...
Posted
15 days ago
Undisclosed
KL City
- Perform audits and reviews of claims files, processes and documentation to check accuracy, quality and adherence to standards.
- Prepare clear file review and audit reports that enable managers to understand issues and implement remediation.
- Ensure timely communication of key findings and issues to all relevant stakeholders. ...
Posted
17 days ago
Undisclosed
KL City
- To improve existing processing flow and maintenance of SOPs and claims guidelines from time to time to reflect the latest practise of claims
- To prepare monthly, and any ad-hoc report, & deliver within agreed timeline
- Actively involved in system enhancements, migration or any projects/ UAT testing and deliver within stipulated timeline ...
Posted
8 days ago
Undisclosed
KL City
- Participate in projects and initiatives set to achieve the departmental and organization key goals.
- Communicate with internal & external parties on operation matters.
- Perform ad-hoc duties assigned when required. ...
Posted
24 days ago
Undisclosed
KL City
- Categorize medical expenses under the appropriate benefit heads and accurately adjudicate claims based on policy coverage and available products.
- Approve, reject, or adjust claims in line with policy exclusions, limits, and benefit entitlements.
- Ensure completeness and accuracy of claim documentation and system updates. ...
Posted
13 days ago
Undisclosed
KL City
- Key in and update claims information accurately in the system.
- Follow up on incomplete or missing documents from hospitals, clinics, employees, or relevant parties.
- Liaise with hospitals, clinics, employees, insurance companies, and clients regarding claims matters. ...
Posted
25 days ago
MYR8,000 - MYR10,500 Per Month
KL City
- end to end health/medical claims management : 8 years (Required)
- ACII, AMII, AAII, FLMI (Preferred)
- JOB SCOPE: ...
Posted
25 days ago
Undisclosed
KL City
- Work to have a timely resolution to claims by developing case strategy, developing a case evaluation, escalating issues as appropriate.
- Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits.
- Assess damages.Negotiate settlement of claim by establishing an appropriate negotiation strategy. ...
Posted
5 days ago
Undisclosed
KL City
- Assist in root cause analysis and recommend corrective actions to improve efficiency and service delivery.
- Support workforce planning, capacity tracking, and workload management activities.
- Maintain operational documentation, procedures, and performance monitoring tools. ...
Posted
22 days ago
Tokio Marine Insurance Group (Asia)
Undisclosed
KL City
- Highlight to supervisors and/or HODs of any deficiency in policy coverage and adverse claims trends to facilitate corrective and appropriate action.
- Team player with good track record, and the necessary.
- Good communication skills.
Posted
8 days ago
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