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100+ Claims Jobs in Kuala Lumpur - October 2026 - High Salaries
Showing 175 jobs results for
"claims"
in Kuala Lumpur
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Manage Alert
Undisclosed
KL City
- Establish covered medical insurance losses against benefits coverage and eligibility.
- Establish proof of loss by studying medical documentation; assembling additional information as required from other sources, such as claimant history, physician, employer, hospital details, type of medication, procedures & etc. Escalate questionable claims to the direct supervisor / medical advisory officers (if required).
- Ensure confidentiality of all claims information, inclusive of claims guidelines and internal controls. ...
Posted
4 days ago
Tokio Marine Insurance Group (Asia)
Undisclosed
KL City
- Any tertiary qualifications
- SPM/STPM
- 2 years in Motor Third Party Property Damage claims handling will be added advantage. ...
Posted
2 days ago
Malaysian Resources Corporation Berhad (MRCB)
MYR2,000 - MYR2,000 Per Month
KL City
- - Manage end-to-end recovery cases from initial identification through final payment collection.
- - Maintain precise, up-to-date tracking records of outstanding recovery balances, collections and case notes.
- Education ...
Posted
2 days ago
MYR1,050 - MYR1,050 Per Month
KL City
- Follow Procedures: Make sure all tasks follow company guidelines and are completed accurately.
- Test & Improve: Participate in testing new systems or updates and share your feedback to help improve processes.
- Take Initiative: Jump in to support other tasks and projects as needed ...
Posted
7 days ago
Undisclosed
KL City
- Establish covered medical insurance losses against benefits coverage and eligibility.
- Establish proof of loss by studying medical documentation; assembling additional information as required from other sources, such as claimant history, physician, employer, hospital details, type of medication, procedures & etc. Escalate questionable claims to the direct supervisor / medical advisory officers (if required).
- Ensure confidentiality of all claims information, inclusive of claims guidelines and internal controls. ...
Posted
7 days ago
Undisclosed
KL City
- Manage and coordinate with customers, brokers, agents, loss adjusters, surveyors, and other relevant stakeholders throughout the claims lifecycle.
- Escalate complex, contentious, or high-value claims to management where appropriate.
- Ensure claims are processed in compliance with Zurich's policies, regulatory requirements, and service standards. ...
Posted
13 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
20 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
15 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
21 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
21 days ago
Berjaya Sompo Insurance Berhad
Undisclosed
KL City
- Manage correspondence, inquiries, and complaints, ensuring prompt and effective resolution.
- Prepare and submit claims, management, regulatory, bordereaux, statistical, and ad hoc reports accurately and within stipulated timelines.
- Monitor claims trends, reserve adequacy, and outstanding claims, escalating adverse developments and areas of concern to the HOD/Section Head. ...
Posted
16 days ago
MYR5,000 - MYR5,000 Per Month
KL City
- Location: Kuala Lumpur, Malaysia
- Employment Type: Full-Time
- About the Role ...
Posted
7 days ago
Undisclosed
KL City
- Additional task- Financial verification- Assisting Claims Supervisor, Claims in work planning, implementation of new contract, updating of Contract Summary, conducting refresher trainings- Work closely with SMEs & Claims Supervisor and identify areas for improvement based on customer feedback on our services.
- PROFILEEducation Level- Bachelor degree or similar by experienceSpecific Knowledge- Passive language knowledge (English, Mandarin etc.)- Policies coverage- Medical terminology- Use of necessary reference works
- Skills- Skillful in taking decisions: takes the right action on allocated files based on the available information.- Skillful with numbers: likes to work with numbers.- Accurate: works accurately on the input of data, aims to work faultlessly.- Discipline: pays attention to procedures, agreements and document flows.- Efficient: finds a good balance between quality and quantity.- Team player: Able to work in a team.- Skillful with computer programs: readily learns the ropes in the use of current office applications and own Cigna International systems.- Discreet: works discreetly with confidential (medical) information.- Active knowledge of Tools needed to perform main tasks and responsibilities, such as Microsoft Office applications, CRM and tailor made software. ...
Posted
8 days ago
Undisclosed
KL City
- Following up his/her own workload (volume and timing): keeping an eye on chronology and processing time of the work volume and taking suitable actions.
- Participate efficiently in processing the flow of claims: inform the Claims Supervisor about claims lacking clarity and about possible ways of optimizing the processes.
- A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators. ...
Posted
9 days ago
Undisclosed
KL City
- Following up his/her own workload (volume and timing): keeping an eye on chronology and processing time of the work volume and taking suitable actions.
- Participate efficiently in processing the flow of claims: inform the Claims Supervisor about claims lacking clarity and about possible ways of optimizing the processes.
- A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators. ...
Posted
9 days ago
Undisclosed
KL City
- Establish proof of loss by studying medical documentation; assembling additional information as required from other sources, such as claimant history, physician, employer, hospital details, type of medication, procedures & etc. Escalate questionable claims to the direct supervisor / medical advisory officers (if required).
- Ensure confidentiality of all claims information, inclusive of claims guidelines and internal controls.
- To identify Process improvement ideas & initiatives leading to greater operations effectiveness and efficiency. ...
Posted
11 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
21 days ago
Undisclosed
KL City
- Respond to employee enquiries regarding claim status, eligibility, and policy interpretation
- Identify and flag irregular or non-compliant claims for further review
- Maintain accurate records of all claims for audit and reporting purposes ...
Posted
7 days ago
Undisclosed
KL City
- Assesses and processes claims in line with the policy coverage and medical necessity.
- Be fully versed with medical insurance policies for various groups / beneficiaries.
- May assist in training colleagues and asked to share knowledge. ...
Posted
8 days ago
Undisclosed
KL City
- Assesses and processes claims in line with the policy coverage and medical necessity.
- Be fully versed with medical insurance policies for various groups / beneficiaries.
- May assist in training colleagues and asked to share knowledge. ...
Posted
8 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
a month 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
18 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
a month ago
Undisclosed
KL City
- Drive the capability and up-skilling efforts in Business Units with adequate measures such as eLearning’s “General Insurance Claims – Managing by Numbers” to improve the effectiveness of performance management.
- Drive the further Business Unit based enhancement of Claims data and analytics in close collaboration with the local claims controlling teams including the sourcing of more granularity and up to 10 years of claims history.
- Contribute through requirements specification to the further enhancement of other claims data analytics systems. ...
Posted
16 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
21 days ago
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