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100+ Claims Jobs in Kuala Lumpur - September 2026 - High Salaries
Showing 194 jobs results for
"claims"
in Kuala Lumpur
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Manage Alert
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
6 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
7 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
7 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
9 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
- 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
19 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
a month 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
a month 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
5 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
6 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
6 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
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
16 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
- 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
a month 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
19 days 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
14 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
a month 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
24 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
a month ago
Undisclosed
KL City
- Monitor claims handled by adjusters closely and review monthly bordereaux reports on claim status.
- Coordinate and participate in discussions with adjusters on complex or contentious claims when required.
- Attend monthly bordereaux meetings with panel adjusters to review claim progress and outstanding matters. ...
Posted
15 days ago
Undisclosed
KL City
- Assess damages.
- Ensure customer service by proactively communicating information, responding to inquiries and following customer protocols.
- expenses by working within vendor approved networks and managing the scope of work assigned to outside contractors. ...
Posted
7 days ago
Undisclosed
KL City
- Investigate, identify, and support the repudiation of fraudulent or suspicious claims.
- Liaise with customers, adjusters, workshops, lawyers, and other stakeholders to facilitate smooth claims processing and resolution.
- Maintain proper claims documentation and ensure compliance with internal policies and regulatory standards. ...
Posted
18 days ago
Undisclosed
KL City
- Ensure compliance with BNM policy documents and guidelines, MSIG policies, guidelines, and regulatory requirements.
- Ensure suspicious and/or fraudulent claims are escalated and investigated thoroughly, minimize claims leakages, and pursue Company and Reinsurance (RI) recoveries.
- Minimum Diploma, Certificate, or Degree holder. ...
Posted
19 days ago
Undisclosed
KL City
- We highly value the experience and know-how of our employees and offer a wide range of opportunities across business areas to encourage you to apply for new opportunities within Zurich when you are ready for your next career step.
- Let’s continue to grow together!
Posted
a month ago
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