100+ Claims Jobs in Wp Kuala Lumpur - October 2026 - High Salaries

Showing 177 jobs results for "claims" in Wp Kuala Lumpur
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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
12 days ago

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
12 days ago

KL City

Posted
14 days ago

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
21 days ago

KL City

  • Answer inquires relating to claims processing
Posted
15 days ago

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
15 days ago

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
15 days ago

KL City

  • Answer inquires relating to claims processing
Posted
16 days ago

KL City

  • Build strong relationships with insureds, brokers, assistance providers, and internal stakeholders through clear and professional communication;
  • Identify recovery and cost-management opportunities that improve claim and portfolio performance;
  • Partner with underwriting and claims colleagues to share insights, identify trends, and support continuous improvement. ...
Posted
4 days ago

KL City

  • Location: Kuala Lumpur, Malaysia
  • Employment Type: Full-Time
  • About the Role ...
Posted
4 days ago

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
4 days ago

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
4 days ago

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
4 days ago

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
22 days ago

KL City

  • Monitor replacement payment cases and ensure compliance with established Service Level Agreements (SLA).
  • Maintain payment tracking records and prepare operational reports.
  • Liaise with Finance, Claims, and other stakeholders to resolve payment-related issues. ...
Posted
13 hours ago

KL City

  • Drive recovery initiatives through subrogation, contribution, indemnity actions, and other legal recovery avenues.
  • Develop technical capabilities within the Liability Claims team and promote best claims practices.
  • Build strong relationships with stakeholders including panel solicitors, adjusters, brokers, reinsurers, and insureds. ...
Posted
7 days ago

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
23 days ago

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
23 days ago

KL City

  • Location: Kuala Lumpur, Malaysia
  • Employment Type: Full-Time
  • About the Role ...
Posted
15 days ago

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
21 days ago

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
3 days ago

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
2 days ago

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
4 days ago

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
4 days ago

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
4 days ago

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
16 days ago

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
17 days ago

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
17 days ago

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
23 days ago

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
19 days ago