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Assistant Manager/Manager, Claims Non Motor

Fresher
MYR 7,500 - 8,500 per month
  • Posted 3 hours ago
  • Be among the first 10 applicants

Job Description

The Assistant Manager, Claims (Lead, Accident & Health) is responsible for leading and overseeing the Accident & Health claims function (including Medical, Dental, Personal Accident, and Travel claims) ensuring efficient, accurate, and compliant end-to-end claims handling. This role involves managing complex and high-value claims, providing strategic direction, and driving operational excellence across the team. The Manager ensures adherence to company policies and Bank Negara Malaysia regulations while delivering high standards of customer service and claims outcomes. The ideal candidate demonstrates strong leadership, technical expertise, and the ability to optimize processes and team performance.


Job Requirements

  • Lead and oversee the end-to-end management of Accident & Health claims (Medical, Dental, Personal Accident, and Travel) insurance claims from notification through to settlement.
  • Review, approve, and provide direction on complex, high-value, and escalated claims cases, including complaints, disputes and litigation case.
  • Supervise and manage team members, ensuring productivity, quality, and consistency of liability and claims quantum assessment in accordance with policy terms and guidelines.
  • Monitor claims performance metrics including turnaround time (TAT), reserve adequacy, and claims trends.
  • Build and maintain strong relationships with third-party administrators (TPAs) as well as agents, brokers, and other stakeholders to ensure timely assessments and smooth claims handling.
  • Collaborate with internal stakeholders including branches, underwriting, IT, and marketing teams to resolve claims-related issues effectively
  • Identify and escalate deficiencies in policy coverage and adverse claims trends to Senior Management for corrective action.
  • Drive claims strategy to optimize cost control, minimize leakage, and improve claims outcomes
  • Lead reporting and provide insights on claims analytics, trends, and operational performance to senior management.
  • Ensure compliance with internal governance, audit requirements, and Bank Negara Malaysia regulations
  • Drive continuous improvement initiatives, including process enhancements, automation, and service delivery improvements.
  • Support strategic initiatives, including system enhancements and portfolio performance reviews.

More Info

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About Company

Hello! We're Tune Protect Group of companies - that may sound like a mouthful, but we're all about something simple yet super important: keeping people like you, protected. You know those times when life gets adventurous We want everyone to dive into those moments with confidence, knowing they're covered. Now, here's the exciting part. At Tune Protect, we're all about breaking down the barriers to insurance. We believe that everyone deserves to be safeguarded without the hassle. So, we've made it easy to understand, easy to get, and definitely easy on the wallet. Our motto "Insurance Simplified" says it all. But hold up, we're not just any old insurance crew. We're stepping into the future as a Digital Insurer. What does that mean We're using tech to make insurance a breeze, not a headache. Think of it as insurance for the modern worldâ€"quick, convenient, and tailored to you. And guess what We're not keeping this amazing stuff to ourselves. We're spreading this insurance revolution across not just our backyard but way beyond, all across ASEAN and even more far-flung places. We're not just changing insurance we want to change how people feel about it. Now, here's the part where you come in. If you're looking for a place where you can make a real impact, where innovation is the name of the game, and where your ideas are welcomed with open arms, you're in the right spot. We're not just building a company we're building a family that's in it for the long haul. So, whether you're a tech whiz, a creative guru, a customer service superstar, or anything in between, there's a place for you here. We're all about bringing fresh minds on board to help us shake things up, challenge the norm, and create something extraordinary together. Ready to be a part of a team that's rewriting the rules of insurance Join us at Tune Protect, where protection meets innovation, and your talents are about to shine like never before.

Job ID: 152423489

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Malaysia, Kuala Lumpur

Skills:

Ms OfficeClaims operationsAnalytical SkillsNegotiationCommunicationProblem SolvingAnalytics

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