Deskripsi Pekerjaan
Join FortisCor (Malaysia) Sdn Bhd as a Senior Claims Executive and embark on a challenging yet rewarding career in the insurance sector. We recognize and reward high performance, offering exceptional career development opportunities for ambitious professionals. In this pivotal role, you'll manage complex insurance claims, ensuring accurate assessment and timely resolution while maintaining compliance with regulatory standards. Our collaborative environment empowers you to drive innovation in claims processing and contribute meaningfully to our clients' financial security.
As a key member of our claims team, you'll leverage analytical skills to investigate claim validity, negotiate settlements, and build relationships with stakeholders. We provide comprehensive training and mentorship programs designed to accelerate your professional growth. FortisCor is committed to fostering a culture of excellence where your contributions are valued, and your career trajectory is supported through continuous learning and advancement opportunities.
Tanggung Jawab
- Review and assess insurance claims for accuracy, completeness, and compliance with policies
- Conduct thorough investigations into claim incidents, gathering relevant documentation and evidence
- Communicate effectively with claimants, beneficiaries, and internal stakeholders throughout the claims process
- Negotiate fair claim settlements in accordance with company guidelines and legal requirements
- Prepare and maintain detailed claim documentation, ensuring timely processing and record-keeping
- Collaborate with legal and medical experts to evaluate complex claims and determine appropriate outcomes
- Identify trends in claim patterns and recommend process improvements to enhance efficiency
Kualifikasi
- Bachelor's degree in Business, Finance, Law, or related field (or equivalent professional experience)
- Minimum 5 years of experience in insurance claims management or underwriting
- Strong analytical skills with attention to detail in assessing claim validity and risk factors
- Excellent negotiation abilities and conflict resolution techniques
- Proficiency in claims management software and MS Office applications
- In-depth knowledge of insurance regulations, compliance standards, and industry best practices
- Professional certifications in insurance (e.g., AIC, CPCU) or claims management preferred