Claims Specialist

Purpose

To handle single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

Key Accountabilities

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity.

• Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.

• Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.

• 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 claims cycle within authority limit by estimating and validating value of claims.

• Assess damages by calculating applicable damages or range of damages allowed by law.

• Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits.

• Meet quality standards by following best practices

Business Accountabilities

• Lead a team of claims handling specialists to develop and implement business processes and manage performance across all activities in order to achieve business objectives and continuously improve performance.

• Translate business objectives into clearly defined business cases, costs or schedules in order to support the achievement of claims.

• Monitor and control allocated human and material resources assigned to project work, maintaining financial and progress forecasting in order to ensure projects are delivered according to schedule and within budget.

• Supervise and quality-assure the drafting of key claims handling policy documents to ensure full compliance to theorganization's rules and regulations governing transactions.

• Oversee compliance with claims policies, procedures, systems and processes across multiple countries/Line of Business to protect the organization's interests.

• Analyze key themes from a wide range of data sources in order to identify trends and areas for business improvement providing potential solutions.

• Contribute to the development of process and lead the implementation of systems and process improvements in claims handling.

• Provide technical guidance and recommendations as a subject matter expert in order to support the resolution of the most complex customer cases and develop precedents to improve customer service.

• Manage key internal and external stakeholder relationships across the organization in order to ensure colleagues are informed on relevant issues.

• Act as a technical expert for own team and internal customers and maintains up to date knowledge of own area of expertise so that operational claims team can best serve customers.

At Zurich we are proud of our culture. We are passionate about Diversity and Inclusion. We want you to bring your whole self to work we have a diverse mix of customers, and we want our employee base to reflect that.

Our diversity and inclusion initiatives are creating an environment where everyone feels welcome regardless of protected characteristics.

With the above in mind, we accept applications from everyone regardless of your background, beliefs, or culture.

We are committed to continuous improvement, and we offer access to a comprehensive range of training and development opportunities. Zurich is passionate about supporting employees to help others by getting involved in volunteering, charitable and community activity.

So, make a difference. Be challenged. Be inspired. Be supported, Love what you do. Work for us.

You are the heart & soul of Zurich!

At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right? 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. We’re proud to have earned Great Place To Work® Certification™. Our company culture is our top priority! #GPTWcertified

Let’s continue to grow together!

Location(s): MY - Kuala Lumpur
Schedule: Full Time
Recruiter name: Jesreena Kaur