Claims System Specialist (AM)

Job Summary

• Responsible for Claims operational support, business process analysis and other responsibilities / duties periodically assigned by supervisor to meet operational and/or other requirements.
• Manage claims related projects based on business needs and requirements i.e regulatory, improve customer experience, system enhancement related to products or improve efficiency of the team.
• Monitor system related issues and follow through with IT team until resolution.

Key Tasks & Responsibilities

1. Participate in system enhancement, process improvement and digital projects. Role and Responsibilities including:

1. Liaise and coordinate with superior and IT /Stakeholders.
2. Participate in project meeting.
3. Prepare system/business requirement and business process review.
4. Perform User Acceptance Testing (UAT)
5. Prepare test script.
6. Prepare sign off document from stakeholder.
7. Prepare implementation sign off document.
8. Assist superior to monitor the result.
9. Perform all activities achieved the reasonable quality, performance and within the agreed timeline given.
10. Review and recommend measure to improve the existing process and system.

2. Perform data analysis and presentation to support business decision.
3. Responsible to perform Quality Check or sampling review as per Quality Assurance Framework. Update the report to management on monthly basis.
4. Establish and update guidelines, working instructions and standard operating procedures.
5. Ensure that timeline and objectives as agreed with superior for any other assignments / projects that may be assigned are met or exceeded.
6. Assist superior in developing project plan to be shared with all stakeholders (for Claims projects).
7. Coordinate and maintain relationship with internal stakeholders and third parties/ vendors for the execution of projects.
8. Assist superior in resources allocation for the projects i.e delegate tasks to team members.
9. Manage changes to the project scope and project schedule, as necessary.
10. Monitor and track progress of the projects as well as ensure delivery of the project timely or escalate to management for any roadblock that may affect the timeline.
11. Create and maintain comprehensive project documentation.
12. Track project performance specifically analyze the successful completion of short and long-term goals.
13. Monitor and follow through with IT team to resolve system related issues that affect the department’s performance.
14. Coordinate for BCP/ DRP that involved Claims and arrange resources for BCP/ DRP testing.
15. Provide direction and guidance to team members on issues raised.
16. Coordinate with other units within the department to gather input for departmental reports and consolidate/ prepare reports for the submission to management.
17. Develop ad-hoc reports, as necessary.
18. Follow procedures to ensure adherence to the company´s risk and compliance policies.
19. Other duties as assigned by line manager or other member of Management team.

Job Requirements

Education : Degree with relevant experience

Experience:   Minimum 5 to 10 years working experience in Insurance Industry

Technical Skills :

• PC literate and excellent in communication skills.
• Knowledge in Life Insurance/ Takaful, good communication/ inter-personal skill. Computer and system literate with knowledge in Microsoft Word, Excel and Power Point.

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. 

Let’s continue to grow together!