Senior Claims Specialist

Purpose

To examine and investigate large disability, death and lump sum individual or group life claims. To develop personal competence and contribute to the timely decisions and settlement of claims and delivery of excellent customer service.

Key Accountabilities

• Approve claims within limits of authority.
• May proactively and constantly refining case strategy
• Ensure that claims processes and procedures meet local requirements and that life claims decisions comply with known case law precedents.
• Conduct analysis into life claims activity and produce operational and analytical reports for management.
• May handle insurance department and consumer complaints.
• Work and communicate on cases where litigation is anticipated or outside counsel is directly involved in the resolution of a claims issue.
• Review life claims involving complex, investigative considerations and assist examiners in managing complex cases.
• Evaluate life claims recommended for denial or where reconsideration of earlier action has been requested.
• Summarize pertinent issues and formulate final recommendation to management.
• Consult with Fraud Unit, Medical Director, Underwriting department, and Legal department on medical and legal issues related to life claims.
• Assist in preparation of life claims statistical reports
• Conduct operational reviews for compliance and quality.

Performance Management Capabilities

• Demonstrate commitment to corporate values.
• Take accountability for participating in the performance management cycle.
• Take action to improve performance on the job.
• Assist and support co-workers.
• Take action to manage own personal development.

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