Responsibilities
- Handling, Processing, Recommend Settlement of claims in
accordance with policy contract, company policy and procedures.
- Compliance of all the claims processes, procedures and guidelines
as stipulated in the Claims Operation Manual and/or instructions.
- Provide quality, prompt and efficient claims service to meet
Customer satisfaction
- Review/follow up on all outstanding claims on regular basis to
ensure claims reserve are adequate and status updated.
- Maintain
a low pending ratio of outstanding claims (prompt disposal of
claims to reduce number of outstanding claims.)
- Assist superior to handle major large losses / event losses /
complicated / litigated claims i.e. preparation of Major Loss Advice
(MLR), preliminary loss / development and settlement loss / cash
calls advices to co/reinsurers on timely manner.
- Keep Reinsurance
and Finance advised of any material claims as set in the claim
manual / procedures and work with Reinsurance to effect
recoveries.
- Keep ratio of outstanding claims at healthy level.
- Highlight to supervisors and/or HODs of any deficiency in policy
coverage and adverse claims trends to facilitate corrective and
appropriate action.