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 advice
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.