18 Claims Examiner Jobs - September 2026 - Urgent Hiring

Showing 18 jobs results for "claims examiner"
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MYR3,500 - MYR5,000 Per Month

Bandar Kuala Lumpur, WP Kuala Lumpur

Near Train Station
  • Process insurance claims accurately and within agreed turnaround times. Review and verify claim documents to determine eligibility and policy coverage.* Assess claims and calculate claim settlements based on company policies and procedures.* Ensure claims are processed in compliance with SOPs and service level agreements (SLAs).* Handle customer inquiries via phone and email, providing timely and professional support.* Liaise with internal teams and external stakeholders to resolve claim-related issues.* Maintain accurate records and ensure high-quality claim processing.* Support ad hoc operational tasks as assigned.* Collaborate with the team to achieve departmental KPIs and service standards.
claims insurance
+2
Posted
a month ago
MYR3,500 - MYR5,000 Per Month

Bandar Kuala Lumpur, WP Kuala Lumpur

Near Train Station
  • Process insurance claims accurately and within agreed turnaround times. Review and verify claim documents to determine eligibility and policy coverage.* Assess claims and calculate claim settlements based on company policies and procedures.* Ensure claims are processed in compliance with SOPs and service level agreements (SLAs).* Handle customer inquiries via phone and email, providing timely and professional support.* Liaise with internal teams and external stakeholders to resolve claim-related issues.* Maintain accurate records and ensure high-quality claim processing.* Support ad hoc operational tasks as assigned.* Collaborate with the team to achieve departmental KPIs and service standards.
claims insurance
+2
Posted
a month ago

KL City

  • Claims Management: Investigate, evaluate, and settle third-party bodily injury claims in a timely and efficient manner. This includes gathering relevant information and analyzing medical reports and other documentation.
  • Negotiation: Negotiate settlements with claimants, legal representatives, and other stakeholders to resolve claims effectively. Ensure that settlement offers are fair, within company guidelines, and legally sound.
  • Compliance: Ensure that all claims processes adhere to company policies, industry standards, and legal regulations. Stay updated on changes in laws and regulations affecting bodily injury claims. ...
Posted
9 days ago

KL City

  • Assessment of Group and Individual hospitalisation and surgical claims – reimbursement basis.
  • Auditing cashless claims for Group and Individual hospitalisation and surgical claims.
  • Overseeing and facilitating payment processing for bordereaux medical claims. ...
Posted
3 days ago

Singapore

  • Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits and providing a consistently strong standard of customer service.
  • Ensuring effective vendor and litigation management on Complex claims within a personal allocation
  • Broader internal / external stakeholder communication where required ...
Posted
10 days ago

KL City

  • Deliver accurate and timely claim decisions by applying policy coverage knowledge and sound claims judgment;
  • Manage a portfolio of Travel and Personal Accident claims to achieve quality, service, and resolution objectives;
  • Assess claim information and supporting evidence to determine coverage and drive appropriate claim outcomes; ...
Posted
16 days ago

KL City

  • Assessment of Group and Individual hospitalisation and surgical claims – reimbursement basis.
  • Auditing cashless claims for Group and Individual hospitalisation and surgical claims.
  • Overseeing and facilitating payment processing for bordereaux medical claims. ...
Posted
25 days ago

KL City

  • Bachelor's Degree in Insurance, Business Administration, Finance, Law, Medical Sciences, or related disciplines.
  • Minimum 8–10 years of claims experience within the insurance industry, with significant exposure to handling complex and high-value claims.
  • Minimum 3–5 years of people management experience, including leading, coaching, and developing claims teams. ...
Posted
4 days ago

KL City

  • Verify, assess, and approve claims within the delegated authority limit in a timely manner.
  • Process, recommend, and submit claims exceeding authority limits to the appropriate approving authority for consideration.
  • Ensure adjusters are appointed promptly within the stipulated turnaround time. ...
Posted
6 days ago

KL City

  • Document claims file by accurately capturing and updating claims data/information.
  • To determine liability by gathering and analyzing relevant facts.
  • Analyse and determine policy coverage. ...
Posted
7 days ago

Singapore

  • Investigate and negotiate settlement of claims
  • Respond to correspondence and provide efficient service to clients
  • Instruct on reserve provision, registration requirements and verify data entries for files setup ...
Posted
10 days ago

Singapore

  • Review technical documentation and regulatory dossiers to support product evaluation.
  • Address the client's core concern regarding whether IBI306 will be classified and regulated as a drug-device combination product by the Health Sciences Authority (HSA) in Singapore.
  • Conduct a comprehensive gap analysis covering technical questions related to CMC (Chemistry, Manufacturing, and Controls) and medical device integration. ...
Posted
16 days ago

Technology Bucket (M) Sdn Bhd

KL City

  • Review unknown procedure cases to determine whether procedures were performed when only pre-consultation charges were submitted.
  • Process and monitor payment activities, including shortfall recovery, suspense account clearance, hold cheque tracking, and team tracker updates.
  • Monitoring if any shortfall received and closing dummy records upon successful recovery. ...
Posted
24 days ago

Singapore

  • Assess claims using Group Insurance core systems, other business systems including vendors’ systems.
  • Communicate claims decision clearly.
  • Response to queries in a timely manner. ...
Posted
25 days ago

KL City

  • Manage and handle Liability claims portfolios, ensuring timely, fair, and compliant claims administration and settlement.
  • Liaise with TPAs, brokers, reinsurers, solicitors, clients, and other stakeholders to facilitate effective claims resolution and achieve timely settlements.
  • Review and recommend claims decisions, reserve adequacy, and claim payments within delegated authority, and escalate cases exceeding authority limits for approval. ...
Posted
5 days ago

Singapore

  • Manage and process motor insurance claims, including own damage, third-party property damage, bodily injury, windscreen, and recovery claims.
  • Assess claims, determine liability, and ensure timely and accurate claim settlements within service standards.
  • Liaise with policyholders, claimants, repair workshops, surveyors, adjusters, lawyers, and other stakeholders throughout the claims process. ...
Posted
9 days ago

KL City

  • Location(s): KLEC Head Office
  • Recruiter name: Azfar
Posted
10 days ago

Singapore

  • Minimum Diploma qualification
  • Proficient in Microsoft Excel, minimally Intermediate level
  • Excellent numeracy, communication and interpersonal skills ...
Posted
a month ago