Claims Examiner Jobs in Kuala Lumpur - September 2026 - Urgent Hiring

Showing 12 jobs results for "claims examiner" in Kuala Lumpur
Never miss any updates for Claims Examiner jobs in Kuala Lumpur
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
10 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
4 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
a month 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
5 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
7 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
8 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
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

KL City

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