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Claims Examiner Jobs in Wp Kuala Lumpur - September 2026 - Urgent Hiring
Showing 10 jobs results for
"claims examiner"
in Wp Kuala Lumpur
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Undisclosed
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
Undisclosed
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
Berkshire Hathaway Specialty Insurance
Undisclosed
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
Undisclosed
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
Undisclosed
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
Undisclosed
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
Undisclosed
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
MYR3,000 - MYR3,000 Per Month
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
Berjaya Sompo Insurance Berhad
Undisclosed
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
Undisclosed
KL City
- Location(s): KLEC Head Office
- Recruiter name: Azfar
Posted
10 days ago
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