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Claims Jobs in Federal Territory - September 2026 - Urgent Hiring
Showing 87 jobs results for
"claims"
in Federal Territory
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Manage Alert
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
Undisclosed
KL City
- Responsible for Claims operational support, business process analysis and other responsibilities / duties periodically assigned by supervisor to meet operational and/or other requirements.
- Manage claims related projects based on business needs and requirements i.e regulatory, improve customer experience, system enhancement related to products or improve efficiency of the team.
- Monitor system related issues and follow through with IT team until resolution. ...
Posted
3 days ago
Undisclosed
KL City
- Monitor and analyse Claims operational performance and key performance indicators (KPIs).
- Prepare reports, dashboards, and insights to support management decision-making.
- Identify process improvement opportunities and support implementation of operational excellence initiatives. ...
Posted
2 days ago
Undisclosed
KL City
- Conduct medical claims analysis and deep-dive reviews to ensure compliance with regulations, coding rules and internal guidelines.
- Analyse claims data and processes to identify leakage, compliance issues, operational risks and improvement opportunities.
- Identify and report suspected fraud or suspicious billing, escalating to senior team members when necessary. ...
Posted
4 days ago
Undisclosed
KL City
- Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.
- Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.
- Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area. ...
Posted
4 days ago
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
- Evaluating and processing submitted medical claims accurately and within agreed timeframes
- Scrutinising claim submissions to confirm completeness and regulatory compliance
- Assessing policy terms to determine member eligibility and coverage entitlements ...
Posted
10 days ago
MYR4,500 - MYR5,500 Per Month
KL City
- Process and manage Personal Accident (PA) insurance claims from notification through to settlement
- Review and assess claims documentation to determine coverage, validity, and extent of liability in accordance with policy terms
- Investigate claims thoroughly, including reviewing medical reports, police reports, and supporting documents where applicable ...
Posted
10 days ago
Undisclosed
KL City
- Process and manage Personal Accident (PA) insurance claims from notification through to settlement
- Review and assess claims documentation to determine coverage, validity, and extent of liability in accordance with policy terms
- Investigate claims thoroughly, including reviewing medical reports, police reports, and supporting documents where applicable ...
Posted
10 days ago
Undisclosed
KL City
- Variety of workplace arrangements including hybrid, remote, onsite.
- Compensation commensurate with Consultant qualifications, experience, and other factors including geographic location, market, and operational factors.
- An inspirational place for you to do your best work, be engaged in meaningful ways, and continually develop the skills, competencies, and qualities that set our team apart. ...
Posted
20 days ago
Undisclosed
KL City
- Variety of workplace arrangements including hybrid, remote, onsite.
- Compensation commensurate with Consultant qualifications, experience, and other factors including geographic location, market, and operational factors.
- An inspirational place for you to do your best work, be engaged in meaningful ways, and continually develop the skills, competencies, and qualities that set our team apart. ...
Posted
20 days ago
Undisclosed
KL City
- Variety of workplace arrangements including hybrid, remote, onsite.
- Compensation commensurate with Consultant qualifications, experience, and other factors including geographic location, market, and operational factors.
- An inspirational place for you to do your best work, be engaged in meaningful ways, and continually develop the skills, competencies, and qualities that set our team apart. ...
Posted
21 days ago
Undisclosed
KL City
- Handle Property and Engineering claims from registration through to settlement, ensuring timely and accurate claim resolution.
- Assess claim validity, policy coverage, liability, and quantum in accordance with company guidelines and delegated authority limits.
- Review supporting documentation and investigate claims to facilitate fair and equitable settlements. ...
Posted
2 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
- Ensure damage/leaking email notification is attended and follow up with SSC legal team within 2 working hours upon email received
- Upon receiving approval from SSC legal team to proceed with the rework. Ensure to obtain approval within 2 days upon email received
- Approval required from LPK (for all types of cargo), MAQIS, Health Authority (for food cargo) ...
Posted
23 days ago
Undisclosed
KL City
- Assess, investigate, negotiate, and settle legitimate claims within the personal authorisation limit provided by the Company, ensuring claims are handled promptly, fairly, and cost-effectively.
- Provide prompt and efficient claims services to claimants and intermediaries, monitor the efficiency of service providers to support the Company's service standards, and maintain proper recording and retention of claims documents and correspondence.
- Review and update claims reserves periodically to ensure the Company's interests are properly preserved, maintain appropriate and adequate claims reserves, and pursue subrogation and co-insurance/reinsurance recoveries. ...
Posted
17 days ago
Undisclosed
KL City
- Location(s): KLEC Head Office
- Recruiter name: Azfar
Posted
10 days ago
Undisclosed
KL City
- To ensure end to end claims administration, inclusive of claims registration, claims adjudication/ assessment (approval, rejection or deferment), claims payment within stipulated service level agreement
- To monitor incoming and accuracy data from TPA
- To provide feedback & obtain input to/ from TPA whenever to ensure maximum service deliverable for both parties ...
Posted
10 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
- Management and administration.
- Market intelligence.
- Claims Specialist. ...
Posted
17 days ago
Undisclosed
KL City
- Process claims payments, recoveries, and other claim-related financial transactions accurately and in accordance with established procedures.
- Verify payment details and supporting documentation before processing transactions.
- Enter and maintain claim information within internal systems with a high degree of accuracy. ...
Posted
19 days ago
Undisclosed
KL City
- Conduct medical claims analysis and deep-dive reviews to ensure compliance with regulations, coding rules and internal guidelines.
- Analyse claims data and processes to identify leakage, compliance issues, operational risks and improvement opportunities.
- Identify and report suspected fraud or suspicious billing, escalating to senior team members when necessary. ...
Posted
19 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
Undisclosed
KL City
- Manage daily operations, including task assignment, claim handling, review and email correspondence.
- Handle and negotiate settlement with external parties.
- Manage and create data in spreadsheets and reports/presentation. ...
Posted
a month 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
MYR8,000 - MYR10,500 Per Month
KL City
- Bachelor's (Required)
- MHIT policies: 5 years (Preferred)
- Life insurance product: 5 years (Required) ...
Posted
a month ago
Tokio Marine Insurance Group (Asia)
Undisclosed
KL City
- Handling & Processing 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. ...
Posted
10 days ago
Undisclosed
KL City
- Make recommendations and guidelines to individual health insurance claims
- Liaise with solicitors and other third parties during investigation and negotiation to seek guidance on the course of action that serves the best interest of AIA
- Process all individual health insurance claims documents timely ...
Posted
18 days ago
Undisclosed
KL City
- Make recommendations and guidelines to individual health insurance claims
- Liaise with solicitors and other third parties during investigation and negotiation to seek guidance on the course of action that serves the best interest of AIA
- Process all individual health insurance claims documents timely ...
Posted
19 days ago
Undisclosed
KL City
- Monitor and analyse Claims operational performance and key performance indicators (KPIs).
- Prepare reports, dashboards, and insights to support management decision-making.
- Identify process improvement opportunities and support implementation of operational excellence initiatives. ...
Posted
24 days ago
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