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

Showing 208 jobs results for "claims" in Wp Kuala Lumpur
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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
4 days ago

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
5 days ago

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
6 days ago

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
6 days 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
11 days ago

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
12 days ago

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
12 days ago

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
12 days ago

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
22 days ago

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
4 days ago

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
22 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
6 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
7 days ago

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
23 days ago

KL City

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

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
12 days ago

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
20 days ago

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
25 days ago

KL City

  • To ensure that timely act on the emails received for Malaysia & Singapore ports in compliance to meet our agreed business requirements.
  • Manage all enquiries via email and escalate to legal team ensuring that suitable responses are provided within the agreed timelines.
  • Provide suitable solutions and follow up till completion of the job and ready for delivery ...
Posted
25 days ago

KL City

  • Management and administration.
  • Market intelligence.
  • Claims Specialist. ...
Posted
20 days ago

Berkshire Hathaway Specialty Insurance

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
21 days ago

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
21 days ago

KL City

  • Ensure completeness of Claims / Guarantee Letter Pre-certify documents in compliance to Company’s requirements and guidelines
  • Adjudicate medical claims by following the organization guidelines & within the assigned authority limit.
  • Establish covered medical insurance losses against benefits coverage and eligibility. ...
Posted
2 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

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
a month 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
9 days ago

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
12 days ago

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
20 days ago

Vipicks Resources Sdn Bhd

KL City

  • Bachelor's (Required)
  • MHIT policies: 5 years (Preferred)
  • Life insurance product: 5 years (Required) ...
Posted
a month ago

KL City

  • Ensure monthly reporting of Business Units to the data warehouse and constantly improve data quality and enhancing granularity and claims history as required to ensure effective performance management.Roll out enhanced reporting and analytics capabilities to the Business Units including embedding efforts to ensure effective usage of claims analytics applications.
  • Identify deep dive areas in close collaboration with local Business Units. Provide an independent view of the issues and drive resolution, follow up and learning.
  • Provide structured claims insight in close collaboration with other General Insurance functions at global, regional and local level to foster informed decision making. ...
Posted
7 days ago