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Claims Specialist – Property & Engineering | Kuala Lumpur. Handle moderate personal/commercial claims, manage investigation, settlement, and vendor relationships.
Mid-level role focused on efficiency, customer service, legal compliance and risk insight in property/engineering insurance.
Job Summary
With moderate direction, handles single and multi-party personal or commercial line claims of moderate exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.
Job Accountabilities – Key Accountabilities
- 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
- Work to have a timely resolution to claims by developing case strategy, developing a case evaluation; escalating issues as appropriate.
- Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits
- Assess damages
- Negotiate settlement of claim by establishing an appropriate negotiation strategy.
- Meet quality standards by following best practices.
- Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols
- Aligned to the organization's Claims Vendor Management strategy.
- Ensure legal compliance by following laws and regulations and internal control requirements.
- Refer claim to subrogation and fraud teams
- Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed.
- Protect Zurich's reputation by keeping claims information confidential.
- Understand the current with industry trends and establish personal networks and participate in professional societies.
- Manage litigation by assigning counsel within the approved panel where applicable.
Job Qualifications
Required:
- Bachelor's Degree in Insurance, Risk Management, Engineering, Quantity Surveying, Construction Management, Business Administration, or a related field.
- Minimum 2–5 years of experience in Property and/or Engineering Claims handling within the insurance industry.
- Experience managing end-to-end claims processes, including investigation, assessment, negotiation, and settlement.