Key Responsibilities
- Process and manage claims under the Work Injury Compensation Act (WICA) and Hospital & Surgical policies accurately and within agreed service standards
- Liaise with policyholders, intermediaries, investigators, surveyors, loss adjusters, legal representatives, third-party claimants, and related stakeholders
- Provide guidance to junior team members and claims support staff
- Ensure fair and equitable settlement of valid claims in accordance with policy terms and regulatory requirements
- Maintain accurate and timely claims reserves
- Compile claims statistics and management reports as required
- Support underwriters by highlighting issues identified during claims handling (e.g. policy wording gaps, risk improvement opportunities)
- Attend regulatory meetings with the Ministry of Manpower (MOM) when required
- Conduct periodic file reviews to ensure compliance with internal controls and regulatory standards
- Pursue and follow up on recovery claims where applicable
- Perform any other duties as assigned by management
Requirements- Diploma or Degree in Insurance, Business, or a related discipline
- Professional insurance qualifications such as:
- Certified General Insurance (CGI)
- Health Insurance (HI) certification
- Or equivalent professional insurance qualification
- Minimum 2 years of relevant claims handling experience
- Good understanding of insurance principles and claims processes
- Good working knowledge of Microsoft Office applications
- Excellent interpersonal and communication skills
- Ability to multitask and manage competing priorities
- Team player with a conscientious, tactful, and customer-focused approach
- Willingness to learn and continuously develop professionally
Interested candidates may send in their resume and cover letter directly to [Confidential Information]
Hibah Bakhtavar | EA License No. 02C3423 | Personnel Registration No. R21103109
