Role Summary
The Manager, Customer Promise - Medical Reimbursement & Accident is responsible for leading an efficient claims team and ensuring operational excellence. This role impacts the overall effectiveness of the claims process while ensuring compliance with regulatory standards.
Job Description
In this position, you will oversee the daily operations of the claims team, ensuring that high-value claims are appraised efficiently and effectively. You will work in a dynamic environment that requires collaboration with various departments to enhance customer service delivery.
Key Responsibilities:
- Lead and manage the claims team to ensure operational excellence.
- Appraise high-value claims within authority limits.
- Implement strategic plans to meet departmental goals.
- Ensure compliance with BNM and AML/CFT regulations.
- Monitor and mitigate fraud and legal risks.
- Supervise subordinates and streamline operations through project implementation.
- Collaborate with other departments to enhance customer service.
Job Requirements
Extensive experience in claims management within the insurance industry.
Deep knowledge of insurance products, functionalities, and operational processes.
Proficiency in BNM regulations, AML/CFT guidelines, and the Insurance Act.
Proven ability to manage teams and develop operational strategies.
Strong skills in claims appraisal, fraud management, and risk assessment.
Excellent communication skills for inter-departmental collaboration.
Quick Info
Company
—
Location
Kuala Lumpur
Salary
Undisclosed
Incentive / Bonus
Not specified
Skills Required
7 skills
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Required Skills
Claims Management
Fraud Management
Risk Assessment
Team Leadership
Strategic Planning
Regulatory Compliance
Communication
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