Role Summary
Manage a claims team specializing in medical reimbursement and accident insurance to ensure high service levels and operational efficiency. The role focuses on strategic planning, claims approval, regulatory compliance, and team development.
Job Description
The Manager of Customer Promise for Medical Reimbursement & Accident is responsible for leading an efficient claims team and ensuring operational excellence. Key duties involve appraising high-value claims within authority limits, managing day-to-day unit functions, and implementing strategic plans to meet departmental goals. You will ensure strict compliance with BNM and AML/CFT regulations while monitoring fraud and legal risks. The role also involves supervising subordinates, streamlining operations through project implementation, and collaborating with other departments to deliver superior 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.
Experience in implementing projects for operational streamlining.
Quick Info
Company
—
Location
Kuala Lumpur
Salary
Undisclosed
Skills Required
8 skills
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Required Skills
Claims Management
Team Leadership
Strategic Planning
Regulatory Compliance
Risk Assessment
Fraud Management
Medical Reimbursement
Accident Insurance
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