Life / Medical Insurance (Claims or Underwriter) - (Junior or Senior)

Job Description

Title: Life / Medical Insurance (Claims or Underwriter) - (Junior or Senior)

Company Name: EDESK SDN. BHD.

Vacancy: 1

Job Location: Kuala Lumpur

Career Level: Senior Executive

Years Of Experience: 1 year

Qualification: Professional Certificate, Diploma, Advanced/Higher/Graduate Diploma, Bachelor's Degree, Post Graduate Diploma, Professional Degree

Employment Status: Full-Time

• Process authorized claims transactions within the required benchmarks
• Review and approve cases that exceeds subordinates’ authority within required benchmarks
• Building and Developing complete skill sets for Claims Assessors
• Claims Reporting
• Trends Analysis
• Process all Life and/or A&H claims requests received as per stipulated requirements
• Ensure meeting personal quality, turn around time and productivity benchmark
• Review/approve cases that exceeds subordinates’ authority
• Training of all new joiners on claims processing rules and products knowledge including Review and Feedback for On-The-Job training cases
• Providing training in System Navigation and Processing Steps, towards certification with Claims Approval Authority, as stipulated in the Claims Approval Authority guidelines.
• Report claim experience, quality, trends and patterns analysis, with a view to identifying issues & problems, formulating solutions and strategies as part of the risks management and control responsibilities and its implementation.
• Assist Assistance Manager to conduct regular claims review in claims performance to ensure claims principles/authorities are adhered to. Review claims decision making process to identify areas of claims risk management concerns for further improvements.
• Organize and implement team engagement activities to foster closer team spirit and create work life balance environment.
• Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements
• University or college graduate holding appropriate professional qualification.
• Good communications and presentation skills. 
• Self-motivated and customer orientated.
• Sound problem solving.
• Time management skills.
• Computer literate in MS Office.
• Sound knowledge of Accident & Hospitalization claims.
• Experience in Life insurance with an added advantage.

• Accurately underwrite all products including medical underwriting by assessing the risks according to company guidelines and regulations.
• Maintains a high level of accuracy (Quality) and always seek to improve individual quality scores with time
• Ensure meeting individual productivity target and turn-around-time, always seek to improve individual productivity scores with time
• Shows keenness to develop technical competency by extending underwriting scope or limits
• Perform other responsibilities and duties periodically assigned by supervisor / manager in order to meet business requirements
• Candidate must possess at least a Bachelor's Degree, Post Graduate, Professional Degree in Medical Science, Bioscience background, Insurance or Financial related qualifications
• Candidate must have at least 3 years experience in medical underwriting with authority of +75% extra mortality, or 5 years in nursing, medical lab or any relevant medical background
• Proficient in both written and spoken English & Mandarin. Passing Mandarin subject in SPM is a MUST
• Customer oriented, self-motivated, proficient in Microsoft Office
• Able to adapt desk-bound working environment, working shift including weekend on rotation basis & able to work overtime beyond normal office hour (including weekend & public holiday)
• Experience in Corporate Solution Member Underwriting / Group member underwriting / Employee Benefit is an advantage
• Proficient in MS Office.
• Friendly working environment.