Claims Operations Specialist

10 Minutes ago • All levels • Operations

Job Summary

Job Description

We are seeking a talented individual to join our Claims team at Marsh & McLennan Asia Business Services (MMABS) in Kuala Lumpur. This hybrid role involves processing and adjudicating general insurance claims, monitoring unsettled claims, preparing monthly reports, and performing data entry. The specialist will also communicate with service providers and assist with administrative tasks.
Must have:
  • Processing and Adjudication of claims (General Insurance) within turnaround time.
  • Diligently monitor and follow-up on unsettled claims with insurers and/or outstanding information from clients.
  • Prepare claims statistic report on a monthly basis include, updating the documentation processes.
  • Data entry in company database
  • Review and verify data entered in system
  • Following detailed written instructions to make independent decisions on next steps
  • Monitor claim status and generate reports through database
  • Verify and update information needed on claims
  • Communicate with service provider via phone and email to help gather missing details and support documentation.
  • Process payments, as needed
  • Process GI Claims, follow-ups with payment etc
  • Assist with other administrative tasks as needed
  • At least Diploma holder in any field
  • Ability to understand, speak, read and write English
  • Ability to understand, read and write Traditional/Simplified Chinese
Good to have:
  • Experience supporting shared service operation
  • Possess basic General Insurance knowledge
  • Experienced in Insurance industry
  • Proficient in using Microsoft Excel
  • Good communication and interpersonal skills
  • Ability to systematically manage and retrieve data
  • Strong analytical skills and detail-oriented to comprehend and summarize appropriate information
Perks:
  • Professional development opportunities
  • Interesting work and supportive leaders
  • Vibrant and inclusive culture
  • Work with talented colleagues to create new solutions
  • Range of career opportunities
  • Benefits and rewards to enhance your well-being

Job Details

We are seeking a talented individual to join our Claims team at Marsh & McLennan Asia Business Services (MMABS). This role will be based in our Pavilion Damansara Corporate Towers, Kuala Lumpur office. This is a hybrid role that has a requirement of working as per respective team's arrangement.

We will count on you to:

  • Processing and Adjudication of claims (General Insurance) within turnaround time.
  • Diligently monitor and follow-up on unsettled claims with insurers and/or outstanding information from clients.
  • Prepare claims statistic report on a monthly basis include, updating the documentation processes.
  • Data entry in company database;
  • Review and verify data entered in system;
  • Following detailed written instructions to make independent decisions on next steps;
  • Monitor claim status and generate reports through database ;
  • Verify and update information needed on claims;
  • Communicate with service provider via phone and email to help gather missing details and support documentation.
  • Process payments, as needed
  • Process GI Claims, follow-ups with payment etc
  • Assist with other administrative tasks as needed

What you need to have:

  • At least Diploma holder in any field
  • Ability to understand, speak, read and write English is required
  • Ability to understand, read and write Traditional/Simplified Chinese is required

What makes you stand out:

  • Experience supporting shared service operation
  • Possess basic General Insurance knowledge
  • Experienced in Insurance industry
  • Proficient in using Microsoft Excel
  • Good communication and interpersonal skills
  • Ability to systematically manage and retrieve data
  • Strong analytical skills and detail-oriented to comprehend and summarize appropriate information

Why join our team:

  • We help you be your best through professional development opportunities, interesting work and supportive leaders.
  • We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
  • Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Marsh McLennan is committed to creating a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, or any other characteristic protected by applicable law.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

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About The Company

Marsh McLennan (NYSE: MMC) is the world's leading professional services firm in the areas of risk, strategy and people. The Company's 76,000 colleagues advise clients in over 130 countries. With annualized revenue approaching $17 billion, Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment through four market-leading businesses. Marsh advises individual and commercial clients of all sizes on insurance broking and innovative risk management solutions. Guy Carpenter develops advancedrisk,reinsurance and capital strategies that help clients grow profitably and pursue emerging opportunities. Mercer delivers advice and technology-driven solutions that help organizations meet the health, wealth and career needs of a changing workforce. Oliver Wyman serves as a critical strategic, economic and brand advisor to private sector and governmental clients.

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