Personal Accident Claims Process Analyst
Kuala Lumpur, M14, MY, Malaysia
Job Description
Role Overview
We are looking for an experienced
Claims Process Analyst
to support our PACS Operations team in Kuala Lumpur. This role focuses onpersonal accident, inpatient, outpatient, and life insurance claims
, ensuring smooth day-to-day (BAU) operations and high-quality service delivery.Key Responsibilities
Review, process, and assess
personal accident, inpatient, outpatient, and life claims
. Validate and adjudicate claims accurately in line with company policies and guidelines. Support theBAU backfill function
, ensuring operations continue smoothly. Work closely withUnderwriting, Policy Servicing, and Finance teams
for clarifications. Monitorturnaround times (TATs)
, highlight risks of delay, and implement fixes. Contribute toprocess improvement projects
for efficiency and customer satisfaction. Keep accurate records and supportreporting/audit requirements
.Required Skills & Experience
7-8 years
in insurance claims (personal accident, inpatient, outpatient, life). Strong knowledge ofpolicy terms, exclusions, and adjudication
processes. Excellentanalytical skills
; able to spot inconsistencies in claims. Strong communication skills; able to work with multiple stakeholders. Independent, reliable, and detail-oriented. Proficient inMS Office (Excel a must)
; experience with claims systems preferred.Fluent in English
(spoken & written).Job Type: Contract
Contract length: 12 months
Pay: RM5,500.00 - RM8,500.00 per month
Work Location: In person
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Job Detail
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Job IdJD1231765
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IndustryNot mentioned
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Total Positions1
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Job Type:Contract
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationKuala Lumpur, M14, MY, Malaysia
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EducationNot mentioned