RHB Banking GroupKuala Lumpur, Kuala Lumpur, Malaysia
30+ days ago
Job description
Primary Objective
Responsible to handle the following (listed) portfolios and ensure all the related claims are fairly & promptly settled in accordance with the Company's guidelines / Claims Manual, BNM & PIAM guidelines.
Personal Accident and Medical claims
Key Responsibilities
Ensure prompt processing of claims including appointment of adjusters.
Arrange bordereaux meeting with panel of adjusters on monthly basis.
Report to Unit Head / Head, BA / FA on performance of panel Adjusters on quarterly basis.
Verify, assess and approve promptly all claims within authority and for claims exceeding authority to process, recommend and submit to Unit Head / Head, BA / FA for approval.
To refer immediately any complaints received from Customers, Branches, BNM, PIAM, OFS and Intermediaries to Unit Head / Head, BA / FA so that these are promptly and effectively monitored and resolved within the time frame.
To ensure all claims suspected having fraud elements or in violation of policy conditions are brought to attention of Head, BA / FA & in his / her absence to HOD / CEO.
Ensure all necessary advices to Treaty Reinsurers / XOL are adhered to as laid down under the Reinsurance agreement.
To ensure all recoveries are actively pursued.
To monitor and review all files including aging cases effectively and within the time frame.
To monitor and review files on yearly basis.
Any other duties as may be assigned by the Company from time to time.
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Executive • Kuala Lumpur, Kuala Lumpur, Malaysia
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