Desktop Claims Handler (Property or Casualty claims)

Desktop Claims Handler (Property or Casualty claims)

Location : Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia

Sedgwick is looking for a Desktop Claims Handler to manage and assess claim files in a professional manner by working with policy holders, insurers, brokers, colleagues and other professionals to determine claim validity. This role involves handling desktop-based claims from first notice of loss to finalisation, communicating with clients and claimants, and ensuring accurate documentation throughout the claims process.

Responsibilities

• Manage claims on desktop (without site survey) from start (first notice of loss) to end (finalisation)
• Communicate with clients / claimants via phone and email to address queries and request information or supporting documentation
• Examine documentation and evidence to determine claim validity
• Evaluate claims based on policy coverage and determine whether conditions have been met and exclusions applied
• Maintain accurate, thorough and up-to-date claim file documentation in the electronic claims management system
• Ensure all data and supporting documents are entered into the claims management system
• Manage an open portfolio of claims in a timely manner, in line with client SLAs
• Identify and investigate potentially fraudulent claims with referral to Team Leader
• Model ethical behaviour and execute responsibilities in accordance with Sedgwick’s core values, legal requirements, and regulatory policies

Requirements

Sedgwick is an Equal Opportunity Employer. The statements in this document describe the general nature and level of work being performed by a colleague assigned to this description and are not intended to be an exhaustive list of duties. Sedgwick reserves the right to modify duties as needed.

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