Life Claims Specialist – Death and Critical Illness

A Life Claims Specialist – Death and Critical Illness opportunity is available with a leading organisation in Kuala Lumpur, focusing on major claims and supporting policyholders throughout the claims process. This position affords you the privilege of working within an inclusive team, managing significant life insurance claims with the utmost compassion and decorum.

What you'll do:

In the capacity of Life Claims Specialist – Death and Critical Illness based in Kuala Lumpur, you will be entrusted with overseeing the comprehensive management of major life insurance claims. Your daily undertakings will encompass meticulous registration processes, thorough investigative work, judicious assessment procedures, timely authorisation or escalation of cases beyond your remit, as well as clear communication with legal representatives when circumstances require.

• Register, reserve, assess, review, investigate, approve, and process payments for major life insurance claims such as death and critical illness within your designated authority limits.
• Recommend claims that exceed your approval authority to higher-level decision makers while ensuring all documentation is accurate and complete.
• Liaise thoughtfully with solicitors and third parties during investigations and negotiations to ensure the best outcomes for all stakeholders involved.
• Deliver comprehensive training to new joiners on product knowledge and claims assessment skills according to established standards and guidelines.
• Provide ongoing coaching for both current team members and new hires on system usage and assessment techniques to help them achieve certification under Claims Approval Authority guidelines.
• Monitor individual quality metrics, turnaround times, and productivity benchmarks to ensure consistent delivery of high-quality service.
• Assist with data analysis for reporting purposes and trends analysis to support continuous improvement initiatives within the department.
• Support the development of skill sets among Major Claims Assessors by sharing knowledge and fostering a nurturing learning environment.

What you bring:

To excel as a Life Claims Specialist – Death and Critical Illness, you will possess demonstrable experience in evaluating complex insurance claims alongside robust academic credentials in biomedical or health-related disciplines. Your background should reflect not only technical competence but also an ability to communicate sensitively with clients facing difficult circumstances. Fluency in multiple languages is particularly valued given Kuala Lumpur’s multicultural context. You will exhibit dependability through consistent attainment of quality benchmarks while displaying adaptability when responding to new challenges or responsibilities. Your willingness to share knowledge, whether through formal training or informal guidance, will contribute significantly towards cultivating a cohesive team environment where all members feel supported. Above all, your approachability combined with analytical acumen ensures that each claim is managed equitably, transparently, and efficiently.

• A recognised qualification in Biomedical Science, Biology, Medicine, Nursing or a related discipline is essential for comprehending complex medical information pertinent to claims assessment.
• A minimum of three years’ experience managing significant life insurance claims demonstrates your capability in handling sensitive matters with care and discretion.
• Prior exposure to life insurance operations is highly desirable as it provides industry-specific insights that enhance your effectiveness.
• Proficiency in both spoken and written English is essential
• Exemplary written communication skills enable you to document findings clearly and interact professionally with stakeholders at all levels.
• A customer-centric mindset ensures that every claimant receives empathetic support throughout their journey.
• Sound problem-solving abilities equip you to navigate challenging scenarios thoughtfully while upholding fairness.
• Excellent interpersonal skills foster positive relationships within the team as well as with external partners such as solicitors.
• Self-motivation enables you to maintain high standards even when managing multiple priorities concurrently.

What sets this company apart:

This institution distinguishes itself through its steadfast commitment to employee development, inclusivity, and societal contribution within the financial services sector. By nurturing an environment where collaboration is encouraged at every level, they ensure that each member’s perspective is respected and valued. The organisation invests substantially in ongoing professional development programmes tailored not only for technical enhancement but also for personal growth, empowering staff at every stage of their careers.

What's next:

If you have experience in Life Claims and are keen to explore this opportunity, we would be happy to hear from you.

Apply via the link provided or reach out to Yi Ling at yiling.chai@robertwalters.com for a confidential discussion. If this opportunity isn't for you but you know someone who may be suitable, referrals are always welcome.

Do note that we will only be in touch if your application is shortlisted.

Agensi Pekerjaan Robert Walters Sdn Bhd
Business Registration Number : 729828-T
Licence Number : JTKSM 423C