Manager, Major Claims

PRINCIPAL DUTIES & RESPONSIBILITIES:

Appraising claims up to a company-specified approval limit.

Strategic planning, managing, coordinating, controlling and monitoring the Unit plans to ensure that the operational objectives of the department and the company are being met.

Responsible in ensuring appropriate measures and controls on claims leakages and fraud management, monitoring of legal cases are adhered to.

Assessing critical legal and industry issues on claims with high ambiguity and exposures to the company.

Ensuring that Insurance Act, Bank Negara Malaysia, Anti-Money Laundering & Counter-Financing of Terrorism (AML/CFT) efforts, LIAM guidelines and internal guidelines are strictly complied with as applicable.

Applying complicated theory and fundamentals of claims appraisals.

Ensuring company-specific claims policy and guidelines are in line with Prudential Malaysia Claims policy and standards. This includes defining and implementing standards for accuracy, productivity and timeliness as well as recommending strategies to meet those standards.

Reviewing and revising claims guidelines regularly to ensure that they are aligned with changes in the market, legal and regulatory environments, and product design.

Supervising the performance of subordinates.

Representing the department head in meetings

Implementing projects for the streamlining of operations or improvement of servicing capabilities.

Determining appropriate training for subordinates to ensure that they are keeping up with market and business requirements.