Claim Administrator - Sedgwick Claims Management Services, Inc.

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. 

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®
Top 100 Most Loved Workplace® 
Forbes Best-in-State Employer

Claim Administrator

Responsible for processing and investigating insurance claims. This involves working with the policy holder, Insurers, Brokers, colleagues and other professionals to ensure claims are managed timely and in accordance with policy terms and conditions. This role will be based in our Kuala Lumpur office (Menera KH).

• Manage claims from registration to finalisation with high accuracy on a timely manner
• Identify reasons why policy conditions is not applicable
• Correspond with network providers and approved professionals
• Monitor the progress of a claim to assist with quick resolutions
• Ensure fair settlement of a valid claims
• Assess claims in line with the policy limits
• Investigate cause of loss ensuring it falls under policy coverage
• Ability to understand and apply policy exclusions where necessary
• Medical Claims Knowledge
• Adhere to legal requirements, industry regulations and customer quality standards set by the company.

Requirements:

• Diploma/ Degree holder
• Team Player
• Claims processing/ assessing experience would be an advantage
• Strong self initiative and the ability to adapt quickly to different situations
• Good time management
• Excellent verbal and written communication skills
• Advanced excel skills
• Analytical with attention to detail

Sedgwick is an Equal Opportunity Employer.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.