Claims Executive

General Insurance Claims Executive / Claims Specialist

Key Responsibilities

• Manage day-to-day claims operations, including work processing, claims assessment, documentation, and follow-up activities.

• Review and process General Insurance claims in accordance with company policies, procedures, and regulatory requirements.

• Ensure adequate and timely claims reserving for active claims and maintain accurate claims records.

• Manage claims within statutory and internal timelines, ensuring timely assessment, decisions, and communication.

• Review claims investigated by insurance adjusters/loss adjusters and conduct further investigations on questionable or complex claims to determine policy coverage and liability.

• Assess policy liability, claim validity, supporting documentation, and potential exposures before making recommendations or decisions.

• Manage and coordinate third-party recoveries, including follow-up and documentation to maximise recovery opportunities.

• Conduct annual reviews of claims files to validate reserves, identify inactive claims, and facilitate appropriate claim closures.

• Monitor claims service providers and track KPI performance, service levels, and compliance with agreed requirements.

• Maintain strict adherence to Standard Operating Procedures (SOPs), internal controls, regulatory requirements, and claims governance standards.

• Participate in claims meetings, internal/external audits, reviews, and investigations as required.

• Maintain accurate and complete claims documentation and ensure all claim-related activities are properly recorded.

• Provide advice and communicate effectively on complex claims matters with management and relevant stakeholders.

• Collaborate with internal teams, insurance adjusters, service providers, and other stakeholders to ensure timely and effective claims resolution.

• Perform other claims-related and operational duties as assigned.

Requirements

• Diploma, Degree, or relevant professional qualification.

• 3–5 years of experience in General Insurance Claims, preferably with exposure to multiple classes of insurance.

• Comprehensive knowledge of insurance claims processes, claims assessment, policy liability, reserving, recoveries, and claims administration.

• Strong analytical, investigative, and problem-solving skills, with excellent attention to detail.

• Strong understanding of claims governance, regulatory compliance, SOPs, and audit requirements.

• Excellent communication and interpersonal skills, with the ability to communicate complex claims matters clearly to stakeholders at all management levels.

• High level of integrity, professionalism, and confidentiality.

• Ability to work independently while being an effective team player.

• Adaptable, open-minded, organised, and able to manage multiple priorities and deadlines in a fast-paced environment.
  

  Ankita

  EA License Number: 23C2060 Registration ID is R22109715

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  This is in partnership with the Employment and Employability Institute Pte Ltd (“e2i”).

  e2i is the empowering network for workers and employers seeking employment and employability solutions. e2i serves as a bridge between workers and employers, connecting with workers to offer job security through job-matching, career guidance and skills upgrading services, and partnering employers to address their manpower needs through recruitment, training, and job redesign solutions. e2i is a tripartite initiative of the National Trades Union Congress set up to support nation-wide manpower and skills upgrading initiatives. By applying for this role, you consent to Quesscorp Singapore’s PDPA and e2i’s PDPA