Senior Claim Executive, WICA Regulatory Claims

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claim Executive, WICA Regulatory Claims to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.

Make your mark in Claims

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.

How you will create an impact

Purpose of the Role:

To handle WICA claims adjudication, reserving and settlement of claims within given authority level.

Interpretation of WICA policy wording for both SME and Commercial portfolios to determine coverage under the Act. In depth understanding of death awards / permanent incapacity derivation, computation of medical expenses and leave wages and eventually driving resolution of claims in an effective and timely manner, within the required turnaround time, both according to AIG internal claims SOP and MOM mandatories.

To ensure fair and impartial adjudication of regulatory coverage and communicating developments and outcomes to all concerned parties under the ambit of the Act. Providing a high standard of customer service and adherence to legal and regulatory requirements as guided by the Ministry of Manpower.

Duties and Responsibilities

1. Functional Responsibilities:

Managing key claims enquiry; legislative coverage determination, determination of Permanent Incapacity and Act Death quantum and issuance of the compensation award towards the parties involved

Broader internal / external stakeholder communication where required

Strive for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes

Contribute to maintenance of best practice procedures for (WICA) intermediate to high value Complex claims, consistent with global best practice

Demonstrate a high standard of technical claims competence. Demonstrate a strong standard of competence in handling intermediate to advanced complex claims in Line of Business

Adhoc administrative duties

Contribute to the team’s success via continuous improvement on claim file handling with feedback and support.

Align mindset with the team members to maintain adherence of best practice protocols for (WICA) regulatory claims, consistent with global best practice.

2. Accountabilities:

Timely, accurate and customer focused claim resolution, minimising indemnity exposure and mitigating vendor and legal expense

Effective communication of key Complex claims and (WICA) portfolio messages to internal stakeholders.

Financial control through consistent reserve and other financial transaction discipline

Accurate and consistent policy interpretation

What you’ll need to succeed

Minimum diploma qualification in any fields and basic insurance certifications i.e. BCP and Comm GI.

Preferably with minimum 1-3 years of WICA claim experience.

Preferable with administrative experiences

Good communication skills, both written & verbal.

Time management – ability to manage & prioritise workload and diary management.

Ability to contribute effectively within a team environment.

Ability to work with claims and various stakeholders i.e. underwriters, actuaries to effectively drive claims strategy.

Sound knowledge in (WICA) technical claims topics.

Policy language skills (both regulatory and claims assessment) enabling accurate and consistent policy wording interpretation.

Basic knowledge of legal / regulatory and litigation / procedural requirements for the line of business.

Experience in effectively following up on recommendations from technical claims audits and continuous claim handling improvement.

Able to work under pressure and meet tight datelines.

Ready to take your career to the next level? We would love to hear from you.