AVP, Investigation Unit at Great Eastern · Kuala…

AVP, Investigation Unit

Discover the GREAT in your career.

As a LIFE company, our customers are at the heart of all that we do. Being one of Asia’s leading insurer for over a century, we have built a long-lasting legacy of trust with our customers over many generations. At the foundation of this trust is Integrity, Initiative, and Involvement – from the way we treat every customer relationship with honesty and transparency, to our proactive approach of delivering the best possible solutions in both life and general insurance.

Integrity, Initiative, and Involvement is what guides us. It is what makes us do the right thing, take the lead, and choose ‘we’ over ‘me’. Our mission is to make life great for our customers because we understand what matters most to them, and we know how to help them protect it.

As a purpose-driven organisation committed to providing the best service and support to our policyholders, we are seeking an experienced professional to join our team as a AVP, Investigation Unit.

The Role:

1. Lead and manages Investigation team to ensure cases suspicion of non-disclosure or pre-existing conditions are investigated fairly, thoroughly and promptly following agreed timeline.
2. Establish and perform on-going review on investigation guidelines, standard operating procedures and processes to ensure consistency in practice and process efficiency
3. Establish rapport with hospitals medical record team in ensuring medical reports are furnished to the Company on a timely basis.
4. Ensure delivery of investigation cases outsourced by GETB following agreed SLA.
5. To review, establish, maintain and update investigative processes in SOP.
6. To ensure investigated cases are reviewed/finalized with decision within set TAT from complete documentation.
7. To monitor and review Investigative Pending cases to ensure that the process is on track and that these cases are finalized within the set TAT.
8. To review investigation process for continuous improvement.
9. To attend to any other tasks assigned from time to time.
10. Takes accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.
11. Maintains awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.
12. Highlights any potential concerns /risks and proactively shares best risk management practices
13. Other responsibilities entailed

Great Eastern Malaysia is committed to Equal Employment Opportunity, and all qualified applicants shall receive a fair and equal consideration for employment.

Location : Head Office, Kuala Lumpur

Entity : Great Eastern Life Malaysia

Employment Type : Permanent

To all recruitment agencies: Great Eastern does not accept unsolicited agency resumes. Please do not forward resumes to our email or our employees. We will not be responsible for any fees related to unsolicited resumes.

About Great Eastern

Established in 1908, Great Eastern places customers at the heart of everything we do. Our legacy extends beyond our products and services to our culture, which is defined by our core values and how we work. As champions of Integrity, Initiative and Involvement, our core values act as a compass, guiding and inspiring us to embrace the behaviours associated with each value, upholding our promise to our customers - to continue doing our best for them in a sustainable manner.

We work collaboratively with our stakeholders to look for candidates who exhibit or have the potential to embrace our core values and associated behaviours, as these are the key traits that we expect from our employees as they develop their careers with us.

We embrace inclusivity, giving all employees an equal opportunity to shine and play their role in exploring possibilities to deliver innovative insurance solutions.

Since 2018, Great Eastern has been a signatory to the United Nations (UN) Principles of Sustainable Insurance. Our sustainability approach around environmental, social, and governance (ESG) considerations play a key role in every business decision we make. We are committed to being a sustainability-driven company to achieve a low-carbon economy by managing the environmental footprint of our operations and incorporating ESG considerations in our investment portfolios; improving people’s lives by actively helping customers live healthier, better and longer; and drive responsible business practices through material ESG risk management.

The Person:

1. Possesses a Bachelor Degree in any fields, preferably healthcare related discipline.
2. Minimum 15 years working experience as claims assessor or equivalent and at least 5 years working experience in supervisory capacity.
3. Good management, organizational and leadership skills.
4. Have the right attitude for hard work and able to produce high quality work under pressure.
5. High level of integrity, takes accountability of work and good attitude over teamwork.
6. Takes initiative to improve current state of things and adaptable to embrace new changes.