Assistant Manager, Claims at FWD Insurance

Location & Role

Assistant Manager, Claims. Full time, on site at FWD Insurance, KL Eco City, M14, MY.

Key Accountabilities

• Handle assigned claims from receipt to closure: validate documentation, assess liability/coverage, calculate payable amounts, and process settlements within the delegated authority limits.
• Conduct deeper reviews for complex, early claim, high-cost, or borderline claims; prepare case summaries and recommendations for escalations.
• Ensure compliance with claims procedures, SLAs, regulatory standards, and audit expectations.
• Identify potential fraud indicators and initiate appropriate investigative steps and referrals.
• Communicate decisions and rationales clearly to customers, providers, intermediaries, and internal stakeholders.
• Maintain accurate case records and documentation for auditability and analytics.
• Contribute to process improvements (e.g., checklist updates, rules tunin...