Summary
Overview
Work History
Education
Skills
Other Information
Hobbies and Interests
Other Information
Timeline
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NORHALIZA BINTI MUDA

NORHALIZA BINTI MUDA

Kuala Lumpur,Malaysia

Summary

Experienced with managing diverse claim portfolios and resolving complex cases. Utilizes analytical skills to assess and process claims accurately. Track record of effective communication and teamwork, ensuring smooth and efficient operations.

Overview

21
21
years of professional experience

Work History

Senior Claims Executive

AIG Malaysia Insurance Bhd
12.2014 - Current
  • Responsible for claim processing – assessment, investigation within specified authority limit for medical claims, personal accident claims and travel claims. Ensure all claims are fairly and accurately assessed with policy terms and conditions. Preparing letter – getting the supporting claim documents, communicate claim decision and handling feedback or enquiry from customers. Adjust reserves and provide reserve recommendations to ensure consistency with company reserving policies. Enter new claims for supporting documents and/or information relevant to the assessment of a claim are promptly obtained from claimants/agents/brokers etc
  • Negotiated favorable settlements with clients, resulting in reduced costs for the company.
  • Investigated fraudulent claims thoroughly, protecting company resources from unnecessary payouts.
  • Conducted thorough investigations of complex claims, ensuring all relevant facts were considered before making decisions.
  • Mentored junior claims executives, providing guidance and support to enhance their professional development.
  • Interacted with Financial Market Ombudsman Service For dispute claim cases.

Processing Executive

AIG Shared Service
10.2009 - 11.2014
  • -DM Team [Current] Manage & monitor staff performance on new business data entry and endorsement. Ensure all data entry & endorsements are process within TAT. Conduct training for new user. Daily report to manager on staff performance. Liaise with customer service dept, agent & branches. Prepare monthly transaction report. Carry out other task assigned by other dept from time to time. Work with MIS on DMWEB system performance issue & system problems.
  • Billing Team Process new business billing file & ensure smooth process of new business billing, track & ensure all files sending to bank timely processed. Follow up with respective bank when there is report delay. Receipting of new business & ensure receipt issue accurately. Involve in new project of incoming new business including provide input, ideas and conduct UAT

Claims Executive

MediExpress (M) Sdn Bhd
02.2008 - 10.2009
  • Review, assess and process medical claim for several insurance company [reimbursement & cashless]. Liaise with, and attend to enquiries from insured, insurance agent, insurer & hospital staff.

Claims Executive (TPPD & OD)

PanGlobal Insurance Bhd
06.2006 - 01.2008
  • Review and approve claims within mandates set, Review claims files and determine provision amounts required. Attend to enquiries from customers, including negotiation with claimants if necessary, Ensure operational controls are complied with, Prepare and collate reports and statistics periodically, Provide a write up and opinion on the claims, Liase with Adjusters / Lawyers, Report to Managers on large claims above RM50,000, Create and approve payment for claims within mandate structure, Update the status of claims in computer system periodically, Provide technical advise to Marketing section staff in claims issue

Insurance Clerk - MRTA (Mortgage Reducing Term Assurance)

Uni.Asia Life Assurance Bhd
06.2005 - 05.2006
  • -Basic underwriting, processing of MRTA-issuance of letter approval and certificates insurance, payment match, verification of data entry, follow up on incomplete proposal with bankers, issuance of endorsement, control daily volume of proposal, generate and send confirmation letter, processing of cancellation and surrender, handle internal and external inquiries, monthly bank reconciliation.

Trainee

PNSB Insurance Brokers Sdn Bhd
12.2004 - 04.2005
  • Premium calculation, checking motor policy, send letter/policy to clients, faxes quotation to clients, Administrative work such as record incoming mails/faxes, photocopy, handling incoming calls, type correspondence, filling and binding documents, bank in cheque, buy stamps, post mails, pay bills, buy pantry and stationary

Education

Sijil Pelajaran Malaysia (SPM) - Science Stream (Grade 1)

Sek Men. Keb. Sultan Ahmad Kuala Terengganu

Bachelor Business Administration (Honors) - Insurance

Mara University Of Technology Shah Alam
01.2005

Diploma in Business - Insurance

Mara University of Technology, Jengka Pahang
01.2002

Skills

  • Computer Skills: Microsoft Office (Words, excel & power point)

Other Information

Language Skills: Malay and English (proficient, oral and written)

Hobbies and Interests

Interest: Reading, traveling, cooking

Other Information

  • Personal Qualities: Self-independence, teamwork, self-discipline, can work under pressure with minimum supervision, creative, fast learner
  • Current Salary: RM6,460.00
  • Expected Salary: RM 9,000.00 (Negotiable)

Timeline

Senior Claims Executive

AIG Malaysia Insurance Bhd
12.2014 - Current

Processing Executive

AIG Shared Service
10.2009 - 11.2014

Claims Executive

MediExpress (M) Sdn Bhd
02.2008 - 10.2009

Claims Executive (TPPD & OD)

PanGlobal Insurance Bhd
06.2006 - 01.2008

Insurance Clerk - MRTA (Mortgage Reducing Term Assurance)

Uni.Asia Life Assurance Bhd
06.2005 - 05.2006

Trainee

PNSB Insurance Brokers Sdn Bhd
12.2004 - 04.2005

Bachelor Business Administration (Honors) - Insurance

Mara University Of Technology Shah Alam

Diploma in Business - Insurance

Mara University of Technology, Jengka Pahang

Sijil Pelajaran Malaysia (SPM) - Science Stream (Grade 1)

Sek Men. Keb. Sultan Ahmad Kuala Terengganu

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