Claims Consultant

Posted:
3/2/2026, 4:02:31 PM

Location(s):
Kuala Lumpur, Malaysia

Experience Level(s):
Mid Level ⋅ Senior

Field(s):
Consulting

You desire impactful work.
 

You’re RGA ready

RGA is a purpose-driven organization working to solve today’s challenges through innovation and collaboration. A Fortune 200 Company and listed among its World’s Most Admired Companies, we’re the only global reinsurance company to focus primarily on life- and health-related solutions. Join our multinational team of intelligent, motivated, and collaborative people, and help us make financial protection accessible to all.

A Brief Overview
The Claims Consultant is a key member of the Claims team, serving as a subject matter expert for both internal and external clients across multiple lines of business (Traditional and HNW). The role involves maintaining strong, collaborative relationships with insurers’ claims professionals and providing expert guidance on complex claims matters. Recognized as a specialist within the industry, the Claims Consultant ensures best practices are upheld and contributes to the continuous improvement of claims processes and client outcomes.

What you will do

  • Perform the claims assessment, approval, and related tasks in line with Treaty Terms & Conditions, RGA standards, guidelines, Claims Philosophy, and delegated claims authority.
  • Review, validate, and approve Claims Bordereaux within authorized limits.
  • Conduct client claims audits, including presenting findings, providing recommendations to enhance procedures and supporting clients in implementing improvements.
  • Build and maintain strong client relationships through effective communication and service delivery.
  • Monitor daily claims performance, logs, and systems to ensure accuracy and high-quality standards.
  • Identify and escalate risk, problems or needs in the day-to-day provision of claim service, audit program or claims reporting.
  • Assist in preparing and delivering claims management reports as required.
  • Participate in client meetings, training sessions, audits, and other collaborative activities.
  • Provide support for ad hoc projects and initiatives.


Qualifications

  • Appropriate degree or 5+ years equivalent related experience – medical or pharmacy qualification preferred.
  • Experience in assessing all types of Life and Health claims. Skilled in assessing Life, Critical Illness (CI), and Health claims.
  • Experience in reinsurance and claims auditing an asset is preferred.
  • Excellent bilingual ability in Chinese and English, both oral and written (with approximately 70% of claims in Chinese and 30% in English) required.
  • Experience in Life and Health quality assurance review functions.
  • Knowledge of cancer treatments and related medical claims.
  • Proficient in MS Office (Word, Excel, PowerPoint). Basic working knowledge of MS Access and SQL.
  • Strong interpersonal skills with tact, good judgment, and the ability to engage effectively with clients and internal stakeholders at all levels
  • Superior oral and written communication and presentation skills.
  • Self-starter with distinct attention to detail and flexibility to manage diverse tasks in a fast-paced environment
  • Effective multi-tasker with a proven ability to deliver results
  • Strong analytical and organizational skills, deadline oriented
  • LOMA, FLMI, ALHC qualifications preferred.

#LI-KW1

What you can expect from RGA:

  • Gain valuable knowledge from and experience with diverse, caring colleagues around the world.

  • Enjoy a respectful, welcoming environment that fosters individuality and encourages pioneering thought.

  • Join the bright and creative minds of RGA, and experience vast, endless career potential.

We’re excited to get to know you and connect your unique skills with our global opportunities. To create a modern and seamless experience, we use artificial intelligence (AI) in parts of our preliminary screening process. This technology helps us personalize job recommendations, automate interview scheduling, evaluate candidates based solely on experience—without considering name, gender, or other personal details—and provide real-time answers through our chatbot. AI is used only during early screening and never makes hiring decisions. Your RGA recruiter will work closely with you every step of the way to ensure the process feels personal, thoughtful, and focused on you.