YIM JIA HUI
Kuala Lumpur
Summary
Experienced senior executive with a strong foundation in sales, claims operation, and risk management. Consistently delivers impactful results. Led key initiatives, including revising the Replacement of Policies (ROP) methodology for more precise monitoring and fairness across agencies. Conducted physical roadshows and video recordings to promote market conduct awareness, resulting in a significant reduction in agent misconduct incidents. Seamlessly transitions into diverse roles to optimize operations and drive both strategic and operational excellence. Dedicated to fostering a motivated workforce and achieving organizational success through strategic leadership and effective decision-making.
Overview
7
7
years of professional experience
Work History
Senior Executive, Operational Risk Management
MCIS Insurance Berhad
11.2023 - Current
- Development and execution of comprehensive risk management policies and procedures, including Operational Risk Management (ORM), Enterprise Risk Management (ERM), Outsourcing, Business Continuity Management (BCM) and Outsourcing.
- Diligently investigated, monitored, and documented operational risk incidents (e.g., ILERP), ensuring strict adherence to regulatory requirements and internal protocols.
- Led the management of risk management programs, including overseeing the utilization of the risk management system (e.g., TRICOR) and facilitating user training sessions to enhance organizational risk awareness and proficiency.
- Validated and maintained departmental risk registers, proficiently prepared operational risk reports, and crafted insightful dashboards for submission to senior management, the Board of Directors, and regulatory bodies such as BNM.
Senior Executive, Agency Business Quality
MCIS Insurance Berhad
02.2022 - 10.2023
- Conduct periodic market conduct reviews for the Channel of Agency Office (CAO), encompassing monthly and annual monitoring of Replacement of Policies (ROP), analysis of negative feedback from Welcome Calls, Customer Fact Find (CFF) evaluations, Mystery Shopping outcomes, Marketing Materials assessments, and Customer Complaints.
- Serve as the primary contact for the CAO on risk-related matters. Lead the Quarterly Departmental Risk and Compliance Meeting (DRCM), document meeting minutes, manage all aspects of Incident Report and Loss Event Reporting (ILERP), update and register risk tracking in the Tridor system, and ensure timely circulation of reporting status to the Risk Management Department (RMD).
- Represent the department in Board Risk and Compliance Committee (BRCC) activities, including the submission of documentation for Department Business Impact Analysis and Call Tree updates.
- Coordinate and support Risk Management and Compliance in executing communication plans to the agency on regulatory matters, including delivering briefings and talks on Anti-Money Laundering Act (AMLA), Personal Data Protection Act (PDPA), and Anti-bribery initiatives.
- Review and revise department Standard Operating Procedures (SOP) to ensure alignment with regulatory changes and company policies.
- Provided final confirmation on agents' compliance status prior to the announcement of contest or incentive results.
Claims Associate
AIA Shared Services Sdn Bhd
07.2021 - 02.2022
- Assess and finalize the Hong Kong market outpatient and inpatient hospitalization claims within the turnaround time and productivity benchmark.
- Ensure claim decision consistency and accuracy, and act according to the terms and conditions set in policy contract.
Claims Executive
Hong Leong Assurance Berhad
10.2019 - 07.2021
- Assess and approve Minor Accident Claim, Weekly Indemnity Medical Reimbursement, Hospital Income and Hospital Surgical Claim within the financial authority limit.
- Verify all the bills and documents submitted are genuine.
- Carry out an investigation when necessary for the contestable policy or suspected incident.
- Handle complaint, inquiry, and appeal received from Customers, Branches, and Agency and resolved within the time frame.
Insurance Agent - Internship
Great Eastern Life
02.2018 - 06.2018
- Developing marketing strategies and promote all types of new insurance contracts or suggest additions/changes to existing ones.
- Breeding productive relationships to create a pool of prospective clients from various sources by networking, cold calling and using referrals.
- Evaluating business or person’s needs and financial status and proposing protection plans that meet their criteria.
Education
Bachelor of Risk Management and Insurance - Financial Planning -
Universiti Utara Malaysia (UUM)
Kedah12.2018
Skills
- Risk management abilities
- Claims Investigation
- Problem-solving abilities
- Customer service and care
- Planning and Implementation
Personal Information
Title: Senior Executive, Operational Risk Management
Projects
Revised ROP Methodology, Implement a new methodology that is more particular to monitoring and equitable for agencies dealing with ROP. Physically roadshows for agencies and video recording, Promote market conduct awareness among agencies in order to better understand their requirements and concerns, thus reduce occurrences of agent misconduct incidents.
Languages
English
Advanced
C1
Malay
Advanced
C1
Chinese
Proficient
C2
References
- Ms. Ng Yik Chin, AIA Shared Services Sdn Bhd, Yik-Chin.Ng@aia.com, 012-276-6323
- Ms. Lim Ai Wui, MCIS Insurance Berhad, aiwui.lim@mcis.my, 016-267-5068
Timeline
Senior Executive, Operational Risk Management
MCIS Insurance Berhad
11.2023 - Current
Senior Executive, Agency Business Quality
MCIS Insurance Berhad
02.2022 - 10.2023
Claims Associate
AIA Shared Services Sdn Bhd
07.2021 - 02.2022
Claims Executive
Hong Leong Assurance Berhad
10.2019 - 07.2021
Insurance Agent - Internship
Great Eastern Life
02.2018 - 06.2018
Bachelor of Risk Management and Insurance - Financial Planning -
Universiti Utara Malaysia (UUM)
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