Claims Executive

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

Roles & Responsibilities:

• Review, assess and making right and accurate decision in IGL, FGL, and liaising with Panel hospital on PC admission into related information.
• Managing the HAS portfolio including monitoring the HAS daily productivity and managing issues, work with Agency and Panel hospital and giving right feedback in appointment and monitoring of panel hospitals.
• Perform claims assessment and approval of payment for HAS including monitoring, approved within authority limit & ensure claims (benefit) amount are paid within agreed TAT.
• Assists in major and minor claims assessment and approval based on authority limits.
• Manage customer complaints/enquiries through CSM, e-mail or written complaint and provide feedback/response.
• Monitor and review work system and processes to ensure effective and efficient operations of HAS and implementing process improvements where appropriate.
• Preparing daily and monthly statistic, analysis for reporting to management.

Job Requirements

• A degree in Insurance and Risk Management or any field related to Insurance or Takaful, preferably with Biomedical Science background.
• Possess in-depth knowledge of basic life products (inclusive of its functionalities/technicalities) and operational processes for at least 3 years will be an advantage
• Customer focused with excellent problem-solving skills, the ability to work with a positive attitude & excel under pressure.
• Self-motivated, love challenges and working with people.
• Articulate and proficient in both written and spoken English.
• Proficient in Microsoft Office/Lotus Smart Suites applications.

Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.