Job Description

Prudential\xe2\x80\x99s 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\xe2\x80\x99s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.Responsible for investigating and resolving insurance claims in a timely and accurate manner.
Analyze all available information to manage resolution process in the event of customers / financial consultants/Hospital staff enquiries. Ability to work with other departments to ensure timely claims processing /enquiries.Job Profile Summary:
In this role, you will review, assess and approve shield claims within service turnaround time. As part of this dynamic role, you will report to Team Lead, PruShield Claims and work closely with various stakeholders to ensure that the output is accurate and compliant to internal policy and regulatory requirements.:

• Review, assess and approve shield claims within service turnaround time. Ensure the output is accurate and compliant to internal policy and regulatory requirements.
• Attend to claims investigations, service recovery and enquiry
• Attend to medical clarification with hospitals and clinics
• Involve in projects assigned by supervisor
• Provides quality customer service including interacting with customers, answering customer enquiries and effectively handling customer complaints

Job Scope1.Claims adjudication process.2. Manage enquiries, service recovery, complaints and appeals.3. Provide customer support with external & internal parties \xe2\x80\x93 Central Provident Fund. Board (CPFB), Financial Consultants, Bancassurance partners, Medical Institutions, Call Centre & Customer Management Teams.4. Attend to eLog requests from Customers & Hospitals staff.5. Support Agency Leaders with claim enquires via Claims counter servicing.6. Provide Net Promoter Score Analysis upon Customers feedback.Who we are looking for:
Competencies & Personal Traits

• Strong command of the English language (spoken and written)
• Familiarity with human anatomy, general diseases and disease management

Working Experience

• 4 years of experience as a Life & Health claims assessor

Professional Qualifications

• OMA, FLMI (Fellow, Life Management Institute)

Education

• Degree holder of biology & life sciences discipline

Language

• English

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.

Prudential