Assistant Manager, Major Claims | Kuala Lumpur, MY

Prudential plc; Kuala Lumpur; On-site; MYR 60,000 - 80,000; Full time

Job summary

A leading company in the insurance sector is seeking a Claims Assessment Manager to oversee claims processing and team performance. The ideal candidate will have a Bachelor's degree and 3-4 years of experience in claims handling, with strong technical and analytical skills. This role involves coaching team members, ensuring compliance, and maintaining high service standards.

Qualifications

• Minimum 3-4 years of experience in claims handling.
• Experience in claims assessment and approval.
• Strong technical and analytical skills.

Responsibilities

• Perform claims assessment and approval based on authority limits.
• Assist team members with complicated claims and provide technical advice.
• Ensure compliance with regulatory and corporate requirements.

Skills

Technical skills

Analytical skills

Interpersonal skills

Education

Bachelor's degree in a related field

Job description

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 on the business, and we support our people's career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

Job Description

1. Perform claims assessment and approval on all claims based on authority limit for the entire team. Ensure all claims are assessed in accordance with SOP within the TAT for the claim process by the team. Be accountable for team efficiency and effectiveness performance on TAT and productivity levels set.
2. Assist team members in assessing complicated claim cases and provide continuous technical advice and motivation. Ensure team members assess all complicated cases within the agreed timeline and that penders are attended to within SOP and the agreed timeline.
3. Attend product and technical training sessions, and encourage team members to participate to ensure the team acquires and improves the required job and technical knowledge.
4. Ensure the section/unit complies with all regulatory (internal and external) and corporate requirements. Work closely with Risk, Compliance, Shariah, Actuarial, and other operational departments.
5. Coach the team to deliver excellent service, reducing complaints related to claim matters across all touchpoints. Maintain a sense of urgency in handling requests and deliverables, including ad hoc requests.
6. Support peers, managers, and HOD in managing daily operational efficiency, such as distributing worklists and assisting in handling tasks in the absence of peers, immediate managers, and HOD.

Experience & Qualifications

1. Bachelor's degree in a related field.
2. Minimum of 3-4 years of experience in claims handling.
3. Experience in performing claims assessment and approval based on authority limits.
4. Experience in ensuring team efficiency and effectiveness in claims processing.
5. Strong technical and analytical skills, along with excellent interpersonal skills for interacting with customers, brokers, and senior management.

Prudential is an equal opportunity employer. We provide equal benefits for all applicants and employees regardless of sex, race, age, ethnicity, education, social and cultural background, marital status, pregnancy, maternity, religion, disability, part-time or fixed-term work, or any other protected status by law. We are committed to equitable recruitment practices and reasonable adjustments for individuals with physical or mental health needs.

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