Manager, Customer Promise - Medical Reimbursement & Accident

Prudential Group; Kuala Lumpur; On-site; MYR 150,000 - 200,000; Full time

Job summary

A leading insurance company in Kuala Lumpur is seeking a Manager, Customer Promise to oversee its Claims team. The role includes ensuring compliance with regulatory standards and company policies, managing team operations, and implementing strategies to enhance service quality. Successful candidates will have relevant experience in claims management and a strong understanding of the insurance industry. This position offers a dynamic working environment aimed at growth and success.

Benefits

Equal opportunity employer

Qualifications

• Proven experience in managing claims processes and teams.
• Strong understanding of insurance products and operational processes.
• Ability to ensure compliance with legal and regulatory standards.

Responsibilities

• Manage and oversee the Claims team effectively.
• Ensure adherence to regulatory and company guidelines.
• Plan and strategize unit operations to meet objectives.

Skills

Claims management

Strategic planning

Fraud management

Legal compliance

Education

Relevant degree or equivalent qualification

Job description

Manager, Customer Promise - Medical Reimbursement & Accident

2mo ago , from Prudential Assurance Company Singapore

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.

JOB SCOPE:

The incumbent is responsible to manage an efficient and effective Claims team by meeting and exceeding management’s expectations on operational processes. The complexity of the insurance business requires the incumbent to acquire a thorough knowledge of the different insurance products (and their functionalities / technicalities) and operational processes to ensure customer’s enquiries are resolved in accordance with agreed service levels. The incumbent is also required to work closely with other operations departments in delivering excellent service quality to customers.

Position Summary:

• Claims Approval within authority limit
• Claims Recommendation to the next Level
• Planning overall strategy of the Unit
• Managing the day to day functions of the Unit which include people, system, procedures and others

PRINCIPAL DUTIES & RESPONSIBILITIES:

• Appraising claims up to a company-specified approval limit.
• Strategic planning, managing, coordinating, controlling and monitoring the Unit plans to ensure that the operational objectives of the department and the company are being met.
• Responsible in ensuring appropriate measures and controls on claims leakages and fraud management, monitoring of legal cases are adhered to.
• Assessing critical legal and industry issues on claims with high ambiguity and exposures to the company.
• Ensuring that Insurance Act, Bank Negara Malaysia, Anti-Money Laundering & Counter-Financing of Terrorism (AML/CFT) efforts, LIAM guidelines and internal guidelines are strictly complied with as applicable.
• Applying complicated theory and fundamentals of claims appraisals.
• Ensuring company-specific claims policy and guidelines are in line with Prudential Malaysia Claims policy and standards. This includes defining and implementing standards for accuracy, productivity and timeliness as well as recommending strategies to meet those standards.
• Reviewing and revising claims guidelines regularly to ensure that they are aligned with changes in the market, legal and regulatory environments, and product design.
• Supervising the performance of subordinates.
• Representing the department head in meetings.
• Implementing projects for the streamlining of operations or improvement of servicing capabilities.
• Determining appropriate training for subordinates to ensure that they are keeping up with market and business requirements.

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.

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