PBTB | Executive, Reimbursement Claim

Prudential Group; Kuala Lumpur; On-site; MYR 100,000 - 150,000; Full time

Job summary

A leading insurance company in Kuala Lumpur is seeking an Executive for Operations to oversee claims assessment and management. The role requires accountability in achieving productivity targets and adhering to service turnaround times. Candidates should have a tertiary education, with preferred fields in Biomedical or Business Administration. Fresh graduates are encouraged to apply. This position promotes career development through training and adherence to regulatory standards.

Qualifications

• Preferred fields include Biomedical, Biotechnology, Bioscience, Business Administration, Mathematics, or Economics.
• Passing professional examinations in life insurance is an advantage.
• Fresh graduates or candidates with a minimum of 1 year in life underwriting/claims operations are welcome.

Responsibilities

• Perform claims assessment and approve claims based on authority limits.
• Work independently to deliver KPIs within agreed timelines.
• Attend product and technical trainings to enhance job knowledge.
• Comply with all regulatory and corporate requirements.
• Perform other tasks as directed by HR or department.

Skills

Claims assessment

Time management

Team collaboration

Education

Tertiary education in any field

Job description

Executive – Operations

The Executive, actively involved in day-to-day operational production to meet the KPI.

The incumbent is required to achieve the expected daily individual’s productivity, to deliver the service turnaround time, attending penders timely, attending training and improve quality of assessment towards service excellence.

Responsibilities

• Perform claims assessment and approval on all claims based on authority limit for the whole team. Ensure all claims are assessed in accordance with SOP within TAT for claim process by team. Accountable on team efficiency and effectiveness performance on TAT, productivities per level set.
• Work independently and deliver KPI within the agreed timeline. Execute daily tasks and clear assigned penders and have urgency to ensure the team are performing within or exceed target SLA.
• Attend product and technical trainings and work with the team on acquiring and improving the required job and technical knowledge.
• To comply with all regulatory (internal and external) and corporate requirements.
• Any other tasks given by HR, company or department activities/directives.

Requirements

• Tertiary education in any field. Preferred field: Biomedical/Biotechnology/Bioscience/Business Administration/Mathematics/Economics
• Passing Professional Examinations: Life insurance qualification eg. ACII, AMII, AAII, FLMI. is an advantage
• Fresh graduates or minimum 1 year experience in life underwriting / life insurance/takaful / claims operations and management.

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.