Senior Claims Specialist: Pre-Authorization & Minor Claims

Prudential Hong Kong Limited; Kuala Lumpur; On-site; MYR 60,000 - 80,000; Full time

Job summary

A leading insurance company in Kuala Lumpur is seeking a Senior Officer for Pre-Authorisation and Minor Claims. This role involves managing and assessing claims while ensuring compliance with policies and guidelines. The ideal candidate will have a strong background in claims investigation and customer service. The position offers a full-time commitment with opportunities for career growth within a supportive environment.

Qualifications

• Experience handling minor and pre-authorization claims within set authority.
• Familiarity with SLAs and policy terms regarding claims.
• Ability to manage customer inquiries and complaints effectively.

Responsibilities

• Assess and process minor and pre-authorization claims efficiently.
• Participate in UAT script reviews and provide support for major cases.
• Handle payment and decline letters as needed.

Skills

Claims Investigation

Customer Service

Compliance with medical guidelines

Communication Skills

Job description

A leading insurance company in Kuala Lumpur is seeking a Senior Officer for Pre-Authorisation and Minor Claims. This role involves managing and assessing claims while ensuring compliance with policies and guidelines. The ideal candidate will have a strong background in claims investigation and customer service. The position offers a full-time commitment with opportunities for career growth within a supportive environment.