Senior Claims Specialist: Pre-Authorization & Minor Claims

Prudential; Kuala Lumpur; On-site; MYR 45,000 - 78,000; Full time

Job summary

Prudential Services Asia is seeking a claims professional to handle minor and pre-authorization claims within delegated authority, ensuring SLA and medical guideline compliance. You will participate in UAT and support maker-checker processes.

You will handle inquiries from customers and agents, sign payment letters, follow up on documents, and assist with pre-authorisation and major cases, while upholding Prudential’s equal-opportunity principles.

Qualifications

• Experience in claims handling and pre-authorization preferred.
• Knowledge of SLAs and medical guidelines.
• Experience with maker-checker controls.

Responsibilities

• Handle minor and pre-authorization claims within delegated authority.
• Respond to inquiries from customers, agents, and staff; sign payment letters and follow up on documentation.

Job description

Prudential Services Asia is seeking a claims professional to handle minor and pre-authorization claims within delegated authority, ensuring SLA and medical guideline compliance. You will participate in UAT and support maker-checker processes.

You will handle inquiries from customers and agents, sign payment letters, follow up on documents, and assist with pre-authorisation and major cases, while upholding Prudential’s equal-opportunity principles.