Senior Executive, Claims-3

Prudential Group; Kuala Lumpur; On-site; MYR 40,000 - 60,000; Full time

Job summary

A prominent insurance firm in Kuala Lumpur is seeking a claims assessor to review and approve shield claims within service turnaround time. The role involves interactions with various stakeholders to ensure compliance and accuracy in claims processing. Ideal candidates will have a degree in biology or life sciences and at least 2 years of experience in health claims assessment. Strong command of English and a familiarity with human anatomy and disease management are essential. This position supports career growth and offers a diverse workplace.

Qualifications

• Minimum 2 years experience as a Life & Health claims assessor.
• Fellow, Life Management Institute (FLMI) qualification.

Responsibilities

• Review and approve shield claims within service turnaround time.
• Attend to claims investigations, service recovery, and inquiries.
• Provide customer service and effectively handle inquiries and complaints.

Skills

Strong command of the English language

Familiarity with human anatomy and disease management

Education

Degree in biology or life sciences

Job description

1d 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 Description Summary

In this role, you will review, assess and approve shield claims within service turnaround time. As part of this dynamic role, you will report to Team Lead, PruShield Claims and work closely with various stakeholders to ensure that the output is accurate and compliant to internal policy and regulatory requirements.

Job Description

• Review, assess and approve shield claims within service turnaround time. Ensure the output is accurate and compliant to internal policy and regulatory requirements.
• Attend to claims investigations, service recovery and enquiry
• Attend to medical clarification with hospitals and clinics
• Involve in projects assigned by supervisor
• Provides quality customer service including interacting with customers, answering customer enquiries and effectively handling customer complaints

Who we are looking for:

Competencies & Personal Traits

• Strong command of the English language (spoken and written)
• Familiarity with human anatomy, general diseases and disease management

Working Experience

• 2 years of experience as a Life & Health claims assessor

Professional Qualifications

• OMA, FLMI (Fellow, Life Management Institute)

Education

• Degree holder of biology & life sciences discipline

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.