Senior Officer, Major Claims

Prudential Services Asia; Kuala Lumpur; On-site; MYR 60,000 - 90,000; Full time

Job summary

Prudential in Kuala Lumpur is seeking a claims professional to assess major claims and assist in approvals beyond assessors’ authority. You will provide enquiry support and contribute to departmental projects while supervising junior staff in daily operations.

You will also help prepare investigation letters, conduct claims investigations, and support underwriting, compliance and premium financing decisions after submissions.

Qualifications

• Experience in assessing major claims and supporting approvals.
• Ability to handle enquiries and provide clear responses to customers and agents.
• Experience supervising junior staff and coordinating daily operations.

Responsibilities

• Assess cases with main focus on major claims and assist in higher approvals.
• Provide enquiry support and participate in department projects.
• Supervise subordinates in handling daily operations and training.
• Prepare tailored letters and handle claims investigations as needed.
• Assist in underwriting compliance and premium financing decisions after case submission.

Skills

Claims assessment

Approval processes

Enquiry support

Team supervision

Training staff

Job description

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. Assess cases with main focus in major claims, assist in higher approval of claims exceeding assessors’ authority, provide enquiry support, take part in departmental projects and supervise subordinates in handling daily operations. Follow up on additional supporting documents to facilitate the decision on underwriting, compliance and premium financing after case submission Prepare and check decline / after investigation letters Approve clean Claims (including cross checking benefit calculations, follow-up with CS, hotline, channels) Approve non clean Claims (including cross checking benefit calculations, follow-up with CS, hotline, channels) Conduct claims investigation Prepare tailored made letters (including decision and investigation letters) Handle ad hoc assignments from management Handle claims appeal case / complaint cases related to claims Provide support to minor and pre-authorisation cases if needed Conduct training to internal staff and/or agents Handle enquiries and complaints from customers, agents (including telephone and emails where necessary) and internal staff Train up new joined staff to obtain claims authority Review escalated cases from junior staff

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. We are Prudential. For every life, we are partners. For every future, we are protectors.

Prudential plc provides life and health insurance and asset management to 17 million customers across 20 markets in Asia and Africa. We are headquartered in Hong Kong and have dual primary listings on the Stock Exchange of Hong Kong and the London Stock Exchange. We are focused on four strategic regions: Greater China, ASEAN, India and Africa. Our customers are served by around 55,000 agents and more than 200 bank partners. Prudential plc is not affiliated in any manner with Prudential Financial, Inc., a company whose principal place of business is in the United States of America or with the Prudential Assurance Company, a subsidiary of M&G plc, a company incorporated in the United Kingdom. Find out more at www.prudentialplc.com Follow us on LinkedIn