Senior Officer - Pre-Authorisation and Minor Claims

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

Job summary

Prudential Services Asia in Kuala Lumpur seeks a professional to handle and assess minor and pre‑authorization claims. Responsibilities include managing claim compliance, participating in project reviews, and addressing customer inquiries.

Candidates will work within a diverse and supportive environment, ensuring equality of opportunity for all. This role is essential in facilitating claim resolutions and supporting various projects.

Responsibilities

• Handle and assess minor and pre‑authorization claims ensuring compliance.
• Participate in UAT script reviews and ad hoc projects.
• Perform claims investigations where necessary.
• Handle enquiries and complaints from customers and internal 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.

• Handle and assess minor and pre‑authorization claims within delegated authority, ensuring compliance with SLAs, policy terms, and medical guidelines.
• Participate in UAT script reviews and ad hoc projects.
• Handle minor or pre‑authorization claims, issue GL within authority limit and refer larger claims to senior assessor for approval.
• Perform claims investigation where necessary.
• Perform checker role under the maker and checker framework.
• Handle enquiries and complaints from customers, agents (including telephone and emails where necessary) and internal staffs.
• Check and sign payment letters and prepare non‑standard payment and decline letters where necessary.
• Follow up on additional supporting documents to facilitate claim resolution.
• Participate in projects where necessary.
• Provide support to pre‑authorisation and major cases if needed.

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.