Shield Claims Lead — Customer Care & Compliance

Prudential Group; Kuala Lumpur; On-site; MYR 100,000 - 150,000; Full time

Job summary

A leading insurance provider in Kuala Lumpur is seeking a candidate for a claims processing role. You will review and approve shield claims promptly, ensuring compliance with internal policies and regulatory standards. This dynamic position requires strong English communication skills and familiarity with human anatomy and disease management. You will also be responsible for customer service, addressing inquiries, and managing complaints effectively.

Qualifications

• Experience in claims processing or related field is preferred.
• Ability to work with various stakeholders and maintain compliance.
• Effective communication skills for customer service.

Responsibilities

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

Skills

Strong command of the English language

Familiarity with human anatomy

Understanding of general diseases

Job description

A leading insurance provider in Kuala Lumpur is seeking a candidate for a claims processing role. You will review and approve shield claims promptly, ensuring compliance with internal policies and regulatory standards. This dynamic position requires strong English communication skills and familiarity with human anatomy and disease management. You will also be responsible for customer service, addressing inquiries, and managing complaints effectively.