Claims Servicing Specialist (H&P Club)

Prudential; Singapore; On-site; SGD 60,000 - 90,000; Full time

Job summary

Prudential Singapore is seeking an experienced Claims Servicing specialist to support Health & Protection Club members. You will act as the primary contact for claims inquiries, adjudicate health and life claims, and coordinate with stakeholders to ensure timely resolutions with a superior customer experience.

The role emphasizes relationship management, service excellence, and governance, with a focus on timely updates and policy adherence.

Qualifications

• Diploma or Degree in Healthcare, Insurance, Business, or related discipline.
• 3–5 years in Health and Life Claims, Customer Service, or Insurance Operations.
• Strong knowledge of life plans and health insurance claims processes.

Responsibilities

• Serve as primary servicing contact for assigned H&P Club members and customers.
• Coordinate end-to-end tracking of claims cases and provide timely updates.
• Escort advisers and customers through the claims journey with empathy and professionalism.
• Maintain records and support reporting on service performance and metrics.
• Ensure adherence to Prudential policies and governance.

Skills

Customer service

Claims servicing

Relationship management

MS Office

Claims systems

Education

Diploma or Degree in Healthcare/Insurance/Business

Tools

MS Office

Claims systems

Job description

Job Profile Summary

In this role, the incumbent will support the Team Lead in delivering premium claims servicing support to Health & Protection (H&P) Club members and their customers. The role serves as a dedicated point of contact for claims-related enquiries, review and adjudicate claims related to Health and Protection plans, case navigation, and service coordination, ensuring a seamless and differentiated customer experience. The incumbent will work closely with the qualified Health & Protection (H&P) Club members. The role acts as the key bridge between the H&P Club qualifiers and our claims team to deliver exceptional service experiences throughout the claims journey. The incumbent will ensure timely resolution of claims-related enquiries, champion service excellence and drive customer advocacy. The role is focused on servicing and relationship management aside to claim adjudication, enabling qualified advisers and their customers to receive proactive support and timely updates on claims matters within stipulated turnaround.

Job Description

• Premium Claims Servicing: Serve as the primary servicing contact for assigned H&P Club members and their customers. Respond promptly to claims-related enquiries from advisers and customers. Provide clear guidance on claims requirements, documentation, and processes. Facilitate end-to-end tracking of claims cases and ensure timely updates are communicated. Coordinate urgent and customer-sensitive cases to ensure appropriate prioritization. Support customers throughout their claims journey with empathy and professionalism.
• Case Management and Coordination: Monitor and manage a portfolio of claims servicing cases from both Health and Life claims. Liaise with Claims Assessors to obtain status updates and facilitate timely resolution of enquiries. Process claims that are enquired by the H&P qualifiers within claims authority limits. Proactively identify and escalation cases requiring immediate attention. Coordinate with Agency Teams, Customer Service Teams, Healthcare Institutions, Medical Providers and Internal Operations Teams.
• Agency Support: Build trusted relationships with H&P Club qualifiers and Agency Leaders. Provide timely responses to claims-related enquiries and escalation matters. Assist advisers in understanding claims requirements and customer communication needs. Participate in agency engagement activities, education sessions, and service briefings where required. Gather feedback from advisers and identify opportunities for service enhancement.
• Customer Experience Excellence: Deliver a differentiated service experience for H&P Club members and customers. Demonstrate empathy and professionalism when handling vulnerable, complex, or sensitive situations. Support service recovery efforts for delayed or escalated cases. Maintain high standards of responsiveness and customer satisfaction. Identify recurring customer pain points and recommend process improvements.
• Operational Excellence: Meet established service turnaround time (TAT) within 24 hours and productivity targets. Maintain accurate records of customer interactions and servicing activities. Track case ageing and proactively follow up on outstanding matters. Support reporting requirements relating to service performance and operational metrics. Contribute to continuous improvement initiatives to enhance efficiency and customer outcomes.
• Governance, Risk and Compliance: Ensure adherence to Prudential policies, operational procedures, and regulatory requirements. Handle customer information with the highest standards of confidentiality and data protection. Escalate operational, compliance, and customer risks promptly. Maintain complete and accurate records for audit and governance purposes.
• Support Transformation Initiatives: Participate in claims servicing transformation projects and customer journey enhancements. Provide operational insights and frontline feedback for service improvements. Assist in the implementation of digital, automation, and AI-enabled servicing capabilities.

Who Are We Looking For:

Qualifications & Experience: Diploma or Degree in Healthcare, Insurance, Business, or Administration or related discipline is preferred. Minimum 3 to 5 years of experience in both Health and Life Claims, Customer Service, Insurance Operations, or Healthcare Administration. Strong understanding of: Life plans, Integrated Shield Plans, Health insurance claims processes, Customer servicing operations, Regulatory and governance requirements.

Skills & Competencies: Strong passion for customer advocacy and service excellence. Data-driven and results-oriented with a continuous improvement mindset. Builds trusted partnerships across multiple business functions. Able to navigate complex servicing situations and develop practical solutions. Able to multi-task in a fast-paced environment. Able work under pressure and fulfil last minute tasks assigned within tight timeline and manage high claim volumes. Proficient in Microsoft Office (Excel, Word) and claims systems (preferred). Excellent verbal and written communication skills. Responsible and reliable with strong work 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.

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.