Process Improvement and Transformation Specialist (2 year contract)

Prudential Hong Kong Limited; Singapore; On-site; SGD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Process Improvement and Transformation Specialist to enhance claims processes and support system updates. This role involves collaborating with various teams to address escalated issues, ensuring timely data updates, and identifying opportunities to prevent fraud within claims. The ideal candidate will have a Bachelor's degree and 2-3 years of relevant experience in health claims. Join a dynamic environment where your contributions will help streamline operations and improve service delivery. This position offers a chance to make a significant impact in a supportive and inclusive workplace.

Qualifications

• Minimum 2-3 years of experience in health/shield claims is required.
• System related knowledge is an advantage.

Responsibilities

• Review system feedback from claim assessors and servicing teams.
• Collaborate with tech teams to identify solutions for escalated issues.
• Maintain data accuracy in LifeAsia/Jireh systems.

Skills

System related knowledge

Collaboration

Attention to detail

Ability to work under tight deadlines

Education

Bachelor’s Degree

Tools

LifeAsia

Jireh

Remedy Force

Job description

Process Improvement and Transformation Specialist (2 year contract)

Process Improvement and Transformation Specialist (2 year contract)

Apply locations Singapore time type Full time posted on Posted 11 Days Ago job requisition id 25030220

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.

This role reports directly to the Lead, Process Improvement and Transformation and will be working closely with PRUShield claims users on escalated issues to provide interim solutions and support for the division.

The incumbent will be the initial point of contact for claims users and will need to collaborate with each user directly on escalated issues. The individual will also be providing support to ensure systems information/data are updated in a timely manner. The role requires close attention to detail and the ability to work closely with claims assessors.

Job Descriptions

• Review all system related feedback/escalation from claim assessors and servicing team.
• Work with tech team/Business Analyst to investigate issues.
• Collaborate with tech team to identify interim and permanent solutions.
• Raise Remedy Force tickets and monitor all outstanding tickets.
• Prepare necessary forms for table lifting and DFU.
• Monitor and track all open DFU/Table Lifting with proper record of all DFU performed by PRUShield claims team.
• Coordinate with claim assessors and tech teams on DFU process.
• Review and sign off when DFU is completed.
• Work with tech team on regular table lifting (daily).
• Review and ensure process is completed before providing sign off when table lifting is completed.
• Maintain data in LifeAsia/Jireh system - panel/non-panel/Extended panel list.
• Ensure timely updates of data provided by MOH in the system – Clinics, Cancer Drug List, TOSP/ICD Codes.
• Identify opportunities for the prevention of Fraud, Waste and Abuse (FWA) within PRUShield Claims to control financial and reputational risk.
• Translate FWA business logics into system rules and work with the relevant stakeholders for the deployment of the rules in the production system.
• Collaborate with the QA Tester to ensure and validate the accuracy of the test results in the UAT environment prior to the deployment in the production.

Who we are looking for

Competencies & Personal Traits

• System related knowledge is an advantage.
• Able to work closely with different teams.
• Ability to work in a fast-paced environment with tight deadlines.

Working Experience

• Minimum 2-3 years of experience, must have experience in health/shield claims.

Education

• Bachelor’s Degree.

Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and 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.