Senior Officer, Major Claims

Reposted One Month Ago
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Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, MYS
In-Office
Senior level
Financial Services
The Role
This role focuses on assessing major claims, approving claims beyond assessors' authority, providing enquiry support, supervising staff, and conducting investigations and training.
Summary Generated by Built In

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.

Skills Required

  • Experience in claims handling
  • Ability to conduct investigations
  • Training experience for staff
  • Strong communication skills
  • Understanding of underwriting and compliance
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The Company
HQ: London
52,292 Employees

What We Do

In Asia and Africa, Prudential has been providing familiar, trusted financial security to people for 100 years. Today, headquartered in Hong Kong and London, we are ranked top three in 12 Asian markets with 18 million customers, around 68,000 average monthly active agents and access to over 27,000 bank branches in the region. Prudential is focused on opportunities in the most exciting growth markets in Asia and Africa. With access to over 4 billion people in both these regions, we are investing in broadening our presence and building our leadership in the life and asset management markets. We are committed to making a positive impact on our customers, our employees and our communities by delivering the best savings, health and protection solutions to people so they can get the most out of life. Visit our websites for more information Prudential plc: https://www.prudentialplc.com/ Prudence Foundation: https://www.prudentialplc.com/en/prudence-foundation

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