Senior Officer, Pre-Authorisation and Minor Claims

Posted 7 Hours Ago
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Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, MYS
In-Office
Senior level
Financial Services
The Role
The role involves handling minor and pre-authorization claims, ensuring compliance with policies and guidelines, conducting investigations, addressing customer inquiries, and participating in various projects.
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.

• 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.

Skills Required

  • Experience in assessing claims
  • Ability to handle customer complaints and inquiries
  • Familiarity with policy terms and medical guidelines
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The Company
HQ: Central, Hong Kong
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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