AI-generated summary
This job is about being an Assistant Manager for claims at Prudential. You might like this job because you’ll help clients with complex claims, train new staff, and ensure everyone feels included while making an impact in their lives.
Undisclosed
Kuala Lumpur (Group Head Office), Kuala Lumpur
Full-Time
few days ago
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.
Acts as the senior technical expert for complex, high-risk claims (minor and pre-authorization), making approved decisions within delegated authority using medical and policy expertise.· Second line escalation from Senior Claims Assessors and issue resolutions
· Handle enquiries and complaints from customers, agents (including telephone and emails where necessary) and internal staffs.
· Regularly updates SOPs
· Identify any emerging medical, utilization and cost -leakage risks
· Work closely with business to provide technical claims training, supporting onboarding, certification and refresher training
· 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.
Our teams are innovative, hands-on and collaborative. The power to share and collaborate requires respect, integrity and teamwork.
Our company is rooted in a rich heritage but to look to the future, we need new energy and perspectives.
We are here to help our employees expand their skills and expertise in various areas.
Last active - few days ago
0 - 10 Years of Experience
