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This job is about managing medical reimbursement & accident claims at Prudential. You might like this job because you can make an impact, handle claims efficiently, and support customer needs with empathy.
Undisclosed
Job Description
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.
• Adhering to the claims workflow in relation to Accident and Hospitalization claims procedure.• Assess and provide justifiable claims according to policy terms and conditions, within the department benchmark, turnaround time and authority limit.
• Ensure claims appeal, referral or complaint from any parties are attended to and respond within the benchmark set by the department.
• Ensure and monitor claims processing to be within the department benchmark and turnaround time.
• Closely follow up on outstanding cases.
• Attend to & handle enquiries from internal staff, branch staff, agents, policyholders/claimants and queries from other insurance companies and ensure the respond within the benchmark set by the department.
• Correspond both internally and externally (inclusive but not limited to agents, policyholders, employer, private investigator, FMB and BNM) in order to handle day to day operation functions of the department, and coordinate with other departments, where applicable.
• Record, update, review, prepare and submission of statistics or reports, as required by the Management within the agreed service standards.
• Continuously review processes, identify and resolve any gaps through constructive feedback, and implement process improvement, where appropriate; update/document the administrative rules and processes for effective and efficient operation of the section.
• Continuously attend and involve with training for personal and career development.
• Conduct internal & external training in claims related matters, as and when required.
• Undertake projects or any other work and duties allocated by the Management or involve in Claims Department matters, as and when required.
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.
Job Requirements
Company Benefits
United through teamwork
Our teams are innovative, hands-on and collaborative. The power to share and collaborate requires respect, integrity and teamwork.
Open and collaborative culture
Our company is rooted in a rich heritage but to look to the future, we need new energy and perspectives.
Connect, Grow, Succeed
We are here to help our employees expand their skills and expertise in various areas.
Additional Info
Company Activity
Last active - few hours ago
Experience Level
0 - 10 Years of Experience
Job Specialisation
Customer Service, General Product Management, IT Product Management
Company Profile
Prudential plc
Prudential Assurance Malaysia Berhad (PAMB) is a leading and innovative insurance company in Malaysia, serving the savings, protection and investment needs of Malaysians by offering a full range of financial solutions through its branches, agency force and bancassurance distribution partners network nationwide.
Our purpose For Every Life, For Every Future is to provide simple and accessible financial and health solutions to every generation.
PAMB was established in Malaysia in 1924 and is a subsidiary of Prudential plc, which was founded in London in 1848. Prudential plc provides life and health insurance and asset management, with a focus on Asia and Africa.
This year, we are proud to celebrate Prudential’s 100th anniversary in Malaysia.
Source: prudential.com