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Senior Officer - Pre-Authorisation and Minor Claims

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This job is about managing minor claims and pre-authorizations at Prudential. You might like this job because you’ll help people get the support they need while working in a diverse and inclusive environment that values your growth.

Undisclosed

Kuala Lumpur (Group Head Office), Kuala Lumpur

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.

• 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.


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 days ago

Job Specialisation


Company Profile

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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...