PBTB | Assistant Manager, Fraud Waste and Abuse Management
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Job Location:
Kuala Lumpur - Malaysia
Monthly Salary:
Not Disclosed
Posted on:
06-11-2025
Vacancies:
1 Vacancy
Job Summary
Prudentials 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 peoples career ambitions. We pledge to make Prudential a place where you can Connect Grow and Succeed.
Together with Medical Management team to serve as a comprehensive unit to provide medical input in all areas in the company.Join a dedicated team focused on improving the healthcare delivery and quality within the takaful sector. Be part of a dynamic environment where your expertise can make a real impact.
Key responsibilities:
a) Medical support across the company
- Assist assessors in managing complex cases on daily basis including handling medical referrals and detecting potential
- Provide medical input & expertise to other departments such Product development health awareness initiatives as required
b) Establish and review guidelines
- To review & update the Claims and Underwriting Guidelines to ensure current industry standard are met
- To assess and review new technologies and procedures.
- Provide medical training to the Operations to ensure knowledge is up to date
c) Medical Quality Review
- Conduct audit to assess the technical capabilities & quality of the Operations
- Support the managers in the claims review to ensure adherence to medical standards
- Well versed in 13th Schedule PHFSA and MOH guidelines
- Drive cost containment initiatives
- Responsible to identify claims leakages and prevent fraud waste & abuse
Together with Fraud Waste & Abuse Management team to serve asa comprehensive unit to support medical business in all areas in the company.
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.
Required Experience:
Manager
Key Skills
- Electrical
- Academics
- Customer Service
- Computer Data Entry
- Cardiac Surgery
- Freight Forwarding
About Company
พรูเด็นเชียล ประกันชีวิต (ประเทศไทย) มุ่งมั่นที่จะช่วยให้คุณก้าวหน้าในชีวิต โดยเราให้ความใส่ใจอย่างเต็มที่เพื่อการบริการที่เป็นเลิศแก่คุณ ค้นหาวิธีที่เราจะสามารถช่วยเหลือคุณได้ที่นี่ ... View more
