Claims Consultant
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Job Location:
Monthly Salary:
Posted on:
Yesterday
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.
Job Profile Summary:
In this role you will review assess and approve shield claims within service turnaround time. As part of this dynamic role you will report to Team Lead PruShield Claims and work closely with various stakeholders to ensure that the output is accurate and compliant to internal policy and regulatory requirement and meet service objectives.
Job Description:
Review assess and approve shield claims within service turnaround time.
Ensure output is accurate and compliant to internal policy and regulatory requirement and meet service objectives
Manage claims investigation
Attend to service recovery complaint appeal enquiry
Coach supervise and guide subordinates in providing accurate and prompt services to advisers and claimants
Conduct medical claims technical workshops for agency force
Identify process shortcomings and implement improvement
Plan and organize resource and headcount for business needs
Manage working relation with external parties CPFB auditor regulator agency leaders bancassurance partners
Who we are looking for:
Competencies & Personal Traits
Team player mature with excellent leadership quality.
Good knowledge of hospital admission discharge and claims processes.
Good medical knowledge and claims settlement procedure.
Working Experience
Former medical practitioner experience as doctor nurse health therapist or healthcare provider will be an added advantage
At least 5 - 7 years of experience in managing claims operations
Professional Qualifications
LOMA certified or equivalent
Education
Degree with good credit in English and Mathematics
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:
Contract
About Company
พรูเด็นเชียล ประกันชีวิต (ประเทศไทย) มุ่งมั่นที่จะช่วยให้คุณก้าวหน้าในชีวิต โดยเราให้ความใส่ใจอย่างเต็มที่เพื่อการบริการที่เป็นเลิศแก่คุณ ค้นหาวิธีที่เราจะสามารถช่วยเหลือคุณได้ที่นี่ ... View more
