Executive, Claims-2

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.

Adjudicate Group Major Claims (Death TPD Critical Illness Disability Terminal Illness etc) and Group Medical Claims (Hospital & Surgical Major Medical Outpatient Specialist Outpatient Clinical Dental etc) and ensure delivery of prudent and equitable claims decision within expected service level (i.e. claims turnaround time).

Compliant with regulatory requirements corporate guidelines policy wording and reinsurance terms.

Work closely with underwriters and other business units to ensure that claims are processed accurately and that all service level agreements are met.

Manage working relation with external parties Central Provident Fund Board (CPFB) medical institutions TPAs etc.

Manage investigation of claims by working with claims adjusters legal advisors medical institutions claimants financial consultants and other insurers to determine claims decision and payment.

Manage enquiries service recovery complaints and appeal arising from claims.

Follow up with claimants and medical institutions on any outstanding requirements required for claims adjudication through documented follow-up process and provide regular update on claims status.

Any other ad-hoc assignment assigned.

Who we are looking for:

Competencies & Personal Traits

Detail-oriented with a commitment to accuracy and quality.

Innovative and resilient with a strong eye for detail

Excellent communication skills in English both written and verbal

Conflict resolution and relationship management skills

Customer-centric with ability to work under pressure

Self-motivated and independent

Team player

Working Experience

2 to 3 years of working experience in both life and medical claims processing

Education

Diploma or Degree

Language

English

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.