![Prudential plc](https://proactuary.com/attachments/employer/1/343/152/256.png)
Claims Administrator
2 weeks ago
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.In this role, you will review, assess and approve group insurance claims within service turnaround time.
As part of this dynamic role, you will report to Team Lead, Enterprise Business Operations and work closely with various stakeholders to ensure that the output is accurate and compliant to internal policy and regulatory requirements.
- Adjudicate Health and medical claims 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.
- Review workflow and claims processes to identify areas of improvement and implement enhancement to achieve efficient claims administration.
- 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), regulator, financial consultants, bancassurance partners, medical institutions, 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.
Who we are looking for:
Competencies & Personal Traits
- Strong command of the English language (spoken and written)
- Familiarity with human anatomy, general diseases and disease management
- 2 to 3 years of working experience in medical claims processing
- Diploma or Degree
- English
-
Claim Administrator
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Sedgwick Full timeClaim AdministratorTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's...
-
Claim Administrator
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...
-
Claims Administrator
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Techsap ASP Sdn Bhd Full timeJob Summary:Responsible in leading retail claims daily operation process efficiently.Main Responsibility: Ensure the daily operation process to be achieved and meeting the turnaround time set. Ensure the team's compliance to all regulations, controls and internal policies including audit. Resolve escalation case by the staff and/or exceptions that may arise...
-
Claims Executive-motor Insurance Claims
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Chrisjac Recruitment Services Full timePosition: Insurance Claims Executive:- Salary: RM :- Job location: City center (5-day week), Kuala Lumpur.Chrisjac is currently seeking individuals who are interested in Executive Claims administration position for an established insurance company in Kuala Lumpur. This position would be based at their Motor Claims Department responsible for record keeping...
-
Claims Executive-motor Insurance Claims
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Chrisjac Recruitment Services Full timePosition: Insurance Claims Executive:- Salary: RM :- Job location: City center (5-day week), Kuala Lumpur.Chrisjac is currently seeking individuals who are interested in Executive Claims administration position for an established insurance company in Kuala Lumpur. This position would be based at their Legal Department responsible for record keeping tasks and...
-
Claims Manager
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Aon Corporation Full timeClaims ManagerClaims Manager, Professional Indemnity Insurance (PII) Scheme for LawyersAon is in the business of better decisionsAt Aon, we shape decisions for the better to protect and enrich the lives of people around the world.As an organization, we are united through trust as one inclusive, diverse team, and we are passionate about helping our colleagues...
-
Claims and Admin Executive
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Pacific Prime Insurance Brokers Sdn Bhd Full timePrepare, check and submit claim forms and related documentationUpdate claims status on internal system and platformCommunicate with clients and handle enquiries on insurance coverage, claims, pre-authorization, etc.Liaise with insurance partners, clinics/hospitals, third-party administrators on claims mattersSupport on claims administration of individual and...
-
Claims Representative A
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full timePOSITION :Claim RepresentativeAREPORTING TO :Claim Supervisor or ManagerDEPARTMENT :ClaimsCareer Band : Band 1JOB PURPOSEThe job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database. He/She is responsible for processing as per...
-
Claims Executive
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia AS White Global Pty Ltd Full timeThe OpportunityOur client is a well-established Australian firm with expertise in managing multinational accounts, iconic brands, high-net-worth individuals, and private businesses. They have over 60 years of experience and specialize in various industry sectors, providing risk management advice and maintaining a strong reputation in local and international...
-
Claims Representative A
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full timePOSITION :Claims RepresentativeREPORTING TO :Claims Senior Representative / SupervisorJOB PURPOSEThe job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database.He/She is responsible for processing as per terms of benefits. He/She...
-
Claims Representative A
4 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full timeThe job profile for this position is Claims Representative A, which is a Band 1 Professional Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you,...
-
Claims Executive/adjuster, Motor Insurance
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Chrisjac Recruitment Services Full timePosition: Claims Executive/Adjuster, Motor insurance:- Salary: RM :- Job location: City center (5-day week), Kuala Lumpur.Chrisjac is currently seeking individuals who are interested in Executive Claims/Adjuster position for an established general insurance company in Kuala Lumpur. This position would be based at their Motor Claims Department responsible for...
-
Insurance Claims Executive-motor Insurance
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Chrisjac Recruitment Services Full timePosition: Insurance Claims Executive,Motor insurance:- Salary: RM :- Job location: City center (5-day week), Kuala Lumpur.Chrisjac is currently seeking individuals who are interested in Executive Claims/Adjuster position for an established general insurance company in Kuala Lumpur. This position would be based at their Motor Claims Department responsible for...
-
Claims and Admin Executive
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia PP Consultants Malaysia Sdn. Bhd. Full timeJob highlights:- 5 days work week (Mon to Fri, 9am to 6pm):- Immediate vacancy:- 1 year contract (renewable)Responsibilities: Prepare, check and submit claim forms and related documentation Update claims status on internal system and platform- Communicate with clients and handle enquiries on insurance coverage, claims, pre-authorization, etc.- Liaise with...
-
Claim Supervisor
4 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full timeJOB PURPOSEManages the accurate and timely adjudication of claims and administers disposition according to contractual benefits and company procedures. Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs. Responsible for monitoring claim service standards.2. RESPONSIBILITIES AND DUTIES• Serve...
-
Claim Supervisor
1 month ago
Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full timeJOB PURPOSEManages the accurate and timely adjudication of claims and administers disposition according to contractual benefits and company procedures. Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs. Responsible for monitoring claim service standards.2. RESPONSIBILITIES AND DUTIES• Serve...
-
Analyst - Claims Service
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Manpower MY Full timeClaims Operations Analyst (3 months Contract)Q SentralWe will count on you to:Registration and Processing of claims (General Insurance) within turnaround time. Ensure computed claims settlement and verified reimbursements from insurers are valid. Diligently monitor and followup on unsettled claims with insurers and/or outstanding information from clients....
-
Am, Claims Investigator
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Full timeAM, Claims InvestigatorSummary The Claims Investigator is responsible for all aspects of the investigation process to include creation of investigation plans, identification and assignment of relevant enquiries and reporting on findings. The investigator will provide assistance to the claims examiner in progress the claim and will leverage knowledge and...
-
Administrative Assistant
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full timeCigna is a global health service company dedicated to help people improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service 85 million customer relationships throughout the world.The Cigna office in Kuala Lumpur operates as a "liaison office", providing administrative support to its parent company in Singapore and...
-
Am, Claims Investigator
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Malaysia Full timeSummaryThe Claims Investigator is responsible for all aspects of the investigation process to include creation of investigation plans, identification and assignment of relevant enquiries and reporting on findings. The investigator will provide assistance to the claims examiner in progress the claim and will leverage knowledge and expertise to ensure that the...