Assistant Manager, Customer Promise

4 weeks ago


Kuala Lumpur, Malaysia Prudential plc Full time

Assistant Manager, Customer Promise - Major Claims

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.

Job Summary

The incumbent is responsible to provide efficient and effective support to the Company goals by meeting and exceeding their expectations on operational processes. The complexity of the insurance business requires the incumbent to acquire a thorough knowledge of the different insurance products (and their functionalities / technicalities) and operational processes to ensure customer's enquiries are resolved in accordance with agreed service levels. The incumbent is also required to work closely with other operations departments in delivering excellent service quality to customers.

Position Summary:

- Claims Examination
- Claims Recommendation
- Claims Approval within authority limit

**PRINCIPAL DUTIES & RESPONSIBILITIES**:

- Adhering to our claims workflow in relation to major, accident and hospitalization claims procedure.
- Assess and provide justifiable claims according to policy terms and conditions to our valued policy holders.
- Approving claims within the department benchmark/turnaround time and authority limit.
- Recommend for claim approval/repudiation.
- To ensure claims appeal from any parties are attended and respond within the benchmark set by the department.
- To ensure and monitor claims processing benchmark and turnaround time. To closely
- up on out-standing cases.
- To correspondences on and day to day operation functions of the department and coordinates with other departments.
- To handle queries from other insurance companies via ICVS and ensure the respond within the benchmark set by ISM.
- To prepare correspondences both internally (sales advisor and other departments) and externally (policyholders, employer, private investigator, FMB/BNM and repudiation letter.
- Updating and submission of reports as required by management within the agreed service standards.
- Liaise with Prudential Malaysia's IT division to troubleshoot issues / cases encountered in the day to day operations.
- Continuously review and update/document the administrative rules and processes for effective and efficient operation of the sections.
- Continuously attend / involve with training for personal and career development.
- To review and provide opinion from medical perspective eg medical conditions, treatments, conformity to contract definition etc.
- Undertake projects / other work and duties allocated by management as and when required.

**REQUIREMENTS**:

- Degree in Biomedical Science, Biology, Mathematics, Economics, Statistics, Business Administration.
- With 3 to 5 years in Major Claims from Life Insurance industry.
- Good communication skills
- Must be IT literate

Job ID 24020064



  • Kuala Lumpur, Malaysia Assistant Corporate Sales Manager Full time

    -Job Highlights - South East Asia’s Leading Payment Gateway Provider Medical, Dental and Optical Benefits Free Daily Breakfast and Fresh Fruits -Job Description **Get to know the role and the day-to-day activities**: - Manages corporate accounts to ensure clients' needs are met efficiently and professionally. - In charges of retention of corporate...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full time

    As a MANAGER OF CUSTOMER PROMISE TEAM, you will lead a team of professionals responsible for investigating and resolving claims. Your primary objective will be to ensure that all claims are handled efficiently and effectively, while maintaining high standards of customer service.Key Responsibilities:Lead a team of claims investigators and due diligence...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full time

    Prudential Hong Kong Limited is committed to delivering exceptional customer experience through our dedicated teams. As a CUSTOMER PROMISE CLAIMS INVESTIGATOR, you will be responsible for conducting thorough investigations into claims, ensuring compliance with company policies and regulatory requirements.Key Responsibilities:Conduct claims investigations and...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    Executive, Customer Promise - Healthcare Claims 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...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    Executive, Customer Promise - Reimbursement & Accident 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...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    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...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    Executive, Customer Promise - Medical Reimbursement & Accident 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...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    Executive, Customer Promise - Major Claims 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...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full time

    Company OverviewAt Prudential Hong Kong Limited, we strive to be partners for every life and protectors for every future. Our purpose is to create a culture of diversity and inclusion, where our employees can thrive and make an impact.Job DescriptionManage an efficient and effective Claims team by meeting and exceeding management's expectations on...

  • Telemarketing Manager

    3 weeks ago


    Kuala Lumpur, Malaysia PROACTIVE CUSTOMER SOLUTIONS Full time

    Duties/Responsibilities: -Collaborates with Sales Manager to establish sales goals and to develop scripts for use by telemarketing team. -Monitors and reviews phone calls to ensure quality service and compliance with applicable policies and best practices. -Measures team performance; communicates goals and quotas to team; encourages and motivates...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    Executive, Customer Promise - Medical Reimbursement & Accident 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...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full time

    Job Summary:The incumbent is responsible for providing efficient and effective support to the company's goals by meeting and exceeding expectations on operational processes. To achieve this, they must acquire a thorough knowledge of different insurance products and operational processes to ensure customer inquiries are resolved in accordance with agreed...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    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...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Prudential plc Full time

    At Prudential, our purpose is to be partners for every life and protectors for every future. 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.Key Responsibilities:We adhere to our claim workflow in relation to hospitalization claims procedure.Assess and provide...


  • Kuala Lumpur, Malaysia StashAway Full time

    Assistant Manager, Customer Service **Responsibilites**: - **Operational Management**: - Lead, manage and coach the regional customer services team to achieve high levels of customer satisfaction and retention. - Assist the Customer Service Manager in developing and implementing strategies, policies, and procedures to improve customer satisfaction and...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full time

    Job Title: Senior Manager, Customer Promise-Medical ReimbursementDescription: We are seeking a highly skilled and experienced Senior Manager, Customer Promise-Medical Reimbursement to join our Claims team. The successful candidate will have a proven track record in managing claims operations and delivering exceptional customer experiences.Key...


  • Kuala Lumpur, Malaysia StashAway Full time

    **Responsibilites**: - **Operational Management**: - Lead, manage and coach the regional customer services team to achieve high levels of customer satisfaction and retention. - Assist the Customer Service Manager in developing and implementing strategies, policies, and procedures to improve customer satisfaction and operational efficiency. - Resolve...