Pbtb Executive, Claims

4 months ago


Kuala Lumpur, Malaysia Prudential plc Full time

PBTB | Executive, 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.

The incumbent is responsible to process HAS cases efficiently by meeting and exceeding management's expectations, technically and operationally.

**Roles & Responsibilities**
- Validate the information stated in the Pre-Authorization Form completed by the client and attending doctor, assess the request, calculate the correct amount coverable and make a correct decision accordance to benefit terms & Claims SOP.
- Ascertain the accurate data entry such as ICD10 Diagnosis Code, Surgery and Consultation Code (per PHA Schedule) and items charged per bills issued by hospital.
- Process Pre & Final -Authorization Letter request within the agreed Service Level accordance to daily productivity target.
- Participate in product and technical trainings as well as work with supervisor for additional training plans in acquiring and improving industry or technical knowledge.
- Ensures compliance with all regulatory (internal and external) and corporate requirements.
- Manage customer/ agent/ hospital enquiries and provide feedback/response appropriately.

**Job Requirements**:

- A degree in Biomedical Science, Insurance and Risk Management or any field related to Insurance or Takaful, preferably with Life Science background.
- Possess in-depth knowledge of basic life products (inclusive of its functionalities/technicalities) and operational processes for at least 3 years will be an advantage.
- Customer focused with excellent problem-solving skills, the ability to work with a positive attitude & excel under pressure.
- Self-motivated, love challenges and working with people.
- Proficient in English both oral and in writing.

Job ID 24050218



  • 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

    PBTB | Executive, Customer Care 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...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    PBTB | Executive, ROC Distribution Support 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, Malaysia Prudential plc Full time

    PBTB | Executive, Customer Retention & Excellence (Major Alterations) 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...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    PBTB | Assistant Manager, Underwriting 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...

  • Pbtb Executive, Claims

    5 months ago


    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

    PBTB | Assistant Manager, Medical Management 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...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    PBTB | Executive, Valuation (Local Reporting) 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...


  • 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 Chrisjac Recruitment Services Full time

    **Position: Insurance Claims Executive.**: - **Salary: RM 4000-5000.**: - **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...

  • Executive, Claim

    5 months ago


    Kuala Lumpur, Malaysia Prudential plc Full time

    Executive, Claim 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,...

  • Executive, Claim

    5 months ago


    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...

  • Claims Executive

    4 months ago


    Kuala Lumpur, Malaysia AS White Global Pty Ltd Full time

    **The Opportunity** Our 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...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    PBTB | Deputy Manager, Product Development and Management 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...


  • Kuala Lumpur, Malaysia Aon Corporation Full time

    Account Executive, Claims **Senior Account Executive, Claims.** **Aon is in the business of better decisions** At 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 and clients...


  • Kuala Lumpur, Malaysia Allianz Malaysia Full time

    **Are you looking for something different instead of more of the same?** In your new role, you will process health claims while ensuring that our department’s strategic initiatives support the company’s mission and business goals, with a focus on risk mitigation and fraud prevention. **You'll be responsible for**: - Processing and assessing health...

  • Claims Examiner

    5 months ago


    Kuala Lumpur, Malaysia Allianz Malaysia Full time

    | Customer Services & Claims | Professional | Non-Executive | Allianz Malaysia | Full-Time | Permanent **JOB SUMMARY** **RESPONSIBILITIES** To perform the following duties: - Assess claims based on documents / reports that support the loss i.e. police report, adjuster - report, sketch plan etc. - Conduct negotiation with repairer / insured and attend...


  • Kuala Lumpur, Malaysia Chrisjac Recruitment Services Full time

    **Position: Insurance Claims Executive.**: - **Salary: RM 4000-5000.**: - **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...


  • Kuala Lumpur, Malaysia Chrisjac Recruitment Services Full time

    **Position: Claims Executive/Adjuster, Motor insurance.**: - **Salary: RM 4000-5000.**: - **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...