Executive, Claim

1 week 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 our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

The Executive, (Accident, Medical Reimbursement) actively involved in day to day operational production to meet the KPI. The incumbent is required to achieve the expected daily individual’s productivity, to deliver the service turnaround time, attending penders timely, attending training and improve quality of assessment towards service excellence.

Roles & Responsibilities:
- Perform claims assessment and approval on all claims based on authority limit for the whole team. Ensure all claims are assessed in accordance with SOP within TAT for claim process by team. Accountable on team efficiency and effectiveness performance on TAT, productivities per level set.- Work independently and deliver KPI within the agreed timeline. Execute daily tasks and clear assigned penders and have urgency to ensure the team are performing within or exceed target SLA.- Attend product and technical trainings and work with the team on acquiring and improving the required job and technical knowledge.- To comply with all regulatory (internal and external) and corporate requirements.

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.



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