Claims Technical Excellence Director
5 days ago
The Claims Technical Excellence Director will be responsible for Medical Claims Fraud, Waste and Abuse (FWA) detection and Claims Avoidance Rate in Prudential to ensure long-term sustainability of the portfolio. With strong knowledge in medical and insurance processes, this individual will perform training and audits, maintain system rules and guidelines to equip the Claims Department with the capability to eliminate leakages.
Key Accountabilities:- Manage and perform claims review on claims assessors' cases as part of the claims authority upgrade process.
- Work closely with other departments and vendors in delivering a robust Claims process flow.
- Support improvement in SLA and minimize penders through identifying improvement opportunities, automation, streamlining processes & guidelines.
We are dedicated to making Prudential a place where you can Connect, Grow, and Succeed.
-
Manager, Claims Technical Excellence
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full timeManager, Claims Technical ExcellenceApply locations Kuala Lumpur time type Full time posted on Posted 30+ Days Ago job requisition id 24090402Prudential'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...
-
Lead Claims Technical Excellence Specialist
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full timeAs a Lead Claims Technical Excellence Specialist at Prudential Hong Kong Limited, you will play a vital role in ensuring the long-term sustainability of our portfolio. With strong knowledge in medical and insurance processes, you will perform training and audits, maintain system rules and guidelines to equip the Claims Department with the capability to...
-
Technical Director
21 hours ago
Kuala Lumpur, Kuala Lumpur, Malaysia Ruijie Networks Full timeRuijie Networks is a leading provider of networking solutions, and we are seeking an experienced Technical Director to join our team.Job Overview:The Technical Director will be responsible for leading our regional presales team in achieving sales performance targets and driving key project wins.Main Responsibilities:Leadership and Direction: Provide...
-
Operational Excellence Director
6 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Crypto Full timeAbout UsCrypto.com is a world-leading cryptocurrency platform, committed to creating a fairer and more equitable digital ecosystem. Our vision is to make cryptocurrency accessible to everyone, everywhere.Job DescriptionWe are looking for an experienced Operational Excellence Director to join our team. As an Operational Excellence Director, you will be...
-
Technical Strategy Director
3 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Standard Chartered Life and Careers Full timeWe are seeking a highly skilled and experienced Technical Strategy Director to join our team at Standard Chartered. In this critical role, you will be responsible for driving technical innovation and delivering business value through the development and implementation of cutting-edge technology solutions. With a focus on collaboration, stakeholder...
-
Technical Program Director
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Tbwa ChiatDay Inc Full timeWe are looking to hire a highly skilled Director of Software Engineering to join our team. As a key member of our technology department, you will play a critical role in developing and executing the technical strategy for one of our ecosystem projects.Your primary responsibility will be to oversee the technology team, including recruitment, training, and...
-
Director of Sales Excellence
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Zurich Australian Insurance Ltd. Full timeJob SummaryThe Director of Sales Excellence is responsible for the ideation and thinking of distribution strategic objectives to achieve business objective delivery.This role involves ensuring the Sales function meets all internal and external governance and regulatory requirements, with a robust first line of defense that demonstrates effective controls and...
-
Application Technical Director
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Popular SL. Full timeRole OverviewThe Application Technical Director will be responsible for leading the development of complex software applications using Java and Springboot technologies.Key ResponsibilitiesLead a team of developers to design, develop, and deploy high-quality software applicationsCollaborate with cross-functional teams to define project requirements and...
-
OutSystems Technical Director
8 hours ago
Kuala Lumpur, Kuala Lumpur, Malaysia Singtel Full timeSingtel is seeking an experienced OutSystems Technical Director to lead the design, development, and implementation of enterprise applications. The successful candidate will be responsible for leading cross-functional teams and collaborating with clients to deliver high-quality solutions.ResponsibilitiesDesign and implement complex OutSystems-based...
-
Technical Project Director
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Crypto Full timeTechnical Leadership RoleCrypto is seeking a highly experienced Technical Project Director to join our team. In this role, you will be responsible for leading complex security projects and ensuring they are executed efficiently and effectively.Key ResponsibilitiesDevelop and execute security projects that align with our organizational goals and...
-
Technical Director
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia tawk, inc. Full timeAbout UsWe are a forward-thinking organization that values innovation and transparency. As a Technical Director - Engineering, you will play a key role in shaping the future of our application and leading our engineering team to deliver high-quality products on time.We are seeking a highly skilled professional with a proven track record of managing software...
-
Technical Project Director
6 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Xsolla Full timeThe ideal candidate will have 10-15 years of experience in project management, preferably in technical or engineering-related fields. They should have proven ability to manage large-scale technical projects in complex, unstructured environments.Experience working with Atlassian tools for project tracking and reporting is essential. The successful candidate...
-
Technical Art Director
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Avature Full timeRole ID208278Worker TypeRegular EmployeeStudio/DepartmentFlexible Work ArrangementHybridDescription & RequirementsElectronic Arts creates next-level entertainment experiences that inspire players and fans around the world. Here, everyone is part of the story. Part of a community that connects across the globe. A place where creativity thrives, new...
-
Healthcare Claims Specialist
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Assurance Malaysia Berhad Full timeOur company, Prudential Assurance Malaysia Berhad, strives to be a leader in the insurance industry by providing excellent customer service and promoting a culture of inclusion and diversity.Key ResponsibilitiesMain Duties:Comply with claim workflow procedures related to hospitalization claims handling.Determine and justify claims based on policy terms and...
-
Assistant Manager, Major Claims
4 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full timeAssistant Manager, Major ClaimsAssistant Manager, Major ClaimsApply locations Kuala Lumpur (Takaful) time type Full time posted on Posted Yesterday job requisition id 25010328Prudential'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...
-
Claims Management Associate
2 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Sedgwick Claims Management Services Ltd Full timeKey ResponsibilitiesThe ideal candidate will have:Proficiency in computer skills, including Microsoft Office.Strong time management abilities.Excellent communication skills, both oral and written.Ability to communicate in Mandarin to assist Chinese-speaking customers; proficiency in other dialects is a plus.The successful candidate will also have the...
-
Claims Management Specialist
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Zurich 56 Company Ltd Full timeJob OverviewZurich 56 Company Ltd is seeking an experienced Senior Claims Specialist to join its team. As a key member of the claims department, you will be responsible for handling single and multi-party personal or commercial line claims of moderate to high exposure and complexity.Key ResponsibilitiesDocument Claims File:Accurately capturing and updating...
-
Regional HR Excellence Director
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Basf venezolana, s.a. Full timeJob Overview:The Regional HR Excellence Director will lead and oversee all aspects of HR Excellence within People Services HR APAC, focusing on the support for developing and implementing HR strategies, policies, and practices that drive service excellence and support the achievement of the organization vision and mission.Work closely with senior leadership...
-
Executive, Claims
5 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full timeExecutive, Claims (Production) page is loadedExecutive, Claims (Production)Apply locations Kuala Lumpur (Takaful) time type Full time posted on Posted 30+ Days Ago job requisition id 24060183Prudential'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...
-
Technical Director of Application Services
21 hours ago
Kuala Lumpur, Kuala Lumpur, Malaysia Gulf Marketing Group (GMG Group) Full timeJob DescriptionWe are seeking a Technical Director of Application Services to join our team in Southeast Asia. In this role, you will be responsible for leading and managing a team of application support specialists, providing technical support to users across the region for assigned applications, and ensuring the smooth operation of critical business...