Investigation Unit Lead

4 days ago


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

Prudential Hong Kong Limited is seeking an experienced Investigation Unit Lead to join our team. The successful candidate will be responsible for leading a team of investigators in processing complex claims by meeting and exceeding management's expectations on operational processes.

Job Description:

This role involves investigating suspicious claims, ruling out suspected fraud, or establishing non-disclosure/pre-existing illness, including out-of-office investigations and providing advice in areas of claims. The lead investigator will also be responsible for ensuring compliance with regulatory requirements, working closely with Risk, Compliance, Shariah, Actuarial, and other operational departments.

Key Responsibilities:
  1. To lead a team of investigators in conducting thorough investigations into complex claims, identifying potential issues and making recommendations for resolution.
  2. To develop and implement effective strategies to improve investigation processes and outcomes.
  3. To collaborate with stakeholders, including claimants, hospital personnel, agents, and clients, to obtain necessary information in processing claims requests.

We offer a dynamic and inclusive work environment where you can grow your career and make a meaningful impact. If you are a motivated and detail-oriented leader with excellent communication skills, we encourage you to apply.



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