Accident and Hospitalization Claims Coordinator

4 days ago


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

We are Prudential Hong Kong Limited, a leading life insurance company dedicated to providing quality financial services to our customers.

We are seeking a skilled Accident and Hospitalization Claims Coordinator to join our team.

The ideal candidate will have a strong understanding of claims procedures and be able to work effectively in a fast-paced environment. Key responsibilities include managing claims workflows, assessing claims, and ensuring timely responses to enquiries and complaints.

Key Responsibilities
  1. Manage Claims Workflows: Adhere to the claims workflow in relation to Accident and Hospitalization claims procedure.
  2. Assess Claims: Assess and provide justifiable claims according to policy terms and conditions, within the department benchmark, turnaround time and authority limit.
  3. Handle Enquiries and Complaints: Ensure claims appeal, referral or complaint from any parties are attended to and respond within the benchmark set by the department.
  4. Monitor Claims Processing: Ensure and monitor claims processing to be within the department benchmark and turnaround time.
  5. Follow Up on Outstanding Cases: Closely follow up on outstanding cases.
Requirements
  • Claims Knowledge: Strong understanding of claims procedures and policies.
  • Communication Skills: Ability to communicate effectively with internal staff, branch staff, agents, policyholders/claimants and other insurance companies.
  • Organizational Skills: Ability to prioritize tasks and manage multiple projects simultaneously.
  • Adaptability: Willingness to adapt to changing priorities and deadlines.

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