Customer Promise Lead

4 days ago


Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Assurance Malaysia Berhad Full time

At Prudential Assurance Malaysia Berhad, we value diversity and promote an inclusive culture where every individual can thrive. Our company purpose is to be partners for every life and protectors for every future.

Job Description
  • Main Responsibilities:
  • Adhere to our claim workflow in relation to hospitalization claims procedure.
  • Assess and provide justifiable claims according to policy terms and conditions to valued policyholders.
  • Approve claims within the department benchmark/turnaround time and authority limit.
  • Recommend claim approval or repudiation.
  • Ensure customers' enquiries from all sources are promptly attended to and resolved via appropriate communication modes.
  • Maintain claims processing benchmarks and turnaround times.
  • CORRESPONDENCES on day-to-day operation functions of the department and coordinate with other departments.
  • Handle incoming enquiries from internal or external parties via emails, phone calls, and portal.
  • Update and submit reports as required by management within agreed service standards.
  • Liaise with Prudential Malaysia's IT division to troubleshoot issues/cases encountered in day-to-day operations.
  • Continuously review and update/document administrative rules and processes for effective and efficient operation of the section.
  • Attend training sessions for personal and career development.
  • Undertake projects/other work and duties allocated by Management, as and when required.
  • E nsure Financial Services Act (FSA), Bank Negara Malaysia, Anti-Money Laundering & Counter-Financing of Terrorism (AML/CFT) efforts, LIAM guidelines, and internal guidelines are strictly complied with as applicable.

We are committed to equality of opportunity for all who apply and work for our organisation, irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time/fixed-term work, or any other status protected by applicable law.



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