Medical Claims Manager

4 days ago


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

Prudential Hong Kong Limited is committed to delivering exceptional customer experiences and ensuring that our customers receive the best possible service.

About the Role

We are seeking a highly skilled and experienced Medical Claims Manager to join our team. The successful candidate will be responsible for managing an efficient and effective claims process, meeting and exceeding management's expectations on operational processes.

The complexity of the insurance business requires the incumbent to acquire a thorough knowledge of the different insurance products and operational processes to ensure customer enquiries are resolved in accordance with agreed service levels.

The incumbent will also work closely with other operations departments in delivering excellent service quality to customers.

Main Responsibilities
  • Deliver End-to-End Customer Journey: Provide exceptional PRUexperience Service to our customers by paying all valid claims quickly and treating them with compassion and care.
  • Fulfill Claims Philosophy: Pay all valid claims quickly while keeping customers well-informed on the progress of their claims.
  • Closing Collaboration: Close collaboration with co-workers from all areas within the organization focusing on resolving Customers' requests without delay.
Required Skills and Qualifications
  • Qualification: University Degree with a focus in Business, Accounting, Risk Management (Insurance) or other related disciplines.
  • Experience: Minimum 8 years of experience in claims including 5 years at managerial level, 5 years in insurance claims administration and assessment (all claim types).
  • Knowledge: Strong command of English and mastery of insurance concepts, principles, and terminology.
  • Behavioral Competencies: Professional integrity, flexibility, presentation skills, decision-making skills, and emotional intelligence.


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