Claims Officer

5 days ago


Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full time
About the Role

We are looking for a highly motivated and organized Claims Officer to join our team at Prudential Hong Kong Limited.

The successful candidate will be responsible for managing claims workflows, assessing claims, and ensuring timely responses to enquiries and complaints.

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.
Skills and Qualifications
  • 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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