Manager, Investigations

1 week ago

Kuala Lumpur, Malaysia Prudential plc Full time

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

JOB SCOPE

KEY DUTIES & RESPONSIBILITIES

a. Conduct objective, fair, thorough, and timely investigation on various types of suspicious claims fraud cases in supporting of Claims Department.

b. Investigating allegations of fraud or sales misconduct committed by agents e.g., premium theft, deceptive sales practices etc.

c. To conduct interviews, obtain statement from claimants, medical practitioner, agents, complainants and/or witnesses.

d. Tabling the findings and recommendations to the appointed committees for deliberation and decision.

e. Ensure clear and proper documentation of the carried-out investigations work.

f. Function as the company liaison with law enforcement agencies, other departments, regulatory bodies, solicitors, and insurance information bureaus. This includes representing the company in court proceedings.

g. To work closely with key stakeholders in collecting, analyze all data with regards to agency force sales misconduct practices for preventive and awareness initiatives.

h. Maintain awareness of emerging threats, highlight potential concern and to present solutions to Head of Department/Management in how to better safeguard the company.

i. Conduct briefing/training to relevant departments in identifying suspicious or red flags on sales misconducts.

j. Carry out any investigations related assignments as may be assigned from time to time.

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