Manager, Claims Investigation

2 weeks ago


Kuala Lumpur, Malaysia Prudential Full time

**Responsibilities**:
Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career ambitions. We pledge to make Prudential a place where you can Connect, Grow and Succeed.

**Principal Duties & Responsibilities**:

- Conduct objective, fair, detailed, and timely investigation on various types of suspicious claims fraud cases in supporting of Claims Department.
- Investigate allegation of fraud or sales misconduct committed by agents e.g., premium theft, deceptive sales practices etc.
- Conduct interviews, acquire statement from claimants, medical practitioner, agents, complainants and/or witnesses.
- Tabling the findings and recommendations to the appointed committees for deliberation and decision.
- Ensure clear and accurate documentation of the carried-out investigations work.
- 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.
- Supporting the development and implementation of Group Security projects and strategy including the development of awareness and prevention initiatives.

**Job Specification**:

- At least 5 years related working experience; proven understanding in Investigations, Compliance or Auditing.
- Strong analytical skills with an enquiring mind to efficiently carry out effective investigations.
- Sound understanding of regulatory guidelines governing the insurance industry or financial services.
- Good interpersonal and communication skills.Benefits



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