Manager, Claims

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...

**Location**: Kuala Lumpur Malaysia **Employment Type**: Full-Time **Industry**: Healthcare / Insurance / Third-Party Administration (TPA) **About the Role** This role is critical in ensuring accurate, compliant, and timely claims processing while driving operational excellence and supporting clinical integrity across our provider network. **Key...

**Responsibilities**: - Proactively manage claims from notification to closure of files. Ensure claims are processed in accordance with the Company’s Claims Service Standard and / or Bank Negara’s Guidelines on Claims Settlement Practices. - Work proactively to develop and manage strong relations with various stakeholders i.e. policyholders, marketers,...

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...

**Responsibilities**: - Investigate negotiate and settle claims independently within authority limit. - Handle, process and recommend settlement for approval by superior for claims beyond the authority limit. - Assist to implement administer monitor and improve claims workflow and procedures. - Verify and approve reserves on new claims. - Registration...

**Summary of Job**: We are seeking a highly skilled professional to join our Claims Control & Specialised Claims Unit. As a key member of our team, you will be responsible for Market Intelligence, serving as a Claims Specialist, overseeing Performance Management, and handling Fraud Management. Your expertise will ensure efficient and effective claims...

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...

What if you were empowered to make a positive impact? To process claims and to ensure that the departmental strategic initiatives, contributing to the overall achievement of the Company’s mission and business plan is continuously met. To provide optimal service to both internal/external customers that the moment of truth experience is realized. To conduct...

Role DescriptionThis is a full-time hybrid role based in WP. Kuala Lumpur, with some work-from-home flexibility. The Claims Examiner will be responsible for reviewing, investigating, and evaluating insurance claims to ensure compliance with company and regulatory standards. Day-to-day duties include assessing claims for accuracy and completeness, conducting...

Job Summary- To handle single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.- Job Accountabilities - Key Accountabilities- Document claims file by...