Senior Executive, Claims-3

2 days ago

Kuala Lumpur, 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 Description Summary

In this role, you will review, assess and approve shield claims within service turnaround time. As part of this dynamic role, you will report to Team Lead, PruShield Claims and work closely with various stakeholders to ensure that the output is accurate and compliant to internal policy and regulatory requirements.

Job Description:

  • Review, assess and approve shield claims within service turnaround time. Ensure the output is accurate and compliant to internal policy and regulatory requirements.
  • Attend to claims investigations, service recovery and enquiry
  • Attend to medical clarification with hospitals and clinics
  • Involve in projects assigned by supervisor
  • Provides quality customer service including interacting with customers, answering customer enquiries and effectively handling customer complaints

Who we are looking for:

Competencies & Personal Traits

  • Strong command of the English language (spoken and written)
  • Familiarity with human anatomy, general diseases and disease management

Working Experience

  • 2 years of experience as a Life & Health claims assessor

Professional Qualifications

  • OMA, FLMI (Fellow, Life Management Institute)

Education

  • Degree holder of biology & life sciences discipline

Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.

  • Insurance Claims Executive

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia TWO95 International, Inc Full time

    IMMEDIATE HIRING FOR THE OPENING OF - INSURANCE CLAIMS EXECUTIVE – Salary 2800 to 3500RM / MonthOpen to Malaysians & Local Malaysians onlyTo assist the Head Of Claims, the Senior Executive and the Group COO in managing and processing the claimsTo liaise with external parties, including the lawyers, intermediaries and Adjusters on the claims managementTo...

  • Claims Executive

    4 days ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Generali Malaysia Full time

    Summary:Providing reliable and responsive customer service and claims advice to all our policyholders and agents. The service will include handling claims enquiries, complaints, processing and case management.Responsibilities:1. Operational EfficiencyAssessment and approval of Major Claims, Medical and PA claims within the defined approval authority limit...

  • Claims Admin Support

    1 week ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Manulife Full time

    The Opportunity This role offers an opportunity to be a key part of the claims operations team, ensuring timely and accurate processing of claims documents and payments. By maintaining precise records, assigning cases efficiently, and supporting assessors, you help uphold our commitment to delivering a seamless claims experience for customers. You'll gain...

  • Senior Executive, Claims-1

    2 days ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Services Asia 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...

  • Senior Marine Claims

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia LMA Recruitment Full time

    We are looking for an experienced Marine P&I Claims professional to be based inSINGAPORE.The ideal candidate will bring strong technical expertise in handlingProtection & Indemnity (P&I)claims, a solid understanding of maritime operations, and the ability to manage complex cases with professionalism and sound judgement.Key Responsibilities:Manage and handle...

  • Senior Sales Executive

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia JAC Recruitment Full time

    A leading MNC in the F&B industry is looking for a Senior Sales Executive to handle Modern Trade customer accounts.Job DescriptionManage and expand corporate and retail accounts in the FMCG sector; act as the primary point of contact for clients.Organize regular client engagements to understand requirements and ensure alignment with the client's business...

  • Claims Specialist – General Claims

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Marsh Full time

    We are seeking a talented individual to join our Claims Operations team at Marsh & McLennan Asia Business Services (MMABS). This role will be based in our Pavilion Damansara Corporate Towers, Kuala Lumpur office. This is a hybrid role that has a requirement of working as per respective team's arrangement.Claims Specialist – General Claims (Hong Kong Market...

  • Claims Specialist – General Claims

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Marsh McLennan Full time

    Company:MMC CorporateDescription:We are seeking a talented individual to join our Claims Operations team at Marsh & McLennan Asia Business Services (MMABS). This role will be based in our Pavilion Damansara Corporate Towers, Kuala Lumpur office. This is a hybrid role that has a requirement of working as per respective team's arrangement.Claims Specialist –...

  • Claims Specialist – General Claims

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Marsh Full time

    We are seeking a talented individual to join our Claims Operations team at Marsh & McLennan Asia Business Services (MMABS). This role will be based in our Pavilion Damansara Corporate Towers, Kuala Lumpur office. This is a hybrid role that has a requirement of working as per respective team's arrangement.Claims Specialist – General Claims (Hong Kong Market...

  • Senior Executive

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Malaysia Airlines Full time

    Position TitleSenior Executive, Training (MAG Culinary Solutions)Reporting ToAssistant Manager, TrainingPosition SummarySupports the planning, coordination, and delivery of MAGCS training programs to ensure employee competency and compliance. Maintains accurate records, audit readiness, and contributes to continuous improvement and trainer development.Key...