Officer, Pre - Authorisation and Minor Claims at Prudential plc

Kuala Lumpur, Kuala Lumpur, Malaysia -

Full Time

Start Date

Immediate

Expiry Date

19 Aug, 26

Salary

0.0

Posted On

21 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Assessment, Pre-authorisation, Life Insurance, Medical Guidelines, UAT Script Review, Claims Investigation, Maker and Checker Framework, Customer Service, Complaint Handling, SLA Compliance

Industry

Financial Services

Description

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. Assess pre-authorisation & minor claims with main focus in products of individual life insurance, provide enquiry support, take part in departmental projects. Handle and assess minor and pre-authorization claims within delegated authority, ensuring compliance with SLAs, policy terms, and medical guidelines. Participate in UAT script reviews and ad hoc projects. Handle minor or pre-authorization claims, issue GL within authority limit and refer larger claims to senior assessor for approval. Perform claims investigation where necessary. perform checker role under the maker and checker framework. Handle enquiries and complaints from customers, agents (including telephone and emails where necessary) and internal staffs. Check and sign payment letters and prepare non-standard payment and decline letters where necessary. Follow up on additional supporting documents to facilitate claim resolution. Participate in projects where necessary. Provide support to pre-authorisation and major cases if needed. 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. We are Prudential. For Every Life, For Every Future. Prudential plc provides life and health insurance and asset management to 18 million customers across 24 markets in Asia and Africa. We are headquartered in London and Hong Kong and are focused on four strategic regions: Greater China, ASEAN, India and Africa. We are served by around 68,000 average monthly active agents and more than 200 bank partners. Prudential plc is not affiliated in any manner with Prudential Financial, Inc., a company whose principal place of business is in the United States of America or with the Prudential Assurance Company, a subsidiary of M&G plc, a company incorporated in the United Kingdom. Find out more at www.prudentialplc.com Follow us on LinkedIn

Responsibilities

Assess pre-authorisation and minor individual life insurance claims while ensuring compliance with medical guidelines and SLAs. Handle customer and agent enquiries and participate in departmental projects and UAT script reviews.