Jobs Companies Prudential plc Senior Officer, Major Claims

Sobre este puesto de Senior Officer, Major Claims en Prudential plc

Prudential plc · Presencial · Kuala Lumpur (Group Head Office)

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 cases with main focus in major claims, assist in higher approval of claims exceeding assessors’ authority, provide enquiry support, take part in departmental projects and supervise subordinates in handling daily operations.

  • Follow up on additional supporting documents to facilitate the decision on underwriting, compliance and premium financing after case submission
  •  Prepare and check decline / after investigation letters
  • Approve clean Claims (including cross checking benefit calculations, follow-up with CS, hotline, channels)
  • Approve non clean Claims (including cross checking benefit calculations, follow-up with CS, hotline, channels)
  • Conduct claims investigation
  • Prepare tailored made letters (including decision and investigation letters)
  • Handle ad hoc assignments from management
  • Handle claims appeal case / complaint cases related to claims
  • Provide support to minor and pre-authorisation cases if needed
  • Conduct training to internal staff and/or agents
  • Handle enquiries and complaints from customers, agents (including telephone and emails where necessary) and internal staff
  • Train up new joined staff to obtain claims authority
  • Review escalated cases from junior staff

 

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.

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Sobre Prudential plc

We are Prudential. For every life, we are partners. For every future, we are protectors. Prudential plc provides life and health insurance and asset management to 17 million customers across 20 markets in Asia and Africa. We are headquartered in Hong Kong and have dual primary listings on the Stock Exchange of Hong Kong and the London Stock Exchange. We are focused on four strategic regions: Greater China, ASEAN, India and Africa. Our customers are served by around 55,000 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 A

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