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    Senior Claims Assessor - Singapur, Singapore - Prudential plc

    Prudential plc
    Prudential plc Singapur, Singapore

    5 days ago

    Default job background
    Full time
    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.

    Job Profile Summary:

    In this role, you will provide dedicated claims services to claimants and Financial Service Consultants by ensuring delivery of key service objectives through efficient and effective claims management.

    Job Description:

  • Adjudicate Shield and Accident & Health (A&H) claims and ensure delivery of prudent and equitable claims decision within expected service level (i.e. claims turnaround time).
  • Compliant with regulatory requirements, corporate guidelines, policy wording and reinsurance terms.
  • Review workflow and claims processes to identify areas of improvement and implement enhancement to achieve efficient claims administration.
  • Work closely with underwriters and other business units to ensure that claims are processed accurately and that all service level agreements are met.
  • Manage working relation with external parties – Central Provident Fund Board (CPFB), regulator, financial consultants, bancassurance partners, medical institutions, etc.
  • Manage investigation of claims by working with claims adjusters, legal advisors, medical institutions, claimants, financial consultants, and other insurers to determine claims decision and payment.
  • Manage enquiries, service recovery, complaints and appeal arising from claims.
  • Follow up with claimants and medical institutions on any outstanding requirements required for claims adjudication through documented follow-up process and provide regular update on claims status.
  • 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

  • 3 to 4 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
  • Language

  • English

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