Medical Services Specialist - Singapore - Prudential plc

Prudential plc

Verified Company

Singapore

1 week ago

Posted by:

Wei Jie

beBee Recruiter

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.

PRUShield Claims recovery and PRUShield Policy Management are two main key initiatives for the Medical Portfolio Management team. Under PRUShield Claims recovery, it is the process of assisting customers in submitting claims to a third-party insurer.

This role includes reaching out to customers when their PRUShield claims have been approved, follow up calls with customers and to assist policyholders with the collation of medical receipts and report on behalf of the customer.

The medical documentation is submitted to customer's HR department and the team will complete the process by following through with the group insurers.

The primary objective of this role is to assist customers and financial consultants with the recovery process. In addition, the specialist must create awareness of the benefits of submitting a recovery claim.

Under PRUShield Policy Management, you will perform a series of end-to-end policy transaction requests across the PRUShield Policy Management Team.

The requests are Reinstatement, Upgrade, Downgrade, Conversion, Change of Payor, Termination, etc.

This is an exciting opportunity for those keen on taking on a new challenge that will have a direct positive impact to our organisation's bottom-line.

Objectives for Medical Services Specialist

Medical Services Specialist

Reporting to Senior Shield Consultant, you will conduct daily outbound calls to customers and promote the benefits of a recovery claim.
Achieve performance targets set; which include daily call productivity, contact rate, and success rate.
Process end to end policy transaction requests in accordance to guidelines, service standard and quality
Perform policy assessment and judgment on policy changes
Follow up with customers on transaction requests
Provide support and services to Financial Consultants (FC) on Policy Servicing matters
Handle appeals and cases escalated from FC and customer complaints

Role & Responsibilities

PRUShield Recovery:

Ensure SOP are followed when handling outbound and inbound calls to customers at all times.
Daily reporting to PRUShield Recovery Team Lead on call activity and outcomes.
Provide end to end support for each case handled.
Ability to assist customers on their recovery claims process.
Attend service and product trainings or any other trainings as and where required.
Adhere to standard operating procedures for customer data privacy and protection (PDPA).
Provide Team Lead with feedback from customers and financial consultants.
Adhere to company's code of conduct.
Provide administrative support such as arranging courier, collecting courier, scanning and printing documents.

PRUShield Policy Management:

Process Shield Policy transaction requests such as Reinstatement, Upgrade, Downgrade, Conversion, Change of Payor, Termination, etc, ensuring that TAT and Productivity KPIs are met
Adhere to all SOPs, guidelines, PDPA, are met
Perform policy assessment whether the transaction requests can be processed. Ensure all checks are in place such as signatures, policy number, policyholder name, etc.
Under the PRUShield products and CPF policy guidelines

KPIs

You will be required to:

Make 2030 outbound calls daily
Meet the set target for submission of claims to third party insurers
Meet the set target for recovery payments received from third party insurers
Process between 1015 PRUShield policy requests a day

Who we are looking for:
Competencies & Personal Traits

Meticulous, able to process backend systems with accuracy
A keen learner and able to work independently
Friendly, proactive and service oriented individual with good interpersonal and communication skills
Problem solving skills and a great team player who enjoys being in a target driven team
Team player and enjoys interacting with customers

Working Experience

At least two years' experience in a customer service capacity or outbound/ inbound call centre environment
One to two years' experience in integrated shield/ life insurance/ claims will be advantageous

Professional Qualifications