Claims Assessor - Singapore - Prudential plc

Prudential plc

Verified Company

Singapore

5 days ago

Posted by:

Wei Jie

beBee Recruiter

Description

Prudential's purpose is to help people get the most out of life.

We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners.

We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career ambitions.

We pledge to make Prudential a place where you can Connect, Grow and Succeed.

Claims Assessment:
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 (also includes pre-authorisation):

Claim adjudication of Shield claims within service turnaround time and compliance with SOP and internal guidelines.
Ensure output of assessment is accurate and compliant with internal policy and regulatory requirements.
Attend to claims investigations (based on claims guidelines), service recovery and enquiry escalated from customer contact points
Send and attend to clarification with hospitals and clinics
Involve in projects assigned by supervisor (ad hoc) Provide quality customer service including interacting with Financial Consultants, customers when issues are escalated via customer contact points,
Provide timely response to complaints
Review appeals arising from rejected claims

Who are we looking for:
Competencies & Personal Traits

Strong command of the English language (spoken and written)
Familiarity with human anatomy, general diseases and disease management
Detailoriented and meticulous
Exhibits collaborative and innovative mindset
Possesses good initiative and strong problemsolving skills
Able to work in a fastpaced environment and under tight pressure
Accountable and able to deliver work requirement within stipulated timelines Friendly and able to communicate and collaborate with Panel Hospitals/ Clinics with tact and timeliness
Good negotiation skills
Familiar with Microsoft Word and Excel

Working Experience

At least 2 years of experience as a Life & Health claims assessor
Experience in Shield Claims processing and preauthorisation of claims are highly preferred Attained professional qualifications, eg: Health Insurance, LOMA, FLMI (Fellow, Life Management Institute etc.)

Education