Claims Consultant

Claims Consultant

Prudential Assurance
Not Specified
Not Specified

Job Description


At Prudential, we understand that success comes from the talent and commitment of our people. Together, we have a shared vision in securing the future of our customers and our communities. We strive to build a business that can shape, an inclusive workplace where ideas are valued and a culture where can thrive together. Our people stay connected and tuned in to what's happening around us, keeping us ahead of the curve. While focused on the long-term, we look to the future to bring growth, development and benefit to everyone whose lives we touch.Provide dedicated claims services to claimants and Financial Service Consultants by ensuring delivery of key service objectives through efficient and effective claims management.
This role is accountable and responsible for the following:

  • Adjudicate life claims (death, critical illness, disability, terminal illness, female benefit and unemployment benefits) 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.

  • Work closely with underwriters, actuarial, reinsurers 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, customers, 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.

  • Conduct claims technical workshops to our agency force and bancassurance channels.

Who we are looking for:
Competencies & Personal Traits

  • Conflict resolution and relationship management skills

  • Excellent communication and presentation skills

  • Strong interpersonal and problem-solving skills with ability to investigate, evaluate and reach an appropriate decision

  • Customer-centric with ability to work under pressure and handle volume

  • Self-motivated and able to work independently to perform tasks effectively and accurately

  • A team player with good interpersonal skills

Working Experience

  • Experienced in life claims handling

  • Proficient in MS Office - Word, PowerPoint, Excel, Outlook

Education
Degree or Diploma holder
Language
Fluent written and spoken English

Job Details

Employment Types:

Function:

Prudential plc is an Asia-led portfolio of businesses focused on structural growth markets. The business helps individuals to de-risk their lives and deal with their biggest financial concerns through life and health insurance, and retirement and asset management solutions. Prudential plc has 20 million customers and is listed on stock exchanges in London, Hong Kong, Singapore and New York. We are proud to be one of the 380 companies across 11 sectors included in the 2021 Bloomberg Gender Equality Index. The reference index measures gender equality across five pillars: female leadership and talent pipeline, equal pay and gender pay parity, inclusive culture, sexual harassment policies, and pro-women brand. Our inclusion in this global index is testament to our commitment to nurturing diverse talent. #BloombergGEI. https://www.bloomberg.com/gei 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.

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