# Senior Executive, Claims

**Company**: Prudential
**Location**: Kuala Lumpur
**Experience**: senior
**Job type**: full-time
**Category**: Finance
**Industry**: Finance

**Apply**: https://prudential.wd3.myworkdayjobs.com/en-US/prudential/job/Kuala-Lumpur-PSA-PACS/Executive--Claims_25120295-3?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_1ab9c4a9-6c4

## Description

Prudential's purpose is to be partners for every life and protectors for every future.

As a Senior Executive, Claims, 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.

**Role Duties & Responsibilities:**

- Adjudicate Accident & Health (A&H) claims and ensure delivery of prudent and equitable claims decisions within expected service levels.

- Ensure compliance with regulatory requirements, corporate guidelines, policy wording, and reinsurance terms.

- Manage claims investigations by working with claimants, financial consultants, medical institutions, insurers, etc. to determine claims decisions and payments.

- Follow up on outstanding requirements needed for claims adjudication through documented follow-up processes and provide regular updates on claims status.

- Work closely with other business units to ensure that claims are processed accurately and that all service level agreements are met.

- Manage enquiries and appeals arising from claims.

**Key Performance Indicators:**

- Improving the customer's instant experiences on claims by:

- Ensuring that claims are processed within the expected service level;

- Attaining benchmarked targets for productivity, claims pending rate, suspense management rate.

**Competencies & Personal Traits:**

- Excellent communication, interpersonal, and problem-solving skills with the ability to investigate, evaluate, and reach an appropriate decision.

- Customer-centric with the ability to work under pressure.

- Self-motivated and able to work independently.

- Team player, mature, with excellent leadership qualities.

- Good medical knowledge and claims settlement procedures.

- Ability to read basic Chinese will be advantageous.

**Working Experience:**

- At least 1-2 years of experience as a Life & Health claims assessor.

**Language:**

- Strong command of English language.

- Basic Chinese will be advantageous.

## Skills

### Required
- claims management
- regulatory compliance
- communication
- problem-solving
- leadership

### Nice to have
- medical knowledge
- Chinese language

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Source: [Apply at prudential.wd3.myworkdayjobs.com](https://prudential.wd3.myworkdayjobs.com/en-US/prudential/job/Kuala-Lumpur-PSA-PACS/Executive--Claims_25120295-3?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)