Executive, Claims

Prudential is seeking an Executive, Claims to join their team in Kuala Lumpur.

The successful candidate will provide dedicated claims services to claimants and Financial Service Consultants, ensuring delivery of key service objectives through efficient and effective claims management.

Key responsibilities include:

• Adjudicating Accident & Health (A&H) claims and making prudent and equitable claims decisions within expected service levels
• Ensuring compliance with regulatory requirements, corporate guidelines, policy wording, and reinsurance terms
• Managing claims investigations by working with claimants, financial consultants, medical institutions, insurers, and others to determine claims decisions and payments
• Following up on outstanding requirements needed for claims adjudication and providing regular updates on claims status
• Working closely with other business units to ensure accurate claims processing and meeting service level agreements
• Managing enquiries and appeals arising from claims
• Supporting the team in implementing system enhancements or projects, including translating business requirements into test scenarios and performing user acceptance testing

The ideal candidate will have:

• Excellent communication, interpersonal, and problem-solving skills
• Customer-centric approach with ability to work under pressure
• Self-motivated and able to work independently
• Team player with excellent leadership qualities
• Good medical knowledge and claims settlement procedures
• Ability to read basic Chinese will be advantageous

At least 1-2 years of experience as a Life & Health claims assessor is required, along with a strong command of English language.