Senior Claims Assessor

5 days ago


Singapore Prudential Full time

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.

ROLE PURPOSE:

- 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:
This role is accountable and responsible for the following:

- Adjudicate Accident & Health (A&H) claims 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 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, 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.
- Coach and mentor junior staff
- Conduct claims technical workshops for agency force

KEY PERFORMANCE INDICATORS:
Improving the customer's Instant experiences on claims by:

- Ensuring that the claims are processed within the expected service level (i.e. claims turnaround time);
- Attaining the benchmarked targets for productivity, claims pending rate, suspense management rate

Competencies & Personal Traits
- Excellent communication, interpersonal and problem solving skills with ability to investigate, evaluate and reach an appropriate decision
- Customer-centric with ability to work under pressure
- Self motivated and able to work independently
- Team player, mature, with excellent leadership quality.
- Good medical knowledge and claims settlement procedure.

Working Experience
- At least 3-5 years of experience in managing claims operations

Education
- Degree with good credit in English and Mathematics

Language
- English



  • Singapore Prudential plc Full time

    Senior Claims Assessor 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...


  • Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time

    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. - Review, assess and approve shield claims...


  • Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time

    **Job Description**: Job Profile Summary: 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...

  • Claim Assessor

    1 week ago


    Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time

    **Job Profile Summary**: 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. - Review, assess...


  • Singapore Prudential plc Full time

    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...


  • Singapore Prudential plc Full time

    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...


  • Singapore Prudential plc Full time

    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...

  • Claims Assessor

    6 days ago


    Singapore Prudential plc Full time

    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...

  • Claims Assessor

    1 week ago


    Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time

    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...


  • Singapore Prudential plc Full time

    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...


  • Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time

    **ROLE DUTIES & RESPONSIBILITIES**: This role is accountable and responsible for the following: - Adjudicate Accident & Health (A&H) claims 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...


  • Singapore Prudential Full time

    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...

  • Claims Assessor

    7 days ago


    Singapore ALLIED SEARCH PTE. LTD. Full time

    Marina Square - Mon to Fri, office hours - Below $3,500 **Roles & Responsibilities**: - Assess medical claims in accordance with policy contract and guidelines. - Ensure claim settlements are concluded within the agreed turnaround time. - Investigate complex cases or complaints submitted by clients and provide solutions to the case/complaints. -...


  • Singapore Agency for Integrated Care Full time

    **Job Snapshot**: - **Employee Type**: Full-Time - **Location**: Singapore - **Job Type**: Other **Assessor Management** Accreditation of severe disability assessors - Manage and accredit assessors to uphold high professional standards and conduct of assessors to serve the public for their assessment needs - Implement education and training measures for...

  • Claims Administrator

    2 weeks ago


    Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time

    Roles & ResponsibilitiesJob DescriptionPP and Manual FS Claim registration in Life Asia Understanding of Workflow System Able to work in a very fast pace environment and under stressful situation Able to cope with high volume of claim registration Customer-centric Prepare medical report requisition forms and report fees Prepare medical report follow up...

  • Claims QA Specialist

    17 hours ago


    Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time

    Roles & ResponsibilitiesJob Description:Review, assess and approve shield claims within service turnaround time. Ensure the output is accurate and compliant to internal policy and regulatory requirements. Attend to claims investigations, service recovery and enquiry Attend to medical clarification with hospitals and clinics Involve in projects assigned by...


  • Singapore EQ INSURANCE COMPANY LTD. Full time

    **Responsibility**: - Act as the contact point for First Notice of Loss where customers make an initial report following a loss, - Input data and information into policy administration system for all insurance claims - Prepare claims payment documentation in line with organisation policies and procedure within the Service Level Agreements - Handle and...


  • Singapore EQ INSURANCE COMPANY LTD. Full time

    **Responsibility**: - Act as the contact point for First Notice of Loss where customers make an initial report of loss - Input data and information into policy administration system for all insurance claims - Follow up with medical institutions on medical report, fee payments and required document - Prepare computation of WICA claims - Prepare claims...

  • Claims Executive

    7 days ago


    Singapore MS FIRST CAPITAL INSURANCE LIMITED Full time

    A marine insurance **Claims Executive **strives to provide equitable solutions to clients. Their job scope includes the following: - Receiving, recording and processing all incoming insurance claims. - Interpreting policies and determining the coverage of claims made on marine insurance policies. - Liaising with Brokers, shipowners or surveyors on all...


  • Singapore KOMOCO MOTORS PTE LTD Full time

    To assist customers in car accident reporting. - Prepare and submit car repair report to insurance company. - Liaise with accident claim surveyor and insurance company to process car accident repair. - Prepare invoice and follow-up with insurance company for payment. **Job Requirement**: class 3 driving license Able to work overtime 5.5 days week...