Senior Claims Assessor

3 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

  • Senior Claims Assessor

    4 days ago

    Singapore Prudential Assurance Company Singapore Full time

    Senior Claims Assessor – Prudential Assurance Company Singapore Our purpose is to be partners for every life and protectors for every future. We create a culture in which diversity is celebrated and inclusion assured for our people, customers and partners. Join us to make an impact and grow your career. Job Overview In this role, you will review, assess...

  • Senior Claims Assessor

    5 days ago

    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...

  • Senior Claims Assessor

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

  • Senior Claims Assessor

    7 days ago

    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

    7 days 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...

  • Automotive Claim Assessor

    1 week ago

    Singapore ComfortDelGro Engineering Full time

    Automotive Claims Assessor We're looking for a skilled Automotive Claims Assessor who can guide customers through the repair process with confidence and care. In this role, you'll be the trusted advisor who helps customers understand their repair options, navigate insurance claims, and ensure their vehicles get back on the road smoothly and safely. Key...

  • Senior Claims Assessor

    5 days ago

    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

    1 week ago

    Singapore Prudential Plc Full time $13,200 - $39,600 per year

    Job Description:Review, assess, and approve health and medical 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 enquiryAttend to medical clarification with hospitals and clinicsInvolve in projects assigned by supervisorWho we...

  • Senior Claims Assessor

    5 days ago

    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

    7 days 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...