Claims Assessor

3 days ago

Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time

**Job Description**:

- 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

  • Claims Assessor

    3 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...

  • Senior Claims 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 the Team Lead of the PSC team and work closely with various stakeholders to ensure that the output is accurate and compliant to internal policy and regulatory requirements. **Job...

  • Senior Claims Assessor

    5 days ago

    Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time

    **Job Description**: - Adjudicate Shield and 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. - Review workflow and claims processes to identify areas of...

  • Claims Assessor

    2 weeks ago

    Singapore Prudential plc Full time $60,000 - $80,000 per year

    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 our...

  • Claims Assessor

    2 weeks ago

    Singapore Prudential plc Full time $40,000 - $60,000 per year

    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 our...

  • Senior Claims Assessor

    3 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...

  • Senior Claims Assessor

    3 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

    5 days ago

    Singapore Prudential Hong Kong Limited Full time

    Claims Assessor (1 year contract) page is loaded## Claims Assessor (1 year contract)locations: Singaporetime type: Full timeposted on: Posted Todayjob requisition id: 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...

  • Claims Assessor

    5 days ago

    Singapore Prudential Hong Kong Limited Full time

    Claims Assessor (2 year contract) page is loaded## Claims Assessor (2 year contract)locations: Singaporetime type: Full timeposted on: Posted Todayjob requisition id: 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...

  • 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...