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 ambitions. We pledge to make Prudential a place where you can Connect, Grow and Succeed.

ROLE DUTIES & RESPONSIBILITIES:
This role is accountable and responsible for the following:

- Provide dedicated claims services to claimants and Financial Service Consultants by ensuring delivery of key service objectives through efficient and effective claims management.
- 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

    2 weeks ago

    Singapore Prudential Hong Kong Limited Full time

    Claims Assessor page is loaded## Claims Assessorlocations: 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 inclusion assured, for our people,...

  • Claims Assessor

    2 weeks ago

    Singapore Prudential Assurance Company Singapore Full time

    Overview Join to apply for the Claims Assessor role at Prudential Assurance Company Singapore 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...

  • Claims Assessor

    2 weeks ago

    Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time

    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 supervisor - Provides quality...

  • Claims Assessor

    5 days ago

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

    **Location** - Singapore, Central Singapore**Job Type** - Full Time**Salary** - $3,500 - $4,500 Per Month**Date Posted** - 1 day agoAdditional Details **Job ID** - 116580**Job Views** - 1Roles & Responsibilities **Job Profile Summary**: In this role, you will be involved in both Claims Assessment and Pre-authorisation. Claims Assessment: You will review,...

  • Senior Claims Assessor

    5 days ago

    Singapore Prudential Assurance Company Singapore Full time

    Join to apply for the Senior Claims Assessor role at Prudential Assurance Company Singapore 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...

  • Claims Assessor

    2 weeks 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...

  • Senior Claims Assessor

    5 days ago

    Singapore Prudential Hong Kong Limited Full time

    Senior Claims Assessor page is loaded## Senior Claims Assessorlocations: 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 inclusion assured, for our...

  • 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

    2 weeks 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...