Medical Services Specialist
3 weeks ago
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 people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.
Job Profile Summary:
PRUShield Claims recovery and PRUShield Policy Management are two main key initiatives for the Medical Portfolio Management team. Under PRUShield Claims recovery, our team assists customers in submitting claims to a third-party insurer. This role includes reaching out to customers when their PRUShield claims have been approved, follow up calls with customers and to assist customers with the collation of medical receipts and reports on behalf of the customer. The claims documentation and requirements are submitted to customer’s HR department or group insurer and the team will complete the process by following through with the group insurers.
The primary objective of this role is to assist customers and financial consultants with the recovery process. In addition, the specialist must create awareness of the benefits of submitting a recovery claim.
Under PRUShield Policy Management, you will perform a series of end-to-end policy transaction requests across the PRUShield Policy Management Team. The requests are Reinstatement, Upgrade, Downgrade, Conversion, Change of Payor, Termination, etc.
This is an exciting opportunity for those keen on taking on a new challenge that will have a direct positive impact to our organization's bottom-line.
Medical Services Specialist
Reporting to Senior Shield Consultant, you will conduct daily outbound calls to customers and promote the benefits of a recovery claim. Achieve performance targets set; which include daily call productivity, contact rate, and success rate. Process end to end policy transaction requests in accordance to guidelines, service standard and quality Perform policy assessment and judgment on policy changes Follow up with customers on transaction requests Provide support and services to Financial Consultants (FC) on Policy Servicing matters Handle appeals and cases escalated from FC and customer complaintsPRUShield Recovery:
Ensure SOP are followed when handling outbound and inbound calls to customers at all times. Daily reporting to PRUShield Recovery Team Lead on call activity and outcomes. Provide end to end support for each case handled. Ability to assist customers on their recovery claims process. Attend service and product trainings or any other trainings as and where required. Adhere to standard operating procedures for customer data privacy and protection (PDPA). Provide Team Lead with feedback from customers and financial consultants. Adhere to company’s code of conduct. Provide administrative support such as arranging courier, collecting courier, scanning and printing documents.
PRUShield Policy Management:
You will be required to:
Make 20-30 outbound calls daily Meet the set target for submission of claims to third party insurers Meet the set target for recovery payments received from third party insurers Attend to calls and emails pertaining to third party recovery within the agreed TATs Process between 10-15 PRUShield policy requests a day
Who we are looking for:
Competencies & Personal Traits
Working Experience
At least two years’ experience in a customer service capacity or outbound/ in-bound call centre environment One to two years’ experience in integrated shield/ life insurance/ claims will be advantageous
Professional Qualifications
Education
Poly diploma, GCE A level or relevant work experienceLanguage
Strong command of the English language
Professional Qualifications
Education
Language
• Strong command of the English language-
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