Associate Manager, Claims-1 at Prudential plc - Kuala Lumpur

The Associate Manager, Claims-1 is responsible for reviewing, assessing, and approving shield claims while ensuring compliance with internal policies and regulatory standards. This role plays a critical part in maintaining operational efficiency and enhancing customer satisfaction through effective claims management.

In this role, you will engage in daily activities that involve reviewing claims and interacting with various stakeholders, including clinics and hospitals. You will work in a dynamic environment that prioritizes accuracy and compliance while addressing customer inquiries and complaints.

Key Responsibilities:

• Review and assess shield claims for accuracy and compliance.
• Conduct claims investigations to gather necessary information.
• Manage service recovery processes for customer satisfaction.
• Perform medical clarifications with clinics and hospitals.
• Handle customer inquiries and resolve complaints effectively.
• Participate in special projects to improve operational efficiency.
• Ensure adherence to service turnaround times.