Claims Administrator at Prudential plc - Kuala Lumpur

The Claims Administrator is responsible for reviewing, assessing, and approving group insurance claims. This role plays a critical part in ensuring compliance with internal policies and regulatory standards while managing interactions with various stakeholders.

As a Claims Administrator, you will engage in daily tasks that involve adjudicating health and medical claims within designated service turnaround times. You will work in a collaborative environment, coordinating with underwriters and external stakeholders to enhance workflow efficiency.

Key Responsibilities:

• Review and assess group insurance claims for approval.
• Adjudicate health and medical claims in compliance with policies.
• Manage claim investigations and coordinate with external stakeholders.
• Identify and implement workflow improvements.
• Handle service recovery and respond to enquiries.
• Maintain accurate documentation throughout the claims process.
• Ensure all decisions are prudent and equitable.