Executive, Claims at Prudential plc - Kuala Lumpur

The Executive, Claims is responsible for adjudicating Accident & Health (A&H) claims. This role involves managing investigations and ensuring equitable decisions within service level agreements to enhance customer experience.

As an Executive in Claims, you will engage in daily interactions with claimants, medical institutions, and financial consultants to process claims efficiently. You will be part of a dynamic team focused on delivering high-quality service and maintaining accuracy in claims processing.

Key Responsibilities:

• Adjudicate Accident & Health claims to ensure compliance with service level agreements.
• Manage investigations by coordinating with claimants and medical institutions.
• Follow up on outstanding requirements to expedite claims processing.
• Address enquiries and appeals from claimants effectively.
• Collaborate with business units to optimize processing accuracy.
• Maintain detailed records of claims and investigations.
• Provide support and guidance to team members as needed.