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Jobs in Singapore   »   Jobs in Singapore   »   Finance / Banking / Insurance Job   »   Claims Assessor
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Claims Assessor

Prudential Assurance Company Singapore (pte) Limited

Prudential Assurance Company Singapore (pte) Limited company logo

Job Profile Summary:

In this role, you will provide dedicated claims services to claimants and Financial Service Consultants by ensuring delivery of key service objectives through efficient and effective claims management.


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 improvement and implement enhancement to achieve efficient claims administration.
  • 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.

Who we are looking for:
Competencies & Personal Traits
• Strong command of the English language (spoken and written)
• Familiarity with human anatomy, general diseases and disease management

Working Experience
• 4 to 5 years of experience as a Life & Health claims assessor

Professional Qualifications
• OMA, FLMI (Fellow, Life Management Institute)

Education
• Degree holder of biology & life sciences discipline

Language
• English

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