Executive, Customer Promise - Healthcare Claims

Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career ambitions. We pledge to make Prudential a place where you can Connect, Grow and Succeed.Executive, Customer Promise - Healthcare ClaimsPRINCIPAL DUTIES & RESPONSIBILITIES:- Adhering to our claim workflow in relation to hospitalization claims procedure.- Assess and provide justifiable claims according to policy terms and conditions to our valued policy holders.- Approving claims within the department benchmark/turnaround time and authority limit- Recommend for claim approval/repudiation- Ensuring customers enquiry from all source of referrals are promptly attended to and resolves via appropriate communication mode.- To ensure and monitor claims processing benchmark and turnaround time- To correspondences on and day to day operation functions of the department and coordinates with other departments- Updating and submission of reports as required by management within the agreed service standards.- Liaise with Prudential Malaysia's IT division to troubleshoot issues / cases encountered in the day to day operations.- Continuously review and update/document the administrative rules and processes for effective and efficient operation of the section.- Continuously attend / involve with training for personal and career development.- Undertake projects / other work and duties allocated by Management, as and when required- Ensuring that Financial Services Act (FSA), Bank Negara Malaysia, Anti-Money Laundering & Counter-Financing of Terrorism (AML/CFT) efforts, LIAM guidelines and internal guidelines are strictly complied with as applicable.