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Job Description

At Prudential, we understand that success comes from the talent and commitment of our people. Together, we have a shared vision in securing the future of our customers and our communities. We strive to build a business that you can shape, an inclusive workplace where everyone’s ideas are valued and a culture where we can thrive together. Our people stay connected and tuned in to what’s happening around us, keeping us ahead of the curve. While focused on the long-term, we look to the future to bring growth, development and benefit to everyone whose lives we touch. Principle Duties & Responsibilities:
  • Analyze Hospitalization claim based on policy provision and medical necessity, including investigation to hospital and/or treating doctors, if needed
  • Prepare claim letter for claim paid and decline
  • Maintain and improvement service standard
  • Handling complain and error monitoring
  • Improvement of product and system knowledge
  • Attend/pass minimum 1 courses/ exams from LOMA modules or courses in risk management
  • Liaise with Legal & Compliance to report suspicious transactions that finding in doing daily process
Job Requirements:
  • Bachelor degree (Pharmacy/Nursing/Public Health/Medical Doctor)
  • Strong analytical and inter-personal skill
  • Good problem solving skill
  • Having good sense of risk selection
  • Good communication skill
  • Pleasant personality, good attitude and good team working
  • Action-oriented and customer oriented
  • Minimum 1 year experience in Claims, Underwriting in life insurance industry or Third Party Administration
  • Good command in English
  • Computer literate : word, excel, and power point applications
  • Claim process, policy provision

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Job Detail

  • Job Id
    6bc65601bdf51865
  • Location
    id
  • Company
  • Type
    Private
  • Employment Status
    Permanent
  • Positions
    Available
  • Career Level
    Experience
  • Gender
    Male/Female

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