Date Posted:
Salary:
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Job Description

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. Responsibilities:
  • Responsible for Case Management and Guarantee process in the provider network are done accurately and in timely manner
  • Responsible for 24/7 coordination with TPA and Provider related to treatment in provider network
  • Member monitoring during hospitalization and give update of both medical and cost to internal and client
  • Responsible for relation with TPA and Provider, include monitoring the TPA’s performance, opening/closing access of provider network and reconciliation of Provider payment
  • To produce required internal/external reports related with Provider and TPA
  • Responsible for coordination and communication with PMN related with opening and closing process of provider network and provider payment reconciliation
  • To support medical opinion/inquiries to Medical Underwriter and Claim Analyst
  • To support sales and other internal department for medical inquiries and other issue related with TPA and Provider
  • To set up provider data in the system and conduct regular review to ensure the provider data is updated
  • To support preparing Health Talk event and other wellness program
  • To provide monthly Health Bulletin for customers
  • Responsible to prepare process for new initiatives in Corporate Business
Requirements:
Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with special requirements.

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Job Detail

  • Job Id
    d849e19e1d3d533a
  • Location
    id
  • Company
  • Type
    Private
  • Employment Status
    Permanent
  • Positions
    Available
  • Career Level
    Experience
  • Gender
    Male/Female

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