Claims Assessment Manager (Quản lý Dịch vụ Thẩm định Bồi thưng)

5-8 years
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.This role is to:
. The assessment the claim documents based on claim requirement of the claimant
V tr ny gip:
. Thm nh h s bi thng da trn yu cu gii quyt bi thng ca khch hng.
Job Responsibilities:

  • To make decision on the claim cases are quickly and exactly
  • Sign-off person and mentor role: Countersign for claim assessor, trainee claim assessor within own authority and on- the- job training new claim assesors and jet claim assessors
  • Support to claim assessor manager build Operating Manual, Internal guideline to build the assessment process is more efficiency and perfect.
  • Support claim colleagues (investigators or administrators) in some certain situation (reading original medical record at the hospital, field assessment of disability, mentor for administrators) and support underwriting section when increasing volume of NBUW (month-end, contest)- if any
  • Co-operate: with claim investigator in claimant/customer interview in some certain situation and to build up internal guideline, and claim guide
  • Others: to be assigned by the line manager or Company's management (if any)

Job Requirements:
Qualifications
  • Universit graduated of Medical, pharmaceutical or economic
    (Tt nghip i hc y, dc hoc kinh t)
  • medical (tt nghip y khoa l li th)

Experiences:
  • at least 5 years of experience in the insurance industry, the hospitals
  • work at the hospitals

Knowledge and skill set:
  • English skills: at leat is reading, writing (Ting Anh: t nht c vit, ni tt ting Anh l li th)
  • Microsoft office: word, excel, powerpoint (Vi tnh vn phng)
  • Good communication skills, Problem solving skills, telephone skills and team work (k nng giao tip, kt thc vn , gi in thoi v lm vic nhm)

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.

JOB TYPE

Industry

Prudentialplc provides life and health insurance and asset management, with a focus on Asia and Africa. We help people get the most out of life, by making healthcare affordable and accessible and by promoting financial inclusion. We protect people's wealth, help them grow their assets, and empower them to save for their goals. The business has more than 18 million life customers in Asia and Africa.Prudential has been providing trusted financial security for 95 years and is listed on stock exchanges in London, Hong Kong, Singapore, and New York. We are proud to be included in the 2022 Bloomberg Gender Equality Index. The index measures gender equality across five pillars: female leadership and talent pipeline, equal pay and gender pay parity, inclusive culture, sexual harassment policies, and pro-women brand. Our inclusion in this global index is testament to our commitment to nurturing diverse talent. #BloombergGEI . Prudential plc is not affiliated in any manner with Prudential Financial, Inc., a company whose principal place of business is in the United States of America or with the Prudential Assurance Company, a subsidiary of M&G plc, a company incorporated in the United Kingdom.

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