Claims Assessor (1 Year Contract)

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion is assured—for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact, and we support their career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

Job Profile Summary

In this role, you will review, assess, and approve Accident & Health claims within service turnaround time. You will report to the Team Lead, A&H Claims, and work closely with various stakeholders to ensure outputs are accurate and compliant with internal policy and regulatory requirements.

Job Description

• Adjudicate Accident & Health (A&H) claims and ensure delivery of prudent and equitable claims decisions within expected service levels.
• Ensure compliance with regulatory requirements, corporate guidelines, policy wording, and reinsurance terms.
• Manage claims investigations by working with claimants, financial consultants, medical institutions, insurers, and other relevant parties to determine claims decisions and payment.
• Follow up on outstanding requirements needed for claims adjudication through documented follow-up processes and provide regular updates on claims status.
• Work closely with other business units to ensure claims are processed accurately and that all service level agreements are met.
• Manage enquiries and appeals arising from claims.

Who We Are Looking For

Competencies & Personal Traits

• Excellent communication, interpersonal, and problem-solving skills, with the ability to investigate, evaluate, and reach appropriate decisions.
• Customer-centric mindset with the ability to work under pressure.
• Self-motivated and able to work independently.
• Team player, mature, with excellent leadership quality.
• Good medical knowledge and claims settlement procedures.

Working Experience

• At least 1–2 years of experience as a Life & Health claims assessor.