SE - Claim Analyst

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 assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people's career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

Claim Analyst, who are responsible to:

• Analyze hospitalization and non-hospitalization claim based on policy provision and medical necessity, including investigation to hospital and/or treating doctors, if needed
• Maintain and improvement service standard
• Handling complaint and error monitoring
• Improvement of product and system knowledge

Medical Assessor:

• Receive and responds in timely manner to medical related enquiries from Agents
• As medical consultant for Claim Team
• Develop medical knowledge for Claim Analyst to be able to independently process claim
• Handling Claim complex case including accompanying legal team or customer care team to handle OJK/litigation case dan meet customer.

Personal development:

• Take LOMA examination

Being center of excellence:

• Analyze current process and give suggestion for process improvement
• Involve in project to improve current process
• Centre of knowledge (give training)

Ensure smooth communication with other departments

• Doing meeting with other departments as needed to solve Claims issues
• In difficult cases where problems are unsolved by team, ensure quick and justifiable solution is given
• Ensure customer orientation is the basis for every approach

Liaise with Legal & Compliance to report suspicious transactions that finding in doing daily process

Ad-hoc assignment

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 individual physical or mental health requirements.