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Prudential Vietnam Assurance Private Ltd.

Senior Claims Assessor

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  • a month ago
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Job Description

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.

  • Review, analysis and make decision on claim within own authority with Productivity/Efficiency in targets

(Thc hin thm nh h s bi thng thng qua vic xem xt, nh gi, v ra quyt nh trong hn mc cho php vi cc ch tiu v hiu qu/nng sut lm vic trong mc tiu lm vic hng nm)

  • Meet the quality benchmark in claim decision based on quality-score, error rate, and different decision percentage.

(Vic thm nh h s yu cu bi thng phi m bo theo tiu chun cht lng, t l sai st mc ti thiu (%) nhm tng lng tin khch hng v lun tun th tiu ch chi tr ng, )

  • Contribute to achieve team's KPI (TAT, pending ratio, error rate)

(Cng vi b phn: ng gp vo vic xy dng v hon thnh ch tiu, thnh qu ca phng)

  • To make decision on the claim cases are quickly and exactly

(Ra quyt nh thm nh h s bi thng nhanh chng v chnh xc.)


  • 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

(Gi vai tr hng dn nghip v, chuyn mn v ra quyt nh cui cng vi nhng trng hp c yu cu kin t cp cao hn ca chuyn vin thm nh bi thng; tham gia o to chuyn vin bi thng trong kh nng quyn hn ca mnh, tham gia hng dn thc hnh cho cc chuyn vin thm nh mi v cc chuyn vin thm nh tt nghip t cc chuyn ngnh khc chuyn ngnh y dc.)


  • Support to claim assessor manager build Operating Manual, Internal guideline to build the assessment process is more efficiency and perfect.

(h tr trng nhm iu tra bi thng xy dng Cm nang hot ng, quy trnh hng dn hot ng ni b nhm xy dng quy trnh hon thin, v hiu qu)


  • Support and join the projects related claim transformation/claim automation/enhance claim system to build and adapt with claim stratergy to increased customer experience

(H tr v tham gia vo cc d n ca Phng nng cao tri nghim Khch hng theo hng t ng ha, s ha v ci tin quy trnh)

  • 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

(H tr cng vic ca cc chuyn vin iu tra v chuyn vin tip nhn yu cu bi thng trong tng trng hp nht nh (c bnh n gc ti bnh vin, nh gi thng tt ti nh, hng dn nghip v cho chuyn vin tip nhn yu cu bi thng, v.v) v h tr b phn Thm nh v pht hnh hp ng khi khi lng h s tng vo cc ngy cui thng, cui nm, v.v.)


  • Co-operate: with claim investigator in claimant/customer interview in some certain situation and to build up internal guideline, and claim guide

(Phi hp vi chuyn vin iu tra bi thng trong nhng trng hp thu thp thm thng tin t ngi yu cu gii quyt bi thng, hoc t khch hng; v ng gp kin xy dng/thnh lp v chnh sa Cm Nang Hot ng ca b phn, cc hng dn quy trnh ni b ngy cng hon thin.)


  • Others: to be assigned by the line manager or Company's management (if any)

(Thc hin cc cng vic khc khi c yu cu t business ca cc cp lnh o)


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.







More Info

Industry:Other

Function:Insurance

Job Type:Permanent Job

Skills Required

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Date Posted: 20/10/2024

Job ID: 97100135

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