Claim Assessment Senior Specialist

6 days ago

PVA Ho Chi Minh Phu My Hung Tower, Vietnam Prudential Full time ₫9,000,000 - ₫12,000,000 per year

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
(Thực hiện thẩm định hồ sơ bồi thường thông qua việc xem xét, đánh giá, và ra quyết định trong hạn mức cho phép với các chỉ tiêu về hiệu quả/năng suất làm việc trong mục tiêu làm việc hàng năm)

• Meet the quality benchmark in claim decision based on quality-score, error rate, and different decision percentage.
(Việc thẩm định hồ sơ yêu cầu bồi thường phải đảm bảo theo tiêu chuẩn chất lượng, tỉ lệ sai sót ở mức tối thiểu (%) nhằm tăng lòng tin ở khách hàng và luôn tuân thủ tiêu chí chi trả đúng, đủ)

• Contribute to achieve team's KPI (TAT, pending ratio, error rate)
(Cùng với bộ phận: đóng góp vào việc xây dựng và hoàn thành chỉ tiêu, thành quả của phòng)
  • To make decision on the claim cases are quickly and exactly
(Ra quyết định thẩm định hồ sơ bồi thường nhanh chóng và chính xác.)
  • 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
(Giữ vai trò hướng dẫn nghiệp vụ, chuyên môn và ra quyết định cuối cùng với những trường hợp có yêu cầu ý kiến từ cấp cao hơn của chuyên viên thẩm định bồi thường; tham gia đào tạo chuyên viên bồi thường trong khả năng quyền hạn của mình, tham gia hướng dẫn thực hành cho các chuyên viên thẩm định mới và các chuyên viên thẩm định tốt nghiệp từ các chuyên ngành khác chuyên ngành y dược.)
  • Support to claim assessor manager build Operating Manual, Internal guideline to build the assessment process is more efficiency and perfect.
(hỗ trợ trưởng nhóm điều tra bồi thường xây dựng Cẩm nang hoạt động, quy trình hướng dẫn hoạt động nội bộ nhằm xây dựng quy trình hoàn thiện, và hiệu quả)
  • Support and join the projects related claim transformation/claim automation/enhance claim system to build and adapt with claim stratergy to increased customer experience
(Hỗ trợ và tham gia vào các dự án của Phòng để nâng cao trải nghiệm Khách hàng theo hướng tự động hóa, số hóa và cải tiến quy trình)
  • 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
(Hỗ trợ công việc của các chuyên viên điều tra và chuyên viên tiếp nhận yêu cầu bồi thường trong từng trường hợp nhất định (đọc bệnh án gốc tại bệnh viện, đánh giá thương tật tại nhà, hướng dẫn nghiệp vụ cho chuyên viên tiếp nhận yêu cầu bồi thường, v.v) và hỗ trợ bộ phận Thẩm định và phát hành hợp đồng khi khối lượng hồ sơ tăng vào các ngày cuối tháng, cuối năm, v.v.)
  • Co-operate with claim investigator in claimant/customer interview in some certain situation and to build up internal guideline, and claim guide
(Phối hợp với chuyên viên điều tra bồi thường trong những trường hợp thu thập thêm thông tin từ người yêu cầu giải quyết bồi thường, hoặc từ khách hàng; và đóng góp ý kiến xây dựng/thành lập và chình sửa Cẩm Nang Hoạt động của bộ phận, các hướng dẫn quy trình nội bộ ngày càng hoàn thiện.)
  • Others: to be assigned by the line manager or Company's management (if any)
(Thực hiện các công việc khác khi có yêu cầu từ business của các cấp lãnh đạo)

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.

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