The position entails a qualified and experienced medical profession to support our claims teams in various lines of business, namely individual life, health and group employee benefits, concerning but not limited to claims assessment, adjudication and cost containment
Job Summary
The position entails a qualified and experienced medical profession to support our claims teams in various lines of business, namely individual life, health and group employee benefits, concerning but not limited to claims assessment, adjudication and cost containment.
The individual is also involved in representing the claims team in case of adjudication disputes, e.g. FIDReC wherever medical expertise is required; and will represent PACS in industry-wide medical discussions, e.g. Integrated shield (PRUShield) to support our commitment in delivering trusted protection and valued service to our customers.
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.
Matching Summary
The position entails a qualified and experienced medical profession to support our claims teams in various lines of business, namely individual life, health and group employee benefits, concerning but not limited to claims assessment, adjudication and cost containment.
Skills & Requirements
Must-have
Medical Evaluation & Claims Assessment
Documentation Review and Compliance
Stakeholder Collaboration
Policy Guidance & Advisory
Medical expertise for claims
Nice-to-have
Strong communicator with positive influence
Adaptable & thrive in dynamic work environment
Design focused, resourceful, and results-driven
Key Requirements
Basic medical degree (MBBS or equivalent)
Valid medical license/registration in Singapore
Minimum 5 years of clinical experience
Familiarity with ICD coding and medical terminology