Manager, Claims Investigation

Kuala Lumpur, Malaysia

Job Description


Prudential\'s purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our peop Prudential\'s purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people\'s career ambitions. We pledge to make Prudential a place where you can Connect, Grow and Succeed.The candidate will be responsible for the investigation and resolution of suspicious fraud or misconduct allegations received by the company especially in claims related cases. The candidate must be able to work under minimal supervision, collect and analyse pertinent information and documents, conduct interviews, and prepare written reports of the investigative results for deliberation by the appointed committees and company management.Principal Duties & Responsibilities: Conduct objective, fair, detailed, and timely investigation on various types of suspicious claims fraud cases in supporting of Claims Department. Investigate allegation of fraud or sales misconduct committed by agents e.g., premium theft, deceptive sales practices etc. Conduct interviews, acquire statement from claimants, medical practitioner, agents, complainants and/or witnesses. Tabling the findings and recommendations to the appointed committees for deliberation and decision. Ensure clear and accurate documentation of the carried-out investigations work. Function as the company liaison with law enforcement agencies, other departments, regulatory bodies, solicitors, and insurance information bureaus. This includes representing the company in court proceedings. Supporting the development and implementation of Group Security projects and strategy including the development of awareness and prevention initiatives. Job Specification: Candidate must possess at least a Bachelor\'s degree or professional qualification in Finance/Accounting/Business Administration or other related field. At least 5 years related working experience proven understanding in Investigations, Compliance or Auditing. Strong analytical skills with an enquiring mind to efficiently carry out effective investigations. Sound understanding of regulatory guidelines governing the insurance industry or financial services. Good interpersonal and communication skills. 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 special requirements.

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Job Detail

  • Job Id
    JD880826
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Kuala Lumpur, Malaysia
  • Education
    Not mentioned