Claims Admin Officer (1 Year Contract)

About the role

Prudential is hiring a Claims Admin Officer on a 1-year contract. The role works closely with the Team Lead and claims assessors so that claims are reviewed within contractual boundaries and SLAs, and handles tasks outside the approval process so assessors can focus on adjudication. It involves coordination with healthcare institutions, financial consultants, business development managers, customer-facing teams, policy servicing and underwriting teams.

Key responsibilities

• Perform end-to-end administrative tasks for inpatient claims, including accurate registration and logging of incoming claims, processing straightforward claims needing human intervention, and categorising claim documents, penders and appeals.
• Review appeals to check that documents are complete, liaise with financial consultants, hospitals and clinics and BDMs to obtain missing documentation, and record claims assessments for audit and compliance.
• Route claims to the right assessors, help the Team Lead monitor and escalate ageing cases and bottlenecks, and track pending Counter-offer Letters to support TAT targets.
• Handle escalated enquiries about claim status and escalate complex or sensitive cases to assessors or the Team Lead.
• Keep claims systems up to date, including Workbench status, Claims Notes and Policy Notes.
• Follow internal SOPs, audit and regulatory requirements (e.g. MOH where applicable) and safeguard confidential medical information.

Required profile

• Diploma or degree in any discipline; healthcare, business or administration preferred.
• Experience in claims processing, healthcare administration or insurance operations is an advantage; fresh graduates with strong administrative skills may be considered.
• Attention to detail, ability to multitask and work under pressure with high claim volumes.
• Good communication skills and a customer-focused approach.

Required skills

• Proficiency in Microsoft Office (Excel, Word) and claims systems (preferred).