Medical Services Specialist (1 Year Contract)

0-2 years
16 days ago
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.

PRUShield Claims recovery and PRUShield Policy Management are two main key initiatives for the Medical Portfolio Management team. Under PRUShield Claims recovery, it is the process of assisting customers in submitting claims to a third-party insurer. This role includes reaching out to customers when their PRUShield claims have been approved, follow up calls with customers and to assist policyholders with the collation of medical receipts and report on behalf of the customer. The medical documentation is submitted to customer's HR department and the team will complete the process by following through with the group insurers.

The primary objective of this role is to assist customers and financial consultants with the recovery process. In addition, the specialist must create awareness of the benefits of submitting a recovery claim.

Under PRUShield Policy Management, you will perform a series of end-to-end policy transaction requests across the PRUShield Policy Management Team. The requests are Reinstatement, Upgrade, Downgrade, Conversion, Change of Payor, Termination, etc.

This is an exciting opportunity for those keen on taking on a new challenge that will have a direct positive impact to our organisation's bottom-line.

Objectives for Medical Services Specialist

Medical Services Specialist

  • Reporting to Senior Shield Consultant, you will conduct daily outbound calls to customers and promote the benefits of a recovery claim.
  • Achieve performance targets set which include daily call productivity, contact rate, and success rate.
  • Process end to end policy transaction requests in accordance to guidelines, service standard and quality
  • Perform policy assessment and judgment on policy changes
  • Follow up with customers on transaction requests
  • Provide support and services to Financial Consultants (FC) on Policy Servicing matters
  • Handle appeals and cases escalated from FC and customer complaints

Role & Responsibilities

PRUShield Recovery:

  • Ensure SOP are followed when handling outbound and inbound calls to customers at all times.
  • Daily reporting to PRUShield Recovery Team Lead on call activity and outcomes.
  • Provide end to end support for each case handled.
  • Ability to assist customers on their recovery claims process.
  • Attend service and product trainings or any other trainings as and where required.
  • Adhere to standard operating procedures for customer data privacy and protection (PDPA).
  • Provide Team Lead with feedback from customers and financial consultants.
  • Adhere to company's code of conduct.
  • Provide administrative support such as arranging courier, collecting courier, scanning and printing documents.

PRUShield Policy Management:

  • Process Shield Policy transaction requests such as Reinstatement, Upgrade, Downgrade, Conversion, Change of Payor, Termination, etc, ensuring that TAT and Productivity KPIs are met
  • Adhere to all SOPs, guidelines, PDPA, are met
  • Ability to use SAP to reply to email enquiries from Call Centre
  • Perform policy assessment whether the transaction requests can be processed. Ensure all checks are in place such as signatures, policy number, policyholder name, etc.
  • Under the PRUShield products and CPF policy guidelines


You will be required to:

  • Make 20-30 outbound calls daily
  • Meet the set target for submission of claims to third party insurers
  • Meet the set target for recovery payments received from third party insurers
  • Attend to calls and emails pertaining to third party recovery within the agreed TATs
  • Process between 10-15 PRUShield policy requests a day

Who we are looking for:
Competencies & Personal Traits

  • Meticulous, able to process backend systems with accuracy
  • A keen learner and able to work independently
  • Friendly, proactive and service oriented individual with good interpersonal and communication skills
  • Problem solving skills and a great team player who enjoys being in a target driven team
  • Team player and enjoys interacting with customers

Working Experience
. At least two years experience in a customer service capacity or outbound/ in-bound call centre environment
. One to two years experience in integrated shield/ life insurance/ claims will be advantageous

Professional Qualifications

  • Life insurance qualifications - Certificate in Life & Health Insurance will be an added advantage
  • Proficient in MS Office such as Word and Excel


  • Poly diploma, GCE A level or relevant work experience


  • Strong command of the English language

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.



Prudentialplc provides life and health insurance and asset management, with a focus on Asia and Africa. We help people get the most out of life, by making healthcare affordable and accessible and by promoting financial inclusion. We protect people's wealth, help them grow their assets, and empower them to save for their goals. The business has more than 18 million life customers in Asia and Africa.Prudential has been providing trusted financial security for 95 years and is listed on stock exchanges in London, Hong Kong, Singapore, and New York. We are proud to be included in the 2023 Bloomberg Gender Equality Index . The index measures gender equality across five pillars: female leadership and talent pipeline, equal pay and gender pay parity, inclusive culture, sexual harassment policies, and pro-women brand. Our inclusion in this global index is testament to our commitment to nurturing diverse talent. #BloombergGEI . Prudential plc is not affiliated in any manner with Prudential Financial, Inc., a company whose principal place of business is in the United States of America or with the Prudential Assurance Company, a subsidiary of M&G plc, a company incorporated in the United Kingdom.