Prudential PLC Insurance Jobs in Ghana
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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.
Job Responsiblities
- Review claim notifications, supporting documents, and policy contracts.
- Conduct investigations
- Liaise with medical providers, hospitals, and funeral homes.
- Make recommendations or decisions on claim approvals, declines, or partial payments.
- Communicate claim requirements, decisions, and timelines clearly to claimants and beneficiaries.
- Provide updates to intermediaries, agents, and internal teams.
- Handle claim-related complaints and escalate unresolved issues.
- Ensure claims are processed in accordance with policy terms, company guidelines, and regulatory laws.
- Maintain accurate claim records and audit trails.
- Meet internal turnaround times (TATs) and service-level standards.
- Identify process gaps and propose improvements for efficiency and fraud prevention.
- Support data accuracy, claims analytics, and management reporting.
- Detect red flags for fraud and collaborate with internal fraud or legal teams.
- Ensure claims decisions mitigate financial, legal, and reputational risks.
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