Senior Executive, Claims-Accident & Health
Location: Hong Kong
Type: Full Time
Min. Experience: Mid Level
The successful candidate will be joining our Claims-Accident & Health Team in Hong Kong office and to assist the Team Manager in medical claims handling, including improving customer experience and cost management.
Main Responsibilities:
Main Responsibilities:
- Advise policyholders and claimants on medical policy and claims related matters.
- Process and adjudicate medical claims in an efficient and effective manner.
- Conduct cost review and hospitalization pre-approval cases.
- Streamline process to increase efficiency.
- Assist in ad hoc projects assigned by Team Manager for operation and service improvement.
- Provide customer services to the brokers and direct clients on claims related issues.
- Ensure each claim is assessed correctly in accordance with policy coverage and within the authority limit given.
- Ensure all correspondences and enquiries, including complaints, are managed, and responded to in a timely manner with excellence claim service.
- Bachelor’s degree plus professional insurance qualifications.
- Min. 5 years' medical claims exposure, with experience in handling individual and group claims adjudication is an advantage.
- Detail-minded, service-oriented, team player with good communications and interpersonal skills.
- Fluent spoken and written Cantonese, Mandarin and English.
- PC proficiency in MS Office.
