Senior Pre-approval and Claims Manager

Key responsibilities:Perform pre-authorization and pre-assessment procedures in accordance with established policies and guidelines.Handle clinical operation and day case claims within the authorized claims authority, adhering to established procedures and guidelinesHandle enquiries and complaints from both external and internal parties.Determine and examine...

Job ResponsibilitiesHandle pre-approval of commercial assessmentHandle claims process, including both inpatient and outpatient medical claimCommunicate with customer on pre-approval decisionImprove the effectiveness of the claim adjudication and administration processes, with network service providers when necessaryHandle provider claim enquiries from panel...

Key responsibilities:Perform pre-authorization and pre-assessment procedures in accordance with established policies and guidelines.Handle clinical operation and day case claims within the authorized claims authority, adhering to established procedures and guidelinesHandle enquiries and complaints from both external and internal parties.Determine and examine...

Key requirements:Assess claims according to delegated claims authority in accordance with the established procedures and guidelinesSupport the implementation of claims management strategies and objectivesReach benchmark of claims processing volume and turnaround timeAssist in handling enquires or complaints from internal and external customersIdentify and...

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...

Key requirements:Assess claims according to delegated claims authority in accordance with the established procedures and guidelinesSupport the implementation of claims management strategies and objectivesReach benchmark of claims processing volume and turnaround timeAssist in handling enquires or complaints from internal and external customersIdentify and...

FIND YOUR 'BETTER' AT Blue Cross If you believe in better, we’d love to hear from you. About the Role Responsible for handling and approving medical claims based on delegated claims authority in accordance with the established procedures and guidelines Accountabilities: Process pre-authorisation and pre-assessment cases according to the...

Senior Manager, ABS Claims Aon is currently recruiting a Senior Manager to join our team in Hong Kong. What the day will look like Supervises team as they handle and assess claims including reviewing and approving adjuster reports as well as preparation of claim payments, ensuring KPIs are met. Leverage data to provide insights on claim portfolio,...

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...

Job Summary Maintain the smooth daily operation of claims section Monitor the claims operational flow in terms of claims turnaround time, hotline service and quality of outgoing claims correspondence Claims assessment in compliance with authority levels Support the claims function in prompt and accurate settlement of claims and negotiation with different...

Assist Claims Manager to support the claims team in claims investigation, daily claims operation, enquiry, and continuous claims process improvement Assess and approve complicated claims Monitor and control daily operations to be carried out smoothly To ensure delivery of agreed service standards To handle enquiries from distribution enquiry team,...

Job SummaryTo handle personal line claims focusing on Travel With low levels of supervision to manage standard complex (medium/high severity/complexity) claims in the most effective, efficient way whilst delivering a customer centric claims service in a manner which supports Zurich Basics Job AccountabilitiesResponsible for personal line claims focusing on...

FIND YOUR 'BETTER' AT Blue Cross If you believe in better, we’d love to hear from you. About the Role Handle personal line claims including Travel, Personal Accident, Domestic Helper & Pet. Responsibilities: Handle personal line claims including Travel, Personal Accident, Domestic Helper & Pet. Process and approve claims in compliance with the...

Credit Approval & Review, Senior Officer / AVP Responsibilities Assessing and approving credit proposals within authority, making recommendations for approval with higher delegated lending authorities in accordance with the Bank’s credit policies and regulatory requirements Ensuring risks of credit application properly identified and...

Senior SecretaryCountry: Hong Kong To provide secretarial and office administrative support to executives in Hong Kong Branch. Key Responsibilities Obtain pre-trip relevant approval for trip booking, arrange the booking of air-tickets, hotel reservations, business visas and other logistics for executives travelling overseas. Arrange meetings,...

Job Summary Large and complex claims handling and managerial support Job Accountabilities Responsible for the large and complex liability and property claims Actively involve in organizing of customer meeting presentation and the preparation of Powerpoint slides Provide technical support to the team including work simplification and automation...

Job Summary With moderate supervision to manage medium standard (moderate severity / complexity) and complex claims handling Job AccountabilitiesResponsible for the complex liability and property claims Provide technical support to the team including work simplification and automation initiatives Provide data analytics for Commercial portfolios Orgranize...

Position Overview This is a regional role, covering RGA’s Asia markets, with primary purpose to support Regional Head of Claims with partnering with the local claims offices to maintain a consistent standard in claims strategy, governance and best practices. You will need a strong focus on improving standards of assessment, decision-making and...

Assist Assistant Claims Manager to support the claims team in daily claims operation, enquiry and continuous claims process improvement Assess and approve complicated claims Meet service turnaround time and achieve claims KPI targets To handle enquiries from distribution enquiry team, customer enquiry team and customer complaint team Assist in reviewing...

Claims Manager job vacancy in Hong Kong, with a leading construction claims and construction industry dispute consultancy.