Senior Claims Specialist

4 months ago


Hong Kong, Hong Kong SAR China Manulife Full time

Job Description

The Opportunity

The customer is the focus of everything we do, and millions of end users rely on our products daily. We believe in the value of empowering Claims Manager with the resources to solve critical problems for the future of our business, which is why we need you. 

Manulife HK is seeking an sophisticated Claims Manager, who is obsessed with delivering value, possesses adjudicated experience in handling complex issue and compliant. The individual will render support in IFP Claims and support the business to deliver excellent customer experience. Candidate with less experience will be considered as Assistant Manager.

What motivates you?

·You obsess about customers, listen, engage and act for their benefit 

·You think big, with curiosity to discover ways to use your agile mindset and enable business outcomes 

·You thrive in teams, and enjoy getting things done together

·You take ownership and build solutions, focusing on what matters 

·You do what is right, work with integrity and speak up

·You share your humanity, helping us build a diverse and inclusive work environment for everyone 

We are looking for someone with:  

·Degree holder

·At least 5 years relevant working experience in claims

·Experience in claims assessment, management of complicated/complaint cases and coaching of claims adjudicators

·Experience in life claims will be advantageous

Nice to Have:  

·Good interpersonal and communication skills

·Strong analytical and problem-solving skills

·Attention to details

·Able to work independently under tight schedule

·Proficiency in MS Word, MS Excel, MS PowerPoint and Chinese Word Processing

·Good command of English and Chinese, both spoken and written

On the job you will:

·Manage various projects to improve operational effectiveness and customers’ experience

·Identify business problems and solutions, provide user requirements and collaborate with relevant parties to ensure successful implementation of solutions

·Adjudicate different types of claims of individual products, handling complicated claims and appeal cases for smooth resolution

·Provide internal training to claims adjudicators including but not limited to decline & appeal handling, effectiveness of claims communications to customers/agents, and compliance & regulatory requirements in claims operations

·Prepare claims management reports and statistics

·Review and update claims guidelines and manuals

·Perform ad hoc assignments or projects

 Our commitment to you :

·Our mission; to be a part of making Decisions Easier and Lives Better

·A leadership team dedicated to your growth and success 

·A bold ambition and set of goals to be a leader in driving transformation in our industry 

·Our best. Every day. 

About Manulife and John Hancock

Manulife Financial Corporation is a leading international financial services group that helps people make their decisions easier and lives better. With our global headquarters in Toronto, Canada, we operate as Manulife across our offices in Asia, Canada, and Europe, and primarily as John Hancock in the United States. We provide financial advice, insurance, and wealth and asset management solutions for individuals, groups and institutions. At the end of 2022, we had more than 40,000 employees, over 116,000 agents, and thousands of distribution partners, serving over 34 million customers. At the end of 2022, we had $1.3 trillion (US$1.0 trillion) in assets under management and administration, including total invested assets of $0.4 trillion (US $0.3 trillion), and segregated funds net assets of $0.3 trillion (US$0.3 trillion). We trade as ‘MFC’ on the Toronto, New York, and the Philippine stock exchanges, and under ‘945’ in Hong Kong.

Manulife is an Equal Opportunity Employer

At Manulife/JohnHancock, we embrace our diversity. We strive to attract,developandretaina workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin,colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.

It is our priority to remove barriers toprovideequal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent withapplicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact .



  • Hong Kong, Central and Western District, Hong Kong SAR China Manulife Full time

    Job Title: Senior Claims SpecialistAbout the Role:We are seeking a highly skilled Senior Claims Specialist to join our team at Manulife. As a Senior Claims Specialist, you will be responsible for managing various projects to improve operational effectiveness and customer experience.Key Responsibilities:Manage various projects to improve operational...


  • Hong Kong, Central and Western District, Hong Kong SAR China Manulife Full time

    Job Title: Senior Claims SpecialistAbout the Role:We are seeking a highly skilled Senior Claims Specialist to join our team at Manulife. As a key member of our claims management team, you will be responsible for managing various projects to improve operational effectiveness and customer experience.Key Responsibilities:Manage multiple projects to enhance...

  • Claims Specialist

    4 weeks ago


    Hong Kong, Central and Western District, Hong Kong SAR China nextRoles Full time

    {"title": "Senior Claims Specialist", "description": "Job SummaryWe are seeking a highly skilled Senior Claims Specialist to join our team at nextRoles. As a key member of our claims team, you will be responsible for handling insurance claims for various lines of business, ensuring proper reserving, adjustment, and settlement of all claims.Key...


  • Hong Kong, Central and Western District, Hong Kong SAR China nextRoles Full time

    {"title": "Claims Specialist", "description": "Job SummaryWe are seeking a skilled Claims Specialist to join our team at nextRoles. As a Claims Specialist, you will be responsible for handling insurance claims for various lines of business, ensuring proper reserving, adjustment, and settlement of all claims. You will work closely with loss adjusters and...


  • Hong Kong, Central and Western District, Hong Kong SAR China The Cigna Group Full time

    Job SummaryWe are seeking a highly skilled and experienced Claims Management Specialist to join our team at The Cigna Group. As a Senior Claims Officer, you will be responsible for handling pre-approval of commercial assessments, claims processes, and communicating with customers on pre-approval decisions.Key ResponsibilitiesManage the pre-approval process...

  • Senior Claims Officer

    1 month ago


    Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full time

    Job SummaryThe Senior Claims Officer (Medical) is responsible for maintaining the smooth daily operation of the claims section, ensuring timely and accurate settlement of claims, and providing excellent customer service.Key ResponsibilitiesManage the claims operational flow, including claims turnaround time, hotline service, and quality of outgoing claims...


  • Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

    About the RoleWe are seeking a skilled Medical Claims Specialist to join our team at AIA. As a Medical Claims Specialist, you will be responsible for handling and approving medical claims based on delegated claims authority in accordance with established procedures and guidelines.Duties and Responsibilities:Handle provider claims according to internal...


  • Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

    About the RoleWe are seeking a skilled Medical Claims Specialist to join our team at AIA. As a Medical Claims Specialist, you will be responsible for assessing and processing medical claims according to delegated claims authority in accordance with established procedures and guidelines.Key Responsibilities:Assess and process claims according to delegated...


  • Hong Kong, Central and Western District, Hong Kong SAR China WTW Full time

    Claims Service SpecialistAs a Claims Service Specialist at WTW, you will be responsible for delivering high-quality claims service to all clients, ensuring that Key Client Outcomes are met to pre-defined service standards.The RoleProcess client claim instructions accurately within WTW process timescales and communicate pertinent information as necessary to...


  • Hong Kong, Central and Western District, Hong Kong SAR China WTW Full time

    Claims Service SpecialistAs a Claims Service Specialist at WTW, you will be responsible for delivering high-quality claims service to all clients, ensuring that Key Client Outcomes are met to pre-defined service standards.The RoleProcess client claim instructions accurately within WTW process timescales and communicate pertinent information as necessary to...

  • Claims Specialist

    4 months ago


    Hong Kong, Hong Kong SAR China Swiss Re Full time

    About the Role Develop, implement and maintain governance guidelines and quality control for a robust operation of Asia L&H Claims Team. Assist in coordinating and producing Market Unit reports with Asia MU L&H UW Claims Team to share the KPI, market experience and insights with the senior management. Maintain and enhance infrastructure to...


  • Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Medical Claims Specialist to join our team at AIA. As a Medical Claims Specialist, you will be responsible for handling and approving medical claims based on delegated claims authority in accordance with established procedures and guidelines.Key Responsibilities:Process pre-authorisation and...

  • Senior Claims Officer

    1 month ago


    Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full time

    Job SummaryWe are seeking a highly skilled and experienced Claims Manager to join our team at Zurich Insurance Company. As a Senior Claims Officer, you will be responsible for managing complex claims handling, providing technical support to the team, and ensuring compliance with local regulatory and governance requirements.Key ResponsibilitiesManage complex...


  • Hong Kong, Central and Western District, Hong Kong SAR China Swiss Re Full time

    About the RoleKey ResponsibilitiesDevelop and maintain governance guidelines and quality control frameworks for the Asia Life and Health Claims Team.Coordinate and produce market unit reports with the Asia MU L&H UW Claims Team to share key performance indicators, market experience, and insights with senior management.Maintain and enhance infrastructure to...

  • Claims Specialist

    1 month ago


    Hong Kong, Central and Western District, Hong Kong SAR China HK001 Marsh (Hong Kong) Limited Full time

    About the Role:HK001 Marsh (Hong Kong) Limited is seeking a highly motivated and detail-oriented Claims Executive to join our Claims Advocacy department in Hong Kong.Key Responsibilities:Assist the Claims Solutions team in handling a variety of insurance claims and provide support to more senior members of the team.Work on ad-hoc projects relating to claims...


  • Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

    About the RoleWe are seeking a highly skilled and detail-oriented individual to join our team as a Medical Claims Specialist. In this role, you will be responsible for handling and approving medical claims based on delegated claims authority in accordance with established procedures and guidelines.Key Responsibilities:Process pre-authorisation and...

  • Claims Officer

    4 weeks ago


    Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full time

    {"Job SummaryAs a Senior Claims Officer (Medical) at Zurich Insurance Company, you will play a critical role in maintaining the smooth daily operation of our claims section. Your primary responsibility will be to monitor the claims operational flow, ensuring timely and accurate settlement of claims and negotiation with various parties. You will also be...


  • Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

    About the RoleAs a Medical Claims Specialist at AIA, you will play a critical role in ensuring the smooth handling and approval of medical claims in accordance with established procedures and guidelines.Key Responsibilities:Handle and approve medical claims based on delegated claims authority, adhering to internal guidelines and procedures.Provide...

  • Claims Manager

    3 weeks ago


    Hong Kong, Central and Western District, Hong Kong SAR China Manulife Full time

    About the RoleWe are seeking a highly skilled and experienced Claims Manager to join our team at Manulife. As a Claims Manager, you will be responsible for leading a team of claims specialists and ensuring that all claims are handled efficiently and effectively.Key ResponsibilitiesLead a team of claims specialists to ensure timely and accurate resolution of...


  • Hong Kong, Central and Western District, Hong Kong SAR China Swiss Re Full time

    About the RoleWe are seeking a highly skilled Claims Governance Specialist to join our Asia L&H Claims Team. As a key member of our team, you will be responsible for developing and implementing governance guidelines and quality control measures to ensure the robust operation of our claims team.Key ResponsibilitiesDevelop and maintain governance guidelines...