Claims Manager/Senior Manager
4 days ago
Human Resource @ Well Link Financial Group | HR, Recruiting
Responsibilities
- Manage all general insurance claims in compliance with policies and the Claims Handling Guide.
- Lead and support claims staff, ensuring team morale, effective training, and adherence to protocols.
- Deliver high-quality claims service, addressing escalated complaints and ensuring first-contact resolution.
- Review and approve claims (customer and third-party) within pre-defined authority limits, including complex and litigation cases.
- Handle pre-trial settlements, court proceedings, and provide advice on legal procedures; attend court hearings with panel solicitors.
- Prepare necessary legal documentation for civil litigation and criminal offences.
- Develop and implement claims processes to meet business goals, control costs, and ensure compliance.
- Manage relationships with claims service providers and partners to meet service standards.
- Conduct file reviews, audits, and identify risks, including fraud or claims leakage.
- Analyse claims performance, generate reports, and provide feedback on policy issues to internal teams.
- Participate in process improvement initiatives and contribute suggestions for operational efficiency.
- Perform other duties or tasks as assigned by management.
Requirements
- Professional qualification such as ANZIIF/ACII and related discipline
- Minimum 10 years relevant experience in handling general insurance claims and operation across functions
- Excellent technical skills and knowledge of insurance industry, fraud prevention system, compliance, regulatory and legislative requirements and management information system
- Produce MI and related detailed reports at various levels
- Demonstrated ability to manage workload and effectively prioritize activities
- Strong analytical and interpersonal skills and ability to manage change effectively and to influence and motivate people
- Experience in delivering high customer and employee satisfaction
- Good command of written and spoken in Chinese, English and proficient in Mandarin
- Must be proficient with Word, Excel, PowerPoint
- Effective interpersonal & communication skills with internal and external stakeholders
Mid-Senior level
Employment typeFull-time
Job functionManagement
IndustriesInsurance
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