Claim Administrator
4 days ago
As a leading health care and medical assistance provider operating in Asia Pacific, our client provide international and local insurance partners with an important array of 24/24 critical services, which are made available to active policy holders. We provide local support from daily care operational treatment coordination of benefits or claims management to medical emergencies, repatriation, travel claims, lost passports, cash advances, together with many other important services. Key Responsibilities Ensure the qualification of cases (emails) in our Salesforce tool. Fill in cases (Salesforce emails) with the necessary information to link the email to the insured/underwriter's environment. Fill in the subject of the emails. Dispatch cases (Salesforce emails) according to the services and the organization of the management services, and close certain cases. Deliver excellent customer service through high-quality and efficient handling of policyholder claims. Understand clients' needs, eligibility, and coverage, and provide qualified assistance services accordingly. Manage cases proactively using our internal systems and communicate with all relevant departments. Formulate, affect, interpret, or implement policies pertaining to strategic claim resolution. Make prompt and timely decisions on policy cover and settlement costs. Acquire information as necessary to perform accurate redress calculations. Achieve set targets in line with required quality standards. Essential Job Functions Assist and support claims head on project management, team management, and loss prevention. Manage claims for Health/PA, individual and group policies. Process Accident & Health claims according to SOPs and SLAs. Review customer claims documents and assess eligibility based on insurance terms and conditions. Investigate suspicious medical claims and collaborate with internal and external stakeholders. Process claims payments to customers and hospitals in a timely manner. Provide customer assistance and handle customer/broker inquiries. Address complaints escalated by Customer Service, Marketing, or Regulatory. Review claims processes and propose improvements, reporting process issues that need further development. Oversee Claim’s customer services to ensure the best customer experience at each stage of claims. Requirements 1 year of previous experience in nursing, health administration, or claims administration for travel insurance. Fluent in both written and spoken English and Cantonese. Possess valid IIQE certificate. Flexibility, adaptability, and a positive mindset are key values for this role. Excellent communication, interpersonal, detail-oriented and analytical skills. Proficient in using computers, Microsoft Office, Internet, and Email. Strong analytical and problem-solving skills. Ability to adapt and work well in a multicultural environment. Application Questions Which of the following statements best describes your right to work in Hong Kong? What's your expected monthly basic salary? How many years' experience do you have as a Claims Administrator? Which of the following Microsoft Office products are you experienced with? Which of the following languages are you fluent in? #J-18808-Ljbffr
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Hong Kong Island, Hong Kong SAR China Swivelt (HK) Limited Full timeA leading health care provider in Hong Kong is seeking a Claims Administrator to manage claims for health and personal accident policies. The ideal candidate will have at least 1 year of relevant experience, be fluent in both English and Cantonese, and possess a valid IIQE certificate. Responsibilities include ensuring quality service in claims management,...
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Claims Executive
4 days ago
Hong Kong Island, Hong Kong SAR China Delken Group Limited Full timeOur client is a Leading Life Insurance Company, they invite bright and energetic candidate for the following vacancy: Senior Claims Executive Job Duties: Assist the Assistant Manager in day-to-day claim operations including maintenance of service standard and ensuring quality of work defined by the Company. Processing of minor claims including assessment,...
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Claims Senior Officer
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Hong Kong Island, Hong Kong SAR China OAC Group Limited Full timeClaims Senior Officer (Life & Medical Claims) Handle and assess life and medical claims in accordance with company policies, service standards, and regulatory guidelines Review and approve claims within assigned authority and turnaround time (TAT) Follow up on additional documents and coordinate with relevant teams to support underwriting, compliance, and...
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Assistant Claims Manager
2 days ago
Hong Kong Island, Hong Kong SAR China International Administrators Ltd Full timeResponsibilities Assist Claims Manager to handle international claims services in compliance with company policies; Conduct claims control and analysis; Handle ad-hoc projects such as system development and enhancement; Provide training and coaching to junior staff about insurance and medical knowledge and products; Liaise with service provider and hospital...
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Assistant Claims Manager
2 days ago
Hong Kong Island, Hong Kong SAR China Randstad Hong Kong Limited Full timeKey Responsibilities: Manage inquiries and complaints originating from customers, distribution channels, internal departments, and external insurance regulatory bodies. Based on these interactions, propose improvement plans. Evaluate and approve claims, then communicate fair and just claim decisions, including offering flexible alternatives, to the...
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Senior Medical Claims Specialist
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Hong Kong Island, Hong Kong SAR China China Taiping Insurance (HK) Company Limited Full timeA leading insurance company in Hong Kong seeks a Medical Insurance Claims Officer to handle claims processing and provide administrative support. Qualified candidates should have a university degree and 1-2 years of experience in medical insurance claims. Proficiency in both spoken and written English and Chinese is required. The role offers competitive...
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Claims Officer
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Hong Kong Island, Hong Kong SAR China Randstad Hong Kong Limited Full timeMarine Underwriting Assistant / Executive Claims Administrator (Fresh graduates/Early-career talents) Wong Chuk Hang, Southern District, HK Handle, examine, and settle claims in line with company guidelines. Address inquiries from policyholders, brokers, and other relevant parties. Assist the manager in implementing initiatives to enhance performance. Foster...
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Bilingual Health
4 days ago
hong kong, Hong Kong SAR China Swivelt (HK) Limited Full timeA healthcare service provider in Hong Kong seeks a Claims Administrator with experience in nursing or claims administration. The role requires fluency in English and Cantonese, proficiency in Salesforce, and strong analytical skills. Responsibilities include managing claims, ensuring quality service, and investigating medical claims. Ideal candidates...
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Assistant Officer, Life Claims
2 weeks ago
hong kong, Hong Kong SAR China Prudential Hong Kong Full timePrudential’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...
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Senior Claims Officer
4 days ago
Hong Kong Island, Hong Kong SAR China China Taiping Insurance (HK) Company Limited Full timeWho we are China Taiping Insurance (HK) Company Limited (“CTPI(HK)”), the main overseas general insurance company of China Taiping Insurance Group (HK) Company Limited (hereinafter referred to as “TPG(HK)”), have secured a leading position in marine hull insurance business in the Hong Kong market. We are the first insurance company to provide marine...