Claims Specialist

4 days ago


Kowloon, Hong Kong SAR China Sun Life Full time

Join to apply for the Claims Specialist role at Sun Life We are seeking a proactive and detail‑oriented Claims Specialist – Life Claims to join our Claims team. The ideal candidate will have solid experience in handling life, accident, and medical claims, with a strong preference for exposure to death and critical illness (CI) claims, as well as high‑net‑worth (HNW) medical claims. This role involves direct engagement with agency partners, supporting operational excellence, and contributing to strategic initiatives. Responsibilities Assess and process life, accident, and medical claims, with a focus on death and CI cases Handle HNW medical claims with discretion and professionalism Conduct roadshows and training sessions for agency partners to enhance claims understanding Support the Claims Manager in preparing reports, dashboards, and operational reviews Lead or participate in mini projects to improve claims processes and customer experience Ensure compliance with internal guidelines and regulatory requirements Collaborate with cross‑functional teams to resolve complex claims issues Qualifications Bachelor’s degree in Insurance, Business Administration, Nursing, or related discipline Minimum 4 years of relevant experience in life and medical claims Professional insurance qualifications (e.g., FLMI, ACS) are advantageous Strong knowledge of life, accident, and medical claims assessment Experience in handling death and CI claims; HNW medical claims experience is a plus Excellent communication and interpersonal skills for agency engagement and roadshows Analytical mindset with strong problem‑solving abilities Proficient in MS Office (Excel, PowerPoint, Word); experience in claims systems preferred Ability to manage multiple tasks and meet deadlines Detail‑oriented with a commitment to accuracy and compliance We offer 5‑day work, attractive salary, MPF, group life, and group medical insurance, and excellent career development opportunities to the right candidate. We are an equal opportunity employer and welcome applications from all qualified candidates. Application forms and resumes will be kept for a period of 24 months after completion of the recruitment process. (All information will be held in strict confidence and only be used for recruitment purpose). Posting End Date: 30/01/2026 #J-18808-Ljbffr



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