Medical Claims Officer

Responsibilities Outpatient and Inpatient Claims (local or overseas) Coordination on the medical issue Clarification on the scheme rule and coverage Assessment on the appeal case Contact Providers for medical information Provide administrative support for Schemes and Panel movements Qualifications Job Requirement: Diploma or above (Major in Science is...

A leading global banking and financial services company is seeking an experienced Assistant Claims Manager in Hong Kong to assess and approve individual medical claims. The successful candidate will oversee compliance with regulations and guide teammates towards meeting KPIs. Candidates should have at least 8 years in the insurance industry, strong English...

Claims Manager – Employee Benefits/Medical Claims Pacific Prime is a global insurance broker established in Hong Kong in 2000. With 17 offices and over 1000 employees around the world, we deliver a wide range of insurance solutions, including group health insurance, employee benefits, property & casualty insurance advice and solutions to individuals,...

We are currently seeking a high calibre professional to join our team as an Assistant Claims Manager, Medical Services (Individual Claims). In this role you will: Assess and approve claims by providing fair, professional and quality settlement and managing customer expectation with flexible solution Assist to direct and guide subordinates and teammates to...

A leading insurance provider in Hong Kong is seeking a Claims Handler to manage life accident and medical claims. The ideal candidate will possess strong analytical skills, excellent communication abilities, and a customer-first approach. Responsibilities include assessing claims, handling agent inquiries positively, and participating in projects to enhance...

A financial services company based in Hong Kong seeks a Claims Manager to handle life accident and medical claims. The ideal candidate will possess strong analytical skills, at least 3-5 years of claims handling experience, and excellent customer interaction abilities. This full-time role offers opportunities for career development and comes with an...

A healthcare insurance company based in Hong Kong is seeking a qualified individual for medical claims processing. The ideal candidate will have an Associate Degree or above and at least 2 years of relevant experience. Responsibilities include processing pre-authorization requests and reviewing provider bills. A good command of English and Chinese, along...

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...

A leading banking institution seeks a high calibre professional for the role of Assistant Manager, Medical Services in Hong Kong. The successful candidate will assess and approve claims while managing customer expectations. You will guide a team to meet KPIs, ensure compliance with regulations, and enhance operational efficiency. Ideal candidates will have...

A leading recruitment agency is looking for a Japanese Speaking Assistant in Hong Kong. This position offers work-life balance and requires native Cantonese proficiency, along with good command of Japanese and English. Responsibilities include liaising with insurance companies and supporting claims administration. Fresh graduates are welcome, and knowledge...