Claims Officer
4 days ago
Claims Officer (Employees' Compensation / Commercial Casualty) Job Summary Handle Employees’ Compensation (EC) claims with focus on liability, investigation and global settlement Drive outcomes on liability, return to work and injury management Provide quality and professional claims service to customers Strong ability to understand barriers for return to work and strategies to deal with return-to-work issues Job Accountabilities Review, resolve and proactively finalize claims within authority limits ensuring settlement at an optimum level Take proactive approach in monitoring employees’ compensation claims in order to minimize claims settlement Handle EC litigated claims by taking responsibility to resolve all enquiries from both customer and external contacts to ensure delivery of a focused claims service Ensure claims procedures, documentation is adhered to the group claims management requirement and best practice Build up relationship with all stakeholders and achieve compromised settlement to conclude the case at the earliest time and avoid litigation Develop a claim case strategy to ensure appropriate reserves are assigned, in which investigations are conducted and appropriate suppliers are engaged Provide quality customer service to clients & meet with clients for claims review meeting Acquire and efficiently organize the relevant evidence and information to accurately assess the value of the litigated claim and to recognize potential fraud/recovery indicators Identify all potential recovery and fraud cases Assist Claims Manager to monitor and conduct assessment of the performance of external loss adjuster whose services form part of claims services Set and monitor reserve adequately and timely and ensure the authoritative level laid down are complied with Report to claims management team on adverse trend of development of claims Report to claims management team for clients with adverse claims experience Perform any other duties, task-oriented or claims related as may be delegated by Claims Manager Job Qualifications Degree holder Tertiary education in one of the fields (or more) would be required: Insurance, Business Administration or Legal ANZIIF/ACII would be an asset Over 2 years EC claims management experience is a must Experience in managing legal claims is highly preferred Previous handling corporate client would be an asset Knowledge in insurance principles Litigation knowledge is highly preferred Strong knowledge of Employees’ Compensation Ordinance Understand legislation and legal liability Interpretation of policy cover Understand industry standards and protocol Knowledge of claims agreements Knowledge of the legal procedure of WC litigated case in Hong Kong Good command of written and spoken English & Chinese (including Cantonese & Mandarin) Negotiation skill, both written and verbal Candidates with less experience can be considered as Claims Assistant At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right? We are an equal opportunity employer who knows that each employee is unique - that’s what makes our team so greatJoin us as we constantly explore new ways to protect our customers and the planet. #J-18808-Ljbffr
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Claims Senior Officer
4 days ago
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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Claims Officer
2 days ago
Hong Kong Island, Hong Kong SAR China Zurich Insurance (Hong Kong) Full timeClaims Officer (Employees' Compensation / Retail Claims) Add expected salary to your profile for insights Handling of Employees’ Compensation claims with focus on liability and investigation Provide quality and professional claims service to customers With moderate supervision to manage simple-medium standard (moderate severity) claims in the most...
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Claims Officer
2 days ago
Hong Kong Island, Hong Kong SAR China Zurich 56 Company Ltd Full timeClaims Officer (Employees Compensation / Retail Claims) Job Summary Handling of Employees’ Compensation claims with focus on liability and investigation Provide quality and professional claims service to customers With moderate supervision to manage simple-medium standard (moderate severity) claims in the most effective, efficient way whilst delivering a...
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Assistant Officer, Life Claims
4 days ago
Hong Kong Island, Hong Kong SAR China Prudential Hong Kong Limited Full timeJob Responsibilities Data capture & follow up on additional supporting documents to facilitate the decision on underwriting, compliance and premium financing after case submission Approve claims cases within TAT Conduct claims investigation Prepare tailored made letters (including decision and investigation letters) Handle ad hoc assignments from management...
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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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Claims Services Officer
4 days ago
Hong Kong Island, Hong Kong SAR China AXA Hong Kong and Macau Full timeAXA Hong Kong and Macau is a member of the AXA Group, a leading global insurer with presence in 50 markets and serving 95 million customers worldwide. Our purpose is to act for human progress by protecting what matters. As one of the most diversified insurers in Hong Kong, we offer integrated solutions across Life, Health and General Insurance. We are the...
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Senior Officer, Life Claims
6 hours ago
hong kong, Hong Kong SAR China Prudential Hong Kong Full timeSenior Officer, Life Claims – Prudential Hong Kong Prudential’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...
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(Senior) Claims Officer, Group Medical
4 days ago
Hong Kong Island, Hong Kong SAR China Captar Partners Limited Full timeCompany Overview Our client, a multinational company in Hong Kong, is seeking a (Senior) Claims Officer to support their new business strategy. Candidates with proven claims experience are encouraged to apply. Key Responsibilities Approve and process claims within authority limits, resolving claim-related issues. Investigate suspicious claims and ensure...
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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...
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hong kong, Hong Kong SAR China Bowtie Life Insurance Company Full timeOverview Medical/Health Claims Assessors, Officer/Senior Officer (VHIS) Role based in Hong Kong with focus on medical claims assessment (VHIS). About The Role Your Key Responsibilities Include: Claims assessment and processing, including pre-approval cases, inpatient and outpatient claims Communicate with claims customers on claims decisions Prepare regular...
