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Claims Operations Assistant

2 months ago

Hong Kong, Central and Western District, Hong Kong SAR China Sun Life Full time

**Job Summary**

As a Claims Operations Assistant at Sun Life, you will play a critical role in managing the daily claims operation and ensuring that claims are processed in accordance with our service standards, operational procedures, and guidelines.

**Key Responsibilities**

  • Assist the Claims Manager in managing the daily claims operation and ensuring that claims are processed in accordance with our service standards, operational procedures, and guidelines.
  • Perform claims adjudication, processing, checking, and approval according to claims authority.
  • Handle enquiries and complaints from internal and external customers.
  • Assist team members in handling and resolving complicated claim cases.
  • Prepare and consolidate claims reports for management.
  • Monitor shortfall payments from members.
  • Undertake other projects and support business initiatives as assigned by management.

**Requirements**

  • Higher Diploma or above with 2 years of solid claims experience.
  • Professional qualifications such as FLMI/ICA are an advantage.
  • In-depth understanding of claims practice.
  • In-depth knowledge of group life and medical products.
  • Proficient in both spoken and written English and Chinese.
  • Hands-on PC skills in using MS Word and Excel.
  • Strong interpersonal, analytical, and communication skills.

**What We Offer**

  • 5-day work
  • Attractive salary
  • MPF
  • Group life and group medical insurance
  • Excellent career development opportunities