Claims Operations Assistant

3 weeks ago


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

Job Summary

We are seeking a skilled Claims Operations Assistant to join our team at Sun Life. The successful candidate will be responsible for assisting the Claims Manager in managing the daily claims operation and ensuring claims are processed in accordance with service standards, operation procedures, and guidelines.

Key Responsibilities

  • Assist Claims Manager in managing the daily claims operation and ensuring claims are processed in accordance with service standards, operation 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 to management.
  • Monitor shortfall payment from members.
  • Undertake other projects and support business initiatives as assigned by the 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 & Chinese.
  • Hands-on PC skill in using MS Word, Excel.
  • Strong interpersonal, analytical, and communication skills.

What We Offer

We offer a 5-day work schedule, attractive salary, MPF, group life, and group medical insurance, as well as 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 used for recruitment purposes.



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