Claims Operations Assistant
3 weeks ago
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.
-
Claims Operations Manager
1 day ago
Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full timeJob SummaryWe are seeking a skilled Claims Operations Manager to maintain the smooth daily operation of our claims section.Monitor the claims operational flow in terms of claims turnaround time, hotline service and quality of outgoing claims correspondence.Ensure claims procedure compliance with company rules and successful implementation of procedures to...
-
Head of Claims Operations
1 month ago
Hong Kong, Central and Western District, Hong Kong SAR China CHUBB Full timeJob Title: Head of Claims OperationsChubb is seeking a highly skilled and experienced Head of Claims Operations to lead our claims operations team. As a key member of our leadership team, you will be responsible for driving operational excellence, service quality, and process improvement across the claims process.Key Responsibilities:Develop and implement...
-
Claims Assistant
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China Bupa Full timeJob SummaryWe are seeking a highly organized and detail-oriented Claims Assistant to provide clerical support in our department.Key ResponsibilitiesProvide administrative support to the claims teamPrepare and send out documents to relevant partiesEnsure compliance with regulatory requirementsPerform other related duties as assignedRequirementsHKDSE or...
-
Claims Operations Specialist
10 hours ago
Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full timeGrow Your Career with Us - Claims Operations Specialist Zurich Insurance (HK) is currently hiring Claims Program Associate to join our Claims Express Hub. This is a great opportunity to start a career in claims by learning how to interpret, investigate and evaluate policies and coverage issues, as well as claims handling and best practices. This one-year...
-
Claims Officer
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China AXA Group Full timeAbout the RoleWe are seeking a highly skilled Claims Officer to join our Claims Team in Hong Kong and Macau. As a Claims Officer, you will play a critical role in supporting the Claims Team in daily claims operations, enquiries, and continuous claims process improvement.Key ResponsibilitiesAssess and approve complicated claimsMeet service turnaround time and...
-
Claims Services Manager
1 month ago
Hong Kong, Central and Western District, Hong Kong SAR China Sun Life Full timeJob Title: Assistant Manager, Claims ServicesJob Summary:We are seeking an experienced Claims Services Manager to join our team at Sun Life. As a key member of our claims team, you will be responsible for handling all life claims, including large and complex claims, and providing technical support to junior assessors.Key Responsibilities:Handle all life...
-
Claims Governance Specialist
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full timeJob SummaryWe are seeking a skilled Claims Governance Specialist to join our team in Hong Kong. As a key member of our Claims function, you will play a critical role in ensuring good governance and managing risks across the department, while maintaining compliance with all Local and Group policies and regulatory requirements.Key ResponsibilitiesCollaborate...
-
Medical Claims Specialist
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeAbout the RoleWe are seeking a highly skilled and experienced Medical Claims Specialist to join our team at AIA. As a key member of our healthcare operations team, you will be responsible for handling and approving medical claims based on delegated claims authority in accordance with established procedures and guidelines.Key Responsibilities:Process...
-
Claims Governance Specialist
2 months ago
Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full timeJob SummaryWe are seeking a highly skilled Claims Governance Specialist to join our team in Hong Kong. As a key member of our Claims function, you will play a critical role in ensuring good governance and managing risks across the department, while maintaining compliance with all Local and Group policies and regulatory requirements.Key...
-
Claims Services Manager
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China Sun Life Full timeJob Title: Assistant Manager, Claims ServicesJob Description:Job Summary:We are seeking an experienced Claims Services Manager to join our team at Sun Life. The successful candidate will be responsible for handling all life claims, including large and complex claims, and providing technical support to junior assessors.Key Responsibilities:Handle all life...
-
Medical Claims Specialist
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeAbout the RoleAs a Medical Claims Specialist at AIA, you will be responsible for handling and approving medical claims based on delegated claims authority in accordance with established procedures and guidelines.Key Responsibilities:Process pre-authorisation and pre-assessment cases according to policies and guidelines;Process clinical operation and day case...
-
Medical Claims Specialist
1 day ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeAbout AIA and This RoleAIA is a leading life insurance company, and this role is a key part of our team.Key ResponsibilitiesThis Medical Claims Specialist will be responsible for handling and approving medical claims based on delegated claims authority in accordance with established procedures and guidelines.AccountabilitiesProcess pre-authorisation and...
-
Medical Claims Analyst
1 month ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeAbout the RoleWe are seeking a skilled Medical Claims Analyst to join our team at AIA. As a Medical Claims Analyst, you will be responsible for assessing and processing claims based on delegated claims authority in accordance with established procedures and guidelines.Duties / Accountabilities:Assess and process claims based on delegated claims authority in...
-
Medical Claims Examiner
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeAbout the RoleWe are seeking a skilled Medical Claims Analyst to join our team at AIA. As a Medical Claims Analyst, you will be responsible for assessing and processing claims based on delegated claims authority in accordance with established procedures and guidelines.Duties / Accountabilities:Assess and process claims based on delegated claims authority in...
-
Medical Claims Specialist
3 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeAbout the RoleWe are seeking a skilled Medical Claims Specialist to join our team at AIA. As a Medical Claims Specialist, you will be responsible for assessing and processing medical claims according to delegated claims authority in accordance with established procedures and guidelines.Duties / Accountabilities:Assess and process claims according to...
-
Medical Claims Specialist
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeAbout the RoleWe are seeking a skilled Medical Claims Analyst to join our team at AIA. As a key member of our claims team, you will be responsible for assessing and processing medical claims in accordance with our established procedures and guidelines.Key Responsibilities:Assess and process claims according to delegated claims authority in accordance with...
-
Senior Claims Officer
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full timeJob SummaryThe successful candidate will be responsible for maintaining the smooth daily operation of the claims section, ensuring timely and accurate claims processing, and providing excellent customer service.Key ResponsibilitiesManage claims workflow, ensuring efficient and effective processing of claimsMonitor claims turnaround time, hotline service, and...
-
Medical Claims Strategist
1 day ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeAbout AIAAIA is a leading insurance provider dedicated to delivering innovative solutions to our customers.Job DescriptionWe are seeking a skilled Medical Claims, Analyst to join our team. As a Medical Claims Analyst, you will be responsible for assessing and processing claims based on delegated claims authority in accordance with established procedures and...
-
Claims Officer
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China AXA Group Full timeJob DescriptionWe are seeking a highly skilled Claims Officer to join our team. As a Claims Officer, you will be responsible for supporting the claims team in daily claims operations, including assisting the Assistant Claims Manager in managing the claims process, assessing and approving complicated claims, and meeting service turnaround time and claims KPI...
-
Medical Claims Specialist
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeAbout the RoleWe are seeking a skilled Medical Claims Specialist to join our team at AIA. In this role, you will be responsible for handling and approving medical claims based on delegated claims authority in accordance with established procedures and guidelines.Duties / Accountabilities:Handle provider claims according to internal guidelinesHandle inquiries...