Senior Claims Manager, Employee Benefits

4 weeks ago


Hong Kong, Central and Western District, Hong Kong SAR China FWD Life Insurance Corporation Full time

About FWD Group

FWD Group is a leading pan-Asian life insurance business with a strong presence in 10 markets. With over 11 million customers, we are committed to making the insurance journey simpler, faster, and smoother. Our innovative approach and easy-to-understand products are supported by digital technology, allowing us to focus on customer needs.

The Job

  • Oversee the daily operations of the Employee Benefits claims team, ensuring efficient and effective claims handling.
  • Monitor and approve claims within pre-set authority, providing clear commentary and justifications.
  • Handle complaints and resolve disputes in a fair and timely manner.
  • Regularly review processes to identify areas for improvement and implement changes to enhance operation efficiency.
  • Develop and implement plans to achieve company objectives, including training and development programs for EB staff.
  • Provide training to EB staff on medical claim knowledge and assist in system development and enhancement.
  • Identify and handle Anti-fraud claim detection, ensuring the integrity of our claims process.
  • Produce claims and audit reporting, providing valuable insights for business improvement.
  • Perform other duties and ad hoc projects as directed by senior management.

The Person

  • Hold a degree and have 10-15 years of relevant experience in medical insurance claims, with at least 5 years in managerial positions.
  • FLMI qualification is an advantage.
  • Have in-depth knowledge of Employee Benefits insurance and proficiency in medical claims knowledge.
  • Be a strong analytical and problem-solving individual with excellent communication skills.
  • Be proficient in MS Office and have a good command of English and Chinese in both spoken and written.
  • Have management skills and be able to initiate and implement technology and process changes.

We offer a competitive package, including 5-day work, 20-22 days annual leave, and excellent learning and development opportunities. We are an equal opportunity employer and do not discriminate on the basis of race, sex, disability, or family status in the employment process.



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