Medical Claims Specialist
4 weeks ago
About the Role
We 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 guidelines
- Handle inquiries from internal and external customers, providing solutions and information within standard turnaround time
- Manage disputes and complaints related to network services in accordance with established procedures and guidelines
- Maintain updates of network systems and their administration
- Identify and investigate suspicious or fraudulent claims, including escalation to superiors
- Assist in system enhancements and workflow revisions to meet customer needs and service standards
- Backup other teams in reaching company services standards
- Handle ad-hoc duties as assigned by superiors
Requirements:
- Diploma holder or above in any discipline
- Minimum 2 years of relevant experience in medical claims, customer services, or complaint management
- Professional qualification in FLMI, FLHC, etc. will be an advantage
- Familiar with the operation of medical claims and healthcare network providers
- Good communication and interpersonal skills
- Detail-minded with a strong sense of responsibility and well-organized
- Flexible and customer-oriented
- Able to handle multiple tasks and work under pressure in a fast-paced environment
- Good command of both written and spoken English and Chinese
- Proficient in MS Office and Chinese Word Processing
-
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 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
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...
-
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 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. As a key member of our claims team, you will be responsible for handling and approving medical claims based on delegated claims authority in accordance with established procedures and guidelines.Key ResponsibilitiesHandle provider claims according to internal...
-
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...
-
Medical Claims Specialist
2 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeAbout the RoleAs a Medical Service, Advisor with AIA, you will play a critical role in handling and approving medical claims based on delegated claims authority in accordance with established procedures and guidelines.Key ResponsibilitiesHandle provider claims according to internal guidelines and maintain accurate recordsProvide timely and effective...
-
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 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...
-
Medical Claims Expert
1 day ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeAbout the RoleAs a key member of our team, you will play a pivotal role in ensuring the seamless processing of medical claims in accordance with established procedures and guidelines.Key Responsibilities:Assess and process medical claims in a timely and accurate manner, adhering to delegated claims authority.Support the implementation of claims management...
-
Senior Claims Specialist
1 month ago
Hong Kong, Central and Western District, Hong Kong SAR China nextRoles Full timeJob Title: Senior Claims SpecialistWe are seeking a highly skilled and experienced Senior Claims Specialist to join our team at nextRoles. As a Senior Claims Specialist, you will be responsible for handling insurance claims for different lines of business, ensuring proper reserving, adjustment, and settlement of all claims, and resolving enquiries from...
-
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...
-
Claims Management Specialist
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China The Cigna Group Full timeJob SummaryAs a Claims Management Specialist at The Cigna Group, you will be responsible for handling pre-approval of commercial assessments, claims processes, and communicating with customers on pre-approval decisions.You will also improve the effectiveness of claim adjudication and administration processes, work with network service providers, and handle...
-
Senior Claims Specialist
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China nextRoles Full timeJob Title: Senior Claims SpecialistAt nextRoles, we are seeking a highly skilled Senior Claims Specialist to join our team. As a key member of our claims handling team, you will be responsible for handling insurance claims for various lines of business, ensuring proper reserving, adjustment, and settlement of all claims.Key Responsibilities:Handle insurance...
-
Claims Processing Specialist
9 hours ago
Hong Kong, Central and Western District, Hong Kong SAR China AIA Full timeDiscover a career opportunity at AIA that aligns with your skills and passion for medical claims processing.About the RoleWe are seeking an experienced Claims Processing Specialist to join our team. As a key member of our claims management team, you will be responsible for assessing and processing claims based on delegated claims authority in accordance with...
-
Claims Officer
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full timeJob SummaryMaintain the smooth daily operation of the claims section, ensuring timely and accurate processing of claims. Monitor the claims operational flow, identifying areas for improvement and implementing changes to enhance efficiency and quality.Key ResponsibilitiesAssess claims in compliance with authority levels, making recommendations to senior...
-
Claims Specialist
2 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China WTW Full timeClaims Service OverviewAt WTW, we are seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for delivering high-quality claims service to our clients, ensuring that Key Client Outcomes are met within pre-defined service standards.Key Responsibilities• Process client's claim instructions accurately within WTW...
-
Claims Specialist
9 hours ago
Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full timeJob Summary:We are seeking a skilled Claims Specialist to join our team in Hong Kong. As a complex claims handler, you will be responsible for managing medium standard and complex claims handling with moderate supervision.About the Role:Manage complex liability and property claims from start to finish, ensuring timely and fair resolution for our...
-
Senior Claims Specialist
4 weeks ago
Hong Kong, Central and Western District, Hong Kong SAR China Manulife Full timeJob Title: Senior Claims SpecialistAbout the Role:We are seeking a highly skilled Senior Claims Specialist to join our team at Manulife. As a Senior Claims Specialist, you will be responsible for managing various projects to improve operational effectiveness and customer experience.Key Responsibilities:Manage various projects to improve operational...