Claims Governance Specialist

1 week ago


Hong Kong, Central and Western District, Hong Kong SAR China Swiss Re Full time
About the Role

We are seeking a highly skilled Claims Governance Specialist to join our Asia L&H Claims Team. As a key member of our team, you will be responsible for developing and implementing governance guidelines and quality control measures to ensure the robust operation of our claims team.

Key Responsibilities
  • Develop and maintain governance guidelines and quality control measures for the Asia L&H Claims Team.
  • Assist in coordinating and producing Market Unit reports with the Asia MU L&H UW Claims Team.
  • Maintain and enhance infrastructure to facilitate the sustainable functionality of claims.
  • Responsible for product risk management by managing the Asia CI definition centralized database.
  • Market Unit portfolio monitoring, data deep dives to gather insights from claims underwriting data.
  • Research and development, specifically researching & reporting on new and developing innovation.
  • Develop training materials and programs in line with client requirements and emerging topics.
  • Support local markets to assess and provide expert opinions on client case referrals.
  • Conduct Claims Review/Audits within internal framework and provide suggestions to enhance clients' claims standards.
About the Team

The Swiss Re Life and Health (L&H) Claims team forms part of the Swiss Re L&H Market Unit function, responsible for managing in-force business and related operations. We work closely with other Swiss Re XFT teams to ensure aligned priorities and client focus.

About You

We are looking for a highly skilled and experienced professional with a strong background in claims or underwriting in the insurance or reinsurance industry. You should have a tertiary level qualification and more than 6 years' experience in claims or underwriting. You should also have strong communication, influencing, and presentation skills, as well as substantial collaboration capabilities and the ability to work in cross-functional teams.

About Swiss Re

Swiss Re is one of the world's leading providers of reinsurance, insurance, and other forms of insurance-based risk transfer. We work to make the world more resilient by anticipating and managing a wide variety of risks. We cover both Property & Casualty and Life & Health, combining experience with creative thinking and cutting-edge expertise to create new opportunities and solutions for our clients.



  • Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full time

    Job 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...


  • Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full time

    Job SummaryWe are seeking a highly skilled Claims Governance Specialist to join our team at Zurich Insurance Company. 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...


  • Hong Kong, Central and Western District, Hong Kong SAR China Swiss Re Full time

    About the RoleWe are seeking a highly skilled Claims Specialist to join our Asia L&H Claims Team. As a key member of our team, you will be responsible for developing and implementing governance guidelines and quality control measures to ensure the robust operation of our claims team.Key ResponsibilitiesDevelop and maintain governance guidelines and quality...


  • Hong Kong, Central and Western District, Hong Kong SAR China Swiss Re Full time

    About the RoleKey ResponsibilitiesDevelop and maintain governance guidelines and quality control frameworks for the Asia Life and Health Claims Team.Coordinate and produce market unit reports with the Asia MU L&H UW Claims Team to share key performance indicators, market experience, and insights with senior management.Maintain and enhance infrastructure to...

  • Claims Specialist

    4 weeks ago


    Hong Kong, Central and Western District, Hong Kong SAR China nextRoles Full time

    {"title": "Senior Claims Specialist", "description": "Job SummaryWe are seeking a highly skilled Senior Claims Specialist to join our team at nextRoles. As a key member of our claims team, you will be responsible for handling insurance claims for various lines of business, ensuring proper reserving, adjustment, and settlement of all claims.Key...


  • Hong Kong, Central and Western District, Hong Kong SAR China nextRoles Full time

    {"title": "Claims Specialist", "description": "Job SummaryWe are seeking a skilled Claims Specialist to join our team at nextRoles. As a Claims Specialist, you will be responsible for handling insurance claims for various lines of business, ensuring proper reserving, adjustment, and settlement of all claims. You will work closely with loss adjusters and...


  • Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

    About 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 handling and approving medical claims based on delegated claims authority in accordance with established procedures and guidelines.Duties and Responsibilities:Handle provider claims according to internal...


  • Hong Kong, Central and Western District, Hong Kong SAR China Manulife Full time

    Job 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...


  • Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

    About 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.Key Responsibilities:Assess and process claims according to delegated...


  • Hong Kong, Central and Western District, Hong Kong SAR China WTW Full time

    Claims Service SpecialistAs a Claims Service Specialist at WTW, you will be responsible for delivering high-quality claims service to all clients, ensuring that Key Client Outcomes are met to pre-defined service standards.The RoleProcess client claim instructions accurately within WTW process timescales and communicate pertinent information as necessary to...


  • Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Medical Claims Specialist to join our team at AIA. As a Medical Claims Specialist, 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...


  • Hong Kong, Central and Western District, Hong Kong SAR China Manulife Full time

    Job Title: Senior Claims SpecialistAbout the Role:We are seeking a highly skilled Senior Claims Specialist to join our team at Manulife. As a key member of our claims management team, you will be responsible for managing various projects to improve operational effectiveness and customer experience.Key Responsibilities:Manage multiple projects to enhance...

  • Claims Specialist

    1 week ago


    Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full time

    Job SummaryWe are seeking a skilled Claims Officer to join our team at Zurich Insurance Company. As a Claims Officer, you will be responsible for handling personal line claims, focusing on Home and Retail Property.Key ResponsibilitiesManage standard complex claims in an efficient and effective manner, delivering a customer-centric claims service.Develop a...

  • Senior Claims Officer

    1 month ago


    Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full time

    Job SummaryWe are seeking a highly skilled and experienced Claims Manager to join our team at Zurich Insurance Company. As a Senior Claims Officer, you will be responsible for managing complex claims handling, providing technical support to the team, and ensuring compliance with local regulatory and governance requirements.Key ResponsibilitiesManage complex...


  • Hong Kong, Central and Western District, Hong Kong SAR China PartnerRe Full time

    Medical Underwriting Governance Role **Job Summary:** PartnerRe is seeking a highly experienced Medical Underwriting Governance Specialist to join our team. As a key member of our global medical underwriting team, you will be responsible for developing and implementing an effective global medical underwriting framework and ensuring consistent...


  • Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

    About the RoleWe are seeking a highly skilled and detail-oriented individual to join our team as a Medical Claims Specialist. 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.Key Responsibilities:Process pre-authorisation and...


  • Hong Kong, Central and Western District, Hong Kong SAR China The Cigna Group Full time

    Job SummaryWe are seeking a highly skilled and experienced Claims Management Specialist to join our team at The Cigna Group. As a Senior Claims Officer, you will be responsible for handling pre-approval of commercial assessments, claims processes, and communicating with customers on pre-approval decisions.Key ResponsibilitiesManage the pre-approval process...


  • Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

    About the RoleAs a Medical Claims Specialist at AIA, you will play a critical role in ensuring the smooth handling and approval of medical claims in accordance with established procedures and guidelines.Key Responsibilities:Handle and approve medical claims based on delegated claims authority, adhering to internal guidelines and procedures.Provide...

  • Claims Manager

    3 weeks ago


    Hong Kong, Central and Western District, Hong Kong SAR China Manulife Full time

    About the RoleWe are seeking a highly skilled and experienced Claims Manager to join our team at Manulife. As a Claims Manager, you will be responsible for leading a team of claims specialists and ensuring that all claims are handled efficiently and effectively.Key ResponsibilitiesLead a team of claims specialists to ensure timely and accurate resolution of...


  • Hong Kong, Central and Western District, Hong Kong SAR China Zurich Insurance Company Full time

    Job Overview Under moderate supervision, oversee standard own damage claims, Third-Party Property Damage (TPPD) & Recovery cases, ensuring an effective and customer-focused claims service that aligns with Zurich Basics. Key Responsibilities Efficiently manage first-party claims, taking ownership of inquiries from customers and external parties to...