Insurance Claims Handler

4 days ago


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

The Insurance Claims Handler will be responsible for assisting the Team Manager in medical claims handling, including improving customer experience and cost management.

Main Responsibilities:

  • Advise policyholders and claimants on medical policy and claims related matters.
  • Process and adjudicate medical claims in an efficient and effective manner.
  • Conduct cost review and hospitalization pre-approval cases.
  • Streamline process to increase efficiency.
  • Assist in ad hoc projects assigned by Team Manager for operation and service improvement.
  • Provide customer services to the brokers and direct clients on claims related issues.
  • Ensure each claim is assessed correctly in accordance with policy coverage and within the authority limit given.
  • Ensure all correspondences and enquiries, including complaints, are managed, and responded to in a timely manner with excellence claim service.

Main Requirements:

  • Bachelor's degree plus professional insurance qualifications.
  • Min. 2 years' medical claims exposure, with experience in handling individual and group claims adjudication is an advantage.
  • Detail-minded, service-oriented, team player with good communications and interpersonal skills.
  • Fluent spoken and written Cantonese, Mandarin and English.
  • PC proficiency in MS Office.


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