Medical Claims Specialist

3 weeks ago


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

About the Role

We 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 and Responsibilities:

  • Assess and process claims based on delegated claims authority in accordance with established procedures and guidelines;
  • Support the implementation of claims management strategies and objectives;
  • Meet benchmarked claims processing volume and turnaround time;
  • Assist in handling inquiries or complaints from internal and external customers;
  • Identify and conduct thorough investigations of suspicious cases, including reporting to superiors;
  • Perform ad-hoc duties as assigned by supervisors.

Requirements:

  • Colleague with a degree or above and at least 2 years' relevant experience in medical claims;
  • Professional qualifications in FLMI, FLHC, etc. are advantageous;
  • Familiarity with medical claims operations and healthcare network providers;
  • Excellent communication and interpersonal skills;
  • Detail-oriented with a strong sense of responsibility and organization;
  • Flexible and customer-focused;
  • Able to handle multiple tasks and work under pressure in a fast-paced environment;
  • Proficient in MS Office and Chinese Word Processing;
  • Good command of both written and spoken English and Chinese.


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