Assistant Manager, Group Claims
local-solutions
Kwun Tong, Kowloon, Hong Kong
19小时前

Responsibilities :

  • Adjudicate claims under different distribution channels independently and ensure the effectiveness of the claim administration processes;
  • Supervise subordinates to deliver the required claims service to both our internal and external customers;
  • Handle claim enquiries and resolve complaints from external Brokerage and internal clients;
  • Conduct process control / audit internally and the Network / Third Party Administrators (TPA) to ensure adherence to standards and guidelines set by Cigna and regulations;
  • Prepare monthly management report and ad-hoc report for claims management;
  • Analyze claims data to identify problem’s root causes, propose resolutions and execute improvement plans;
  • Work closely with internal IT and external IT vendors to report and test system issues. Identify opportunities for system enhancements and perform full cycle UAT to ensure successful production;
  • Support product development and sales function by conducting claims training for both internal and external parties.

    Handle ad hoc projects and duties.

    Requirements :

  • Diploma or above, preferably with insurance-related qualifications, e.g. FLMI, ICA;
  • At least 5 years’ experience in claims adjudication / administration of which at least 2 years in supervisory role;
  • Experience in working or managing the Network / Third Party Administrators (TPA) is highly preferable;
  • Proven track record of working with IT, vendors and stakeholders on developing user requirements and test cases for system, and conducting UAT;
  • Good team player, able to work independently and under pressure;
  • Possess customer centricity mindset;
  • Good command of both English and Chinese.

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