Senior Claims Officer / Claims Officer (Employees' Compensation)
Zurich Insurance Company
Hong Kong, HK

Job Summary

  • Handle Employees’ Compensation claims with focus on liability, investigation and global settlement
  • Provide coaching to a team of claims handlers with various experience to drive outcomes on liability, return-to-work and injury management
  • Provide quality and professional claims service to customers
  • Job Accountabilities

  • Promptly handle and support staff to manage Workers Compensation (WC) litigated claims in taking responsibility to resolve all enquiries from both customer and external contacts to ensure delivery of a focused claims service
  • Review, resolve and proactively finalize claims within authority limits ensuring settlement at an optimum level
  • Acquire and efficiently organize the relevant evidence and information to accurately assess the value of the litigated claim and to recognize potential fraud / recovery indicators
  • Develop a claim case strategy to ensure appropriate reserves are assigned with investigations conducted and appropriate suppliers engaged
  • Ensure claims procedures, documentation is adhered to the group claims management requirement and best practice
  • Take proactive approach in monitoring employees’ compensation claims in order to minimize claims settlement
  • Conduct in-house global settlement or be able to guide team to conduct in-house global settlement
  • Build up relationship with all stakeholders and achieve compromised settlement to conclude the case at the earliest time and avoid litigation
  • Meet with clients for claims review meeting
  • Work with our healthcare specialist in minimizing claims duration
  • Report to claims management team on adverse trend of development of claims; report to claims management team for clients with adverse claims experience
  • Assist Claims Manager to monitor and conduct assessment of the performance of external loss adjuster whose services form part of claims services
  • Ensure all claims are processed effectively according to the company policies
  • Set and monitor reserve adequately and timely and ensure the authoritative level laid down are complied with
  • Identify all potential recovery and fraud cases
  • Perform any other duties, task-oriented or claims related as may be delegated by Claims Manager
  • Supervise and coach staff on claims management
  • Job Qualifications

  • Degree holder / Tertiary education in one of the fields (or more) would be required : Health, Insurance, Business Administration or Legal
  • ANZIIF / ACII would be an asset
  • Over 4 years EC claims management experience is a must
  • Previous Supervision experience is required
  • Previous handling corporate client would be an asset
  • Knowledge in insurance principles
  • With medical knowledge would be an asset
  • Litigation knowledge is highly preferred
  • Understand legislation and legal liability
  • Interpretation of policy cover
  • Understand industry standards and protocol
  • Knowledge of claims agreements
  • Knowledge of the legal procedure of WC litigated case in Hong Kong
  • Strong knowledge of Employees Compensation Ordinance
  • Global settlement experience
  • Strong ability to understand barriers for return-to-work and strategies to deal with return-to-work issues
  • Previous experience working with both Corporate and Small to Medium Business enterprises is a plus
  • Good command of written and spoken English
  • Negotiation skill, both written and verbal
  • Strong customer service skills and abilities
  • Candidates with less relevant experience will be considered for Claims Officer position
  • Why Zurich

    At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right?

    We are an equal opportunity employer who knows that each employee is unique - that’s what makes our team so great!

    Join us as we constantly explore new ways to .

  • Location(s) : HK - Hong Kong
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