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Job ref no.: CT3114843-01#7556

Senior Officer, Claims

Gravitas Recruitment Group (Hong Kong) Limited

Benefits
  • 5-day week
  • Dental plan
  • Discretionary bonus
  • Medical plan

Senior Claims Officer

Our client is a leading Life & Medical insurer. They are continuing growing and won a lot of new business in recent years. To cope with the fast-growing business needs, they are urgently hiring a Senior Claims Officer to not only handling the day to day claims duties but also act as the team lead for coaching the junior teammates.
Job Purpose:
The incumbent will be responsible for supporting daily claims administration, handling group claims (in-patient and out-patient), assessing claims and to ensure timely delivery of services to policyholders, business partners and brokerage.


Also, he/she will be able to act as a team lead for coaching/mentoring junior teammates.


Job Duties:

  • Adjudicate group medical claims including escalated cases, investigating complicated cases, issuing correspondences for pending/declined cases in line with the policy terms and conditions, and all related administrative tasks within the agreed turn around time;
  • Handle claim enquiries
  • Monitor the performance of Network escalated issues to ensure adherence to standards and guidelines set by the company and regulations;
  • Prepare monthly management report and ad-hoc report for claims management.

Requirements:

  • Diploma or above, preferably in insurance-related disciplines;
  • At least 5 years’ working experience in claims adjudication/administration with 3 years’ experience in medical claims;
  • Supervisory experience is definite advantage
  • A quick learner, able to work independently and under pressure;
  • UAT experience is preferable;
  • Proficient in MS Office applications especially Excel;
  • Good command of spoken and written English and Chinese.

Interested candidate, please click Apply Now with updated CV state the current and expected salary for a confidential discussion. 

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More job information
Job ref no. CT3114843-01#7556
Salary
  • N/A
Job Function
Industry
Employment Term
  • Permanent
  • Full-time
Experience
  • 5 years - 10 years
Career Level
  • Non-management level
Education
  • Diploma or equivalent
  • Asso. Deg or High Dip
  • Degree