Job Objectives

This role is responsible for investigating, evaluating and resolving assigned claims including non-standard within designated personal authority level, in line with established standards, procedures and guideline provided.

Duties and Responsibilities

• Identifying suspicious / fraudulent claims and escalating to supervisor for appropriate actions.
• Managing customer/intermediary interactions in an efficient, courteous and timely manner in order to deliver high standards of customer satisfaction.
• Organizing and using approved internal and/or external suppliers to ensure appropriate and timely services are provided to customers.
• Identifying non-standard or complex claims and escalating to supervisor to ensure they are handled appropriately.
• Supporting more experienced colleagues in the handling of non-standard cases.
• Ensure compliance with all legal, regulatory and policy requirements internally and externally.
•  Additional duties and responsibilities as warranted.

 Knowledge, skills and abilities requirement

• Relevant academic qualifications with a minimum of 2 to 3 years solid claims handling experience in the Involved Line(s) of Business.
• Preferably a holder or in progress of professional insurance qualification such as ANZIIF or ACII and meet minimum local mandatory qualification requirement where relevant.
• Apply planning, prioritization and organizational discipline in managing workload and focused on priorities
• Ability to exercise sound judgment and analytical ability.
• Possess good negotiation skills.
• A good team player and able to work independently and under pressure.
• Possess good interpersonal skill and customer service oriented attitude.
• Proficiency in oral and written communication skills in English and Cantonese.
• Ability to work on relevant PC applications.