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Senior Officer, EB Claim

Generali Life (Hong Kong) Limited

  • Company Industries:Insurance/Pension Funding

Job Information

  • Post Date:2022-06-02
  • Location:Tai Koo
  • Employment Type:Full Time, Permanent
  • Job Function:Banking / Finance  Others  Sales  CS & Business Devpt  Customer Service - Supervisor / O
  • Benefits:Medical insurance, Work from home, Five-day work week, Flexible working hours

Job Description

Major responsibilities:

  • Process and adjudicate medical claims in a professional and effective manner as per Company’s policies & objectives;
  • Analyze all claims to ensure optimal quality; provide regular and ad hoc claims reports & statistics to business units; clients and management;
  • Liaise with medical professionals and customers to conduct assessment and investigation;
  • Conduct cost review and hospitalization pre-admission approval;
  • Attend service meetings with stakeholders; clients and staff benefit sessions;
  • Provide quality customer services; handle complaints and resolve disputes;
  • Based on claims service benchmarks and analytical data to monitor and improve claims processing turnaround time, practices, and procedures;
  • Workflow and System enhancement and related project management;
  • Engage in continuing education and training opportunities when possible

Qualification and Experience Requirement:

  • Degree holder or tertiary graduate with professional qualifications in insurance or related disciplines;
  • 3 - 5 years Group Life and Medical claim processing;
  • Customer-oriented with excellent communication and interpersonal skills;
  • Well-developed decision making and problem-solving capabilities;
  • Good team player, able to work independently and under pressure;
  • Self-motivated, analytical, and detailed-minded in problem-solving;
  • Strong sense of responsibility with a high level of integrity and trust;
  • Good command of English and Chinese in both written and spoken;
  • Sound PC skills in MS Word, Excel & Chinese word processing;
  • Knowledge of FDA health regulations.

Kindly apply with a CV in word format with the salary expectation and notice period.

Generali is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. We welcome anyone with the right skills and experience to join us. At Generali, we also believe that it is our differences that make the difference. Our commitment is to leverage this Diversity to create long-term value, to be innovative, sustainable, to make the difference for our people, our clients, our partners as well as our communities.

Personal data collected will be strictly used for recruitment purpose only. All unsuccessful applications will be destroyed after two years.

Company Info

Generali is one of the largest global insurance and asset management providers. Established in 1831, it is present in 50 countries in the world, with a total premium income of more than € 75.8 billion in 2021. With nearly 75,000 employees serving 67 million customers, the Group has a leading position in Europe and a growing presence in Asia and Latin America. Generali’s ambition is to be the life-time partner to its customers, offering innovative and personalized solutions thanks to an unmatched distribution network.

At Generali, diversity and inclusion are a critical part of our cultural transformation. We are committed to promoting a culture of inclusion that celebrates people's singularity and diversity with particular attention to disabilities, culture, and gender. Leveraging diversity to create long-term value: this is Generali. It is our differences that make the difference!
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