Responsibilities

• Carry out Claims assessment according to the internal Claims Procedure and Claims Guideline within the granted claims authority level.
• Perform all claims assessment in alignment with claims best practice – be prudent, professional and timely, and adopt proactive claims management.
• Prepare regular management and business reports of Claims Department.
• Responsible for the business data analysis, requirement gathering, scoping, documentation and function specification review to ensure business objectives are aligned.
• Ensure clients fulfil claims assessment and management requirements for automatic business.
• Conduct audit review of claims processing for vendors to identify improvement areas and ensure adherence to standards and guidelines set up the company and regulators.
• Analyse claim practice.
• Developing and implementing claims principles, guidelines and standards.
• Work effectively and efficiently with cross-functional departments and external parties to ensure projects are delivered on time, within budget and aligned with company strategy.
• Analyse claims data to identify improvement opportunities, propose resolutions and execute improvement plans.

• Bachelor degree holders in Insurance, medical, management or related disciplines preferred
• A tactful team player with excellent interpersonal skills, good judgment and the ability to interact with clients and working stakeholders at all levels
• Holder of FLMI or ICA qualification is preferred
• Minimum 8-10 years of claims experience in Life Insurance Industry
• Proficient in written and spoken English and Chinese.
• Highly organized self-starter, capable to lead multiple projects to meet tight deadlines and work in a fast-paced environment

Bluemont Consulting is a specialist Insurance, Banking and Financial advisory recruitment consultancy who provide trusted advice to many of the world’s leading financial companies and advisory firms.