Duties / Accountabilities:

• Assess and process claims according to delegated claims authority in accordance with the established procedures and guidelines;
• Support the implementation of claims management strategies and objectives
• Reach benchmark of claims processing volume and turnaround time
• Assist in handling enquires or complaints from internal and external customers
• Identify and conduct thorough investigation of suspicious cases, including report to superior
• Handle ad-hoc duties as assigned by supervisor(s).

Requirements:

• Colleague graduated or above;
• 5 years’ relevant experience in insurance industry, preferably in medical claims;
• Professional qualification in FLMI, FLHC, etc. will be an advantage.
• Familiar with operation of medical claims and healthcare network providers
• Good communication and interpersonal skills
• Detail-minded with strong sense of responsibilities and well-organized
• Flexible and customer-oriented
• Able to handle multi-task and work under pressure in a fast paced environment
• Good command of both written and spoken English and Chinese
• Proficient in MS Office and Chinese Word Processing