Assistant Manager, Group Claims

Full-time
Intermediate (3-6 years)

Posted 

Technical Skills

  • Audit
  • Claims
  • Management Reporting
  • Product Development
  • Sales
  • Training

Job Description

Assistant Manager, Group Claims

Location: Hong Kong-Kowloon-Kowloon

The incumbent will lead the team to manage the day-to-day group inpatient/outpatient claims operations and deliver the best quality claims service to our policyholders, members, brokers and business partners.
Job Responsibilities:
  • Adjudicate claims under different distribution channels independently and ensure the effectiveness of the claim administration processes;
  • Supervise subordinates to deliver the required claims service to both our internal and external customers;
  • Handle claim enquiries and resolve complaints from external Brokerage and internal clients;
  • Conduct process control / audit internally and  the Network / Third Party Administrators (TPA) to ensure adherence to standards and guidelines set by Cigna and regulations;
  • Prepare monthly management report and ad-hoc report for claims management;
  • Analyze claims data to identify problem’s root causes, propose resolutions and execute improvement plans;
  • Work closely with internal IT and external IT vendors to report and test system issues. Identify opportunities for system enhancements and perform full cycle UAT to ensure successful production;
  • Support product development and sales function by conducting claims training for both internal and external parties.
  • Handle ad hoc projects and duties.

Qualifications

  • Diploma or above, preferably with insurance-related qualifications, e.g. FLMI, ICA;
  • At least 5 years’ experience in claims adjudication / administration of which at least 2 years in supervisory role;
  • Experience in working or managing the Network / Third Party Administrators (TPA) is highly preferable;
  • Proven track record of working with IT, vendors and stakeholders on developing user requirements and test cases for system, and conducting UAT;
  • Good team player, able to work independently and under pressure;
  • Possess customer centricity mindset;
  • Good command of both English and Chinese.
Employment TypeFull-time
Career LevelIntermediate (3-6 years)
Education LevelHigher Diploma / Associate Degree
QualificationFellow, Life Management Institute (FLMI)
LanguageEnglish, Cantonese
Cigna Worldwide Life Insurance CoInsurance and Reinsurance

28 Hennessy Road, Wan Chai, Hong Kong

directions_walk7 mins walk from Wan Chai Station