Claims Manager, Employees' Compensation

Senior (6-10 years)


Technical Skills

  • Claims
  • Litigation
  • Settlements

Job Description

Claims Manager, Employees' Compensation

Location: Hong Kong

Our opportunity
Being part of the team, you will apply your professional knowledge and expertise to handle the Employees’ Compensation claims with focus on liability, investigation and global settlement. If you are interested in working in a dynamic, challenging environment, for a company that recognizes and rewards your creativity, initiative and contributions, just simply click "Apply online"
Your role
As a Claims Manager, your main responsibilities will involve:
  • Take responsibility to resolve all enquiries from both customer and external contacts to ensure delivery of a focused, quality and professional claims service
  • Ensure claims procedures, documentation is adhered to the group claims management requirement and best practice
  • Proactively monitor employees’ compensation claims to minimize claims settlement
  • Conduct in-house global settlement
  • Build up relationship with all stakeholders and achieve compromised settlement to conclude the case at the earliest and avoid litigation
  • Meet with clients for claims review meeting
  • Work with our healthcare specialist in minimizing claims duration
  • Report to Senior Claims Manager on adverse trend of development of claims and clients with adverse claims experience
  • Assist Senior Claims Manager to monitor and conduct assessment of the performance of external loss adjuster whose services form part of claims services
  • Set and monitor reserve adequately and timely and ensure the authoritative level laid down are complied with
  • Supervise and coach junior staff on claims management, including reserve and settlement amount approval of junior staff with lower authority
  • Acquire and efficiently organizes the relevant evidence and information to accurately assess the value of the litigated claim and to recognize potential fraud/recovery indicators
  • Assist Head of EC Claims / Senior Claims Manager on departmental ad hoc tasks and projects
Your Skills and Experience
As a Claims Manager, your skills and qualifications will ideally include:
  • Tertiary education in Health, Insurance, Business Administration or Legal area
  • Minimum 6 years’ of Employees’ Compensation claims management experience with previous supervision experience
  • With medical knowledge or ANZIIF/ACII qualifications added advantage
  • Previous handling corporate client and global settlement would be an asset
  • Understand legislation and legal liability
  • Interpretation of policy cover
  • Understand industry standards and protocol
  • Knowledge of insurance principles, claims agreements, Employees’ Compensation Ordinance and legal procedure of Employees’ Compensation litigated case in Hong Kong
Additional Information
Primary work location is Hong Kong. You can apply by clicking on the button “Apply online”
Who we are
Looking for a career that will excite, challenge and inspire you? Thinking about insurance? Perhaps you should. Working for us is a totally different experience to what you probably expect. How do you feel about the things you truly love? Don’t you want to protect them in the best way possible? Imagine if you could help people do this all over the world. You’d give them confidence and reassurance by protecting what they love most. This is no easy task. In today’s interconnected world, tackling risk is fast, unpredictable and invigorating. You’ll have to think on your feet as you manage risks big and small, from flooding to cyber crime. You’ll be tackling issues like these in over 170 countries. It’s a big challenge, but you’ll have a truly diverse network helping you. As part of an international team, every day would provide opportunities to learn, grow and share ideas.
As you make an impact across borders, you’ll feel the support of being part of a strong and stable company. A long-standing player in the insurance industry, we make every effort to address the career development needs and plans of our employees to ensure their success in the future.
So make a difference. Be challenged. Be inspired. Be supported, Love what you do. Work for us.
Zurich Insurance has the policy to be an equal opportunity employer. We aim to attract and retain the best qualified individuals available, without regard to criteria such as race/ethnicity, national origin, religion, gender, sexual orientation, age or disability.
At Zurich we believe that having a culture of inclusion is essential in delivering good results. Attracting, retaining and developing a diverse workforce where employees feel valued, respected and empowered allows people to reach their full potential. As a business this diversity helps us to better reflect and understand our 4 million customers’ needs to allow us to drive better outcomes. As a global organisation, with an increasingly agile workforce, we're happy to consider flexible working arrangements.
Employment TypeFull-time
Career LevelSenior (6-10 years)
Education LevelNon-specified
QualificationFellow, ANZIIF
Zurich Insurance GroupInsurance and Reinsurance

Zurich Insurance Company Ltd 25-26/F, One Island East 18 Westlands Road, Quarry Bay

directions_walk9 mins walk from Tai Koo Station