Claims Manager, Fraud Management (General Insurance)

Junior (less than 3 years)


Technical Skills

  • Audit
  • Claims
  • Corporate Communications
  • Customer Service
  • Filing
  • Insurance Claims
  • Performance Management
  • Training

Job Description

Claims Manager, Fraud Management (General Insurance)

Location: Hong Kong

Our opportunity

Being part of the team, you will apply your professional knowledge and expertise to ensure that all claims fraud risks are effectively and efficiently governed and managed. 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:
  • Manage the daily activities of the Claims Counter Fraud Team in order to prevent, detect and investigate suspected external fraud against the organization and its customers
  • Provide first class and effective Claims Counter fraud services to Claims function, by identifying fraudulent claims, delivering high quality and professional investigation reports with decisive conclusions and technically excellent content
  • Provide operational and technical management of the teams and work alongside the Head of Claims Excellence to develop strategy and maximize savings in areas of responsibility
  • Handle technical referrals, complaints and work closely with internal audit on Claims Fraud performance
  • Conduct quality review of closed fraud cases performed by the team, as well as occasional reviews of open files depending on need
  • Actively monitor and steer highly complex cases and ensure effective execution of fraud strategies
  • Adhere to local regulation and Zurich Claims governance requirements throughout the investigative process to ensure that all information and data is obtained within data protection rules and regulations
  • Collate and analyze accurate fraud data to provide information and Management Information for internal communications in order to support ongoing promotion of, and adherence to the claims fraud strategy
  • Complete the performance management cycle with staff, including providing coaching and feedback for improved performance and train the team in how to identify, investigate and document/report fraudulent claims
Your Skills and Experience
As a Claims Manager, your skills and qualifications will ideally include:
  • Bachelor Degree or equivalent with significant experience in insurance claims investigation or professional investigative experience with an external agency required
  • Holder of Insurance qualification is preferred
  • Knowledge of insurance fraud and understand legal and contractual framework
  • Recognize the benefit of providing excellent customer service
  • Able to manage cases proactively to achieve best outcome
  • Desire to learn and be flexible to business change
  • Field investigation skills including interviewing and statement taking etc
  • Claim investigation Experience in EC, Liability and Motor Third Party Liability is preferred
  • Able to describe common benchmarks monitor service providers’ performance and ensure the use of them in an effective manner
  • Candidate with less experience will be considered as Senior Claims Officer



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 LevelJunior (less than 3 years)
Education LevelBachelor

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

directions_walk9 mins walk from Tai Koo Station