4 jobs found for claims

Key responsibilities:Perform pre-authorization and pre-assessment procedures in accordance with established policies and guidelines.Handle clinical operation and day case claims within the authorized claims authority, adhering to established procedures and guidelinesHandle enquiries and complaints from both external and internal parties.Determine and examine potentially fraudulent or suspicious claims, and escalate relevant cases to supervisors when necess

Key requirements:Assess claims according to delegated claims authority in accordance with the established procedures and guidelinesSupport the implementation of claims management strategies and objectivesReach benchmark of claims processing volume and turnaround timeAssist in handling enquires or complaints from internal and external customersIdentify and conduct thorough investigation of suspicious cases, including report to superiorKey Requirements:Relev

Responsibilities:Handle, examine and settle claims according with Company philosophy and guidelinesComply with claims instructions and provide quality work effectively and efficientlyHandle claims related enquiries from the policyholders, brokers or relevant partiesSupport manager to implement initiatives to improve performanceMaintain positive relationship with all stakeholders Requirements:Bachelor’s degree in any discipline, with insurance qualificatio

Our client is a renowned global insurance company with a presence in over 50 countries. The Group is now seeking an Assistant Manager - EB claims to join the team in Hong Kong, covering Group Life and Group Medical claims.The key responsibilities for this position are as follows:Process and adjudicate Group Life and Group Medical claims professionally and effectively per the Company’s policies & objectivesAnalyze all claims to ensure optimal quality; provi