Associate - Claims (Corporate Solutions) - Support Hong Kong Market

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About the Role

Process/assess authorized claims transactions, ensuring accuracy and efficiency in claims handling within the required SLA (Service Level Agreement)

Claims Process / Assessment

• Accurately process/assess all claims types in adherence to company guideline and quality standard

• Review and approve cases that is within the claims authority granted

• Review and approve cases that exceed subordinate's authority (for Senior Associate)

• Document claims assessments comprehensively, ensuring transparency and clarity in decision making.

• Ensure meeting individual quality, turnaround time and productivity benchmark

• Shows keenness to develop technical competency by extending claims scope handle or authority limits

• Maintain a good personal record of training in line with the training framework of the Company

• Assist guide new joiners on claims processing rules and products knowledge including Review and Feedback for On-The-Job training cases

• Demonstrate excellent customer centric mindset through highly engaged culture

Other miscellaneous tasks

• Perform other responsibilities and duties periodically assigned by supervisor / manager in order to meet business requirements

• Participate in departmental/organizational activities, programs and other tasks required

Job Requirements:

• Fluent in English & Chinese, with the ability to read and type in both Simplified and Traditional Chinese.

• Fresh graduates with backgrounds in Biology, Chemistry, Nursing, Pharmacy, Biotechnology, Medical Science, Health Science or Food Science, are encouraged to apply.

• Candidates with experience in the medical industry, laboratory environment, or insurance claims processing would be an added advantage.

• Self-motivated, proactive, and proficient in Microsoft Office applications.

• Demonstrates a positive attitude, strong work ethic, and a willingness to learn and grow.