Senior Manager, Medical Claims – Leading Insurance Provider

Job Category: Insurance
Job Type: Full Time

About the Company

This is a fantastic opportunity to join a leading insurance provider with a strong global presence and a rich history in Hong Kong spanning over 150 years. The company is committed to developing its employees into world-class insurance professionals and offers a dynamic and supportive work environment.

The Role

We are looking for a highly motivated and experienced Senior Manager to lead our Medical Claims team. You will be responsible for managing and developing technical and servicing strategies for Group Medical and Individual Healthcare claims, ensuring the highest service quality for both internal and external customers.

Key Responsibilities:

  • Lead and develop a team of claims professionals
  • Implement strategies and digital tools to streamline claims processes
  • Ensure prompt and accurate claims processing and decision-making
  • Implement robust fraud prevention measures
  • Participate in marketing activities to support new business initiatives
  • Prepare monthly statistical and analytical claims reports
  • Monitor and assess the performance of service providers
  • Provide coaching and training to subordinates

Requirements:

  • Degree holder, preferably in Healthcare Management or related disciplines
  • Over 8 years of experience in medical claims management
  • Strong exposure in Group Medical and Individual Medical Insurance
  • Solid knowledge in medical terminology and medical claims processes
  • Proficient in digital tools and software in claims processing
  • Excellent leadership, communication, analytical, problem-solving, decision-making and stakeholder management skills
  • Customer-centric, self-motivated, detail-minded with strong business acumen and market sense
  • Excellent command of written and spoken English and Chinese

To Apply

To apply online, simply fill in the information on the right. Alternatively, for a confidential discussion, please contact Jeremy Wong at +852 9205 1729 or email jeremy.wong@fund-trend.com

Apply for this position

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