We are seeking a motivated and detail-oriented professional to join the team as a Claims Specialist within the Employee Benefits division.
Key Responsibilities:
- Assess and process group medical claims in accordance with policy terms and internal guidelines
- Communicate with clients, intermediaries, healthcare providers, and reinsurers to obtain necessary documentation and provide updates
- Ensure claims are processed within agreed service standards to meet customer expectations
- Investigate and resolve complex or disputed claims with professionalism and efficiency
- Provide support in claims reporting and contribute to the continuous improvement of processes
- Maintain accurate and timely claims records in internal systems
Requirements:
- Bachelor's degree or equivalent qualification in business, insurance, or a related field
- Minimum of 1 year of experience handling employee benefits claims, particularly in a life or health insurance environment
- Strong understanding of employee benefits policies and regulatory requirements in Hong Kong
- Excellent analytical and problem-solving skills
- Ability to work independently and manage multiple tasks under tight deadlines
- Strong written and verbal communication skills in English; Cantonese and/or Mandarin would be an advantage
- High level of integrity and attention to detail
- Proficiency in Microsoft Office applications and claims management system.
