Claims Manager (Medical Insurance)

by Monly Chang in Insurance/Pension funding
Ngau Tau Kok, Kowloon
HKD 35k - HKD 45k


Our client, a well-established Medical Insurance Company (Third party Administrator) is looking for the above-mentioned position. Details are as followings:


• Handle the daily claims tasks and handle the complaint cases
• Manage the claims team to perform the reimbursement and pre-authorization cases for Medical Insurance with the services standard is met in high quality and effective manner
• Liaise all claims related matters with insurers, medical providers, and internal staffs, including the payment arrangement with hospitals
• Perform the regular quality check/ audit for the claim cases
• Coordinate with regional teams to smooth the operation of claims and administration areas
• Provide solutions for constant improvement of claims process
• Ad-hoc duties as assigned by management

• 12 months salary + performance bonus
• Medical Insurance coverage
• Annual leave: 18 days 
• Public Holidays


• Diploma or above
• Good command of both written and spoken English and Cantonese
• 5 years’ experience in medical claims adjudication or pre-authorization assessment
• Strong problem-solving skills and analytical skills
• Mature, attentive to details, self-motivated, with excellent team spirit and ability to handle multi-tasks
• Customer-oriented with excellent interpersonal, communication and influencing skills to interact with regional teammates at all levels
• Proficient in MS Word, Excel and Chinese Word Processing
• Candidate with less experience will be considered as Assistant Manager or Supervisor

Monly Chang

Monly Chang

For more information about this job opportunity please contact our consultant.

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