Claims - Employee Benefits

We are seeking a motivated and detail-oriented professional to join the team as a Claims Specialist within the Employee Benefits division. This role is ideal for an individual with a strong background in insurance claims processing, especially within group medical or life.

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.