We are seeking a highly experienced and dynamic professional to join our client as a Senior Manager within our Claims Services department in a leading Life Insurance company. This is an exceptional opportunity for a results-driven individual to lead and optimise the end-to-end claims management processes in a highly regulated and customer-focused environment.
The successful candidate will be responsible for overseeing the entire claims operations, ensuring prompt, accurate, and fair settlement of claims in accordance with policy terms and company guidelines. Key responsibilities include developing and implementing claims strategies, enhancing operational efficiency, leading a team of claims professionals, and ensuring regulatory compliance. The role also involves liaising with reinsurers, external service providers, and internal stakeholders to manage complex cases and continuously improve the claims journey for our customers.
Key Responsibilities:
- Develop and execute claims strategies to support business objectives and customer satisfaction.
- Monitor claims handling processes to ensure timely and accurate resolution in line with policy terms.
- Enhance claims procedures and systems, identifying opportunities for process improvement and digitisation.
- Manage and mentor a team of claims professionals; provide training and guidance to elevate team capabilities.
- Ensure full compliance with regulatory requirements and company policies.
- Analyse claims data to identify trends and provide insights for product development and risk assessment.
- Collaborate with underwriting, legal, and customer service teams to manage complex claims effectively.
- Maintain strong working relationships with reinsurers, third-party service providers, and industry associations.
Requirements:
- Bachelor’s degree in insurance, business administration, or a related discipline.
- Minimum of 10 years' experience in life insurance claims, with at least 5 years in a leadership role.
- In-depth knowledge of life and health insurance products, claims adjudication processes, and regulatory requirements in Hong Kong.
- Strong analytical, problem-solving, and decision-making skills.
- Proven track record in managing high-performing claims teams and driving operational efficiency.
- Excellent communication and interpersonal skills; fluent in English and Cantonese is preferred.
- Customer-centric mindset with a commitment to delivering high-quality service.
- Professional qualifications such as FLMI, LOMA, or ANZIIF are advantageous.
