雇員點(diǎn)評(píng)標(biāo)簽
職位描述
保險(xiǎn)
崗位職責(zé):
1. Assist to develop and implement claims policy, guidelines and standards. Regular review the administration procedures to ensure all activities are processed in the most effective means.
2. Support implementation of Health Ecosystem automation
3. Assess and approve claims within own claims authority and make recommendation to senior for those claims exceeding own authority limit, conduct claims investigations where necessary.
4. Assist in overseeing the operations of claims and case management. Resolve day to day claims related issue for all EB products
5. Identify ineffective claims practice. Report and assist in driving initiatives for change
6. Provide assistance in conducting routine audits to assure quality and timely processing targets are maintained and corrective action is taken to avoid recurrence.
任職要求:
? 5 years or more solid working experience in claims adjudication and medical services pre-approval in life or medical insurance
? Knowledge on Employee benefits products (e.g. group life) and back office operations
? Proven and progressive experience preferably incorporting business operations management principles (including service quality, business control and continuous improvement activities etc.)
? Excellent understanding of quality assurance, control, metrics and continuous improvement
? Strong analytical skills to understand to translate, simplify and proritize the requirement as well as root cause analysis for remedial actions / preventive measures.
? Strong communication and interpersonal skills required, including the ability to form effective relationships and achieve influence at the most senior level in the organisation.
? Understand and interpret complex business and Hong Kong Insurance requirements (including regulatory requirements)
? Ability to work within an environment of different cultures.
1. Assist to develop and implement claims policy, guidelines and standards. Regular review the administration procedures to ensure all activities are processed in the most effective means.
2. Support implementation of Health Ecosystem automation
3. Assess and approve claims within own claims authority and make recommendation to senior for those claims exceeding own authority limit, conduct claims investigations where necessary.
4. Assist in overseeing the operations of claims and case management. Resolve day to day claims related issue for all EB products
5. Identify ineffective claims practice. Report and assist in driving initiatives for change
6. Provide assistance in conducting routine audits to assure quality and timely processing targets are maintained and corrective action is taken to avoid recurrence.
任職要求:
? 5 years or more solid working experience in claims adjudication and medical services pre-approval in life or medical insurance
? Knowledge on Employee benefits products (e.g. group life) and back office operations
? Proven and progressive experience preferably incorporting business operations management principles (including service quality, business control and continuous improvement activities etc.)
? Excellent understanding of quality assurance, control, metrics and continuous improvement
? Strong analytical skills to understand to translate, simplify and proritize the requirement as well as root cause analysis for remedial actions / preventive measures.
? Strong communication and interpersonal skills required, including the ability to form effective relationships and achieve influence at the most senior level in the organisation.
? Understand and interpret complex business and Hong Kong Insurance requirements (including regulatory requirements)
? Ability to work within an environment of different cultures.
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工作地點(diǎn)
佛山南海區(qū)南海燈湖東路匯豐銀行大廈
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