CANDIDATES

Overview We are seeking an experienced Claims Manager to lead the full claims lifecycle, ensuring efficient, client-focused outcomes. This role serves as the main point of escalation for complex claims and manages a dedicated Hong Kong-based team to deliver exceptional service from a brokerage perspective. The ideal candidate combines technical claims expertise with strong leadership and communication skills to enhance client satisfaction and operational excellence.
Key Responsibilities

• Manage the full end-to-end medical claims process in line with internal policies and local regulations.
• Act as the primary contact for escalated cases, liaising with clients, insurers, and other external stakeholders to ensure timely resolution.
• Lead and develop a team of claims professionals, fostering collaboration and accountability.
• Champion client advocacy throughout the claims process, ensuring proactive communication and superior service delivery.
• Review and verify claim documentation for accuracy, completeness, and compliance.
• Negotiate settlements with insurers to secure the best possible outcomes for clients.
• Identify and analyse claims patterns to improve workflow efficiency and customer satisfaction.
• Ensure adherence to Hong Kong Insurance Authority regulations and reporting standards.
• Prepare accurate reports and maintain thorough claims records.

Requirements

• Bachelor’s degree in Business, Finance, or related field.
• Minimum 7–8 years of experience in claims management within the insurance industry (broker or insurer), including at least 2 years in a leadership role.
• Demonstrated success in leading teams and managing complex claim portfolios.
• Strong understanding of Hong Kong insurance market practices and regulatory frameworks.
• Excellent relationship management, negotiation, and communication skills.
• Fluent in English and Cantonese (Mandarin proficiency preferred).
• Highly organised with the ability to handle multiple cases efficiently under tight deadlines.

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