Summary: Process authorized claims transactions within the required benchmarks for Hong Kong market based on guidelines set for the issuance of insurance policies.

Responsibilities:

• Process all Life / Accident and Health (A&H) / Major Claims / Corporate Solutions (CS)/ Pre Approval (PA) claims requests received as per stipulated requirements.
• Evaluate and gather all data for claim processes, prepare medical questionnaire and to review all status and ensure efficient adjustment in claim system.
• Ensure meeting individual quality, turnaround time and productivity benchmark.
• Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements.
• Prepares regular reporting to management on metrics relating to business, operations, risk, compliance, workforce, etc. or statutory authorities on regulatory metrics.
• Develop procedures for reporting, extract, collate and populate data to reporting template.
• Validate data accuracy and liaise with relevant parties to rectify data quality.