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claims officer / senior claims officer (ec claims).

job details

summary

    job details

    about the company

    You will join one of the world's largest privately held insurance firms, providing insurance, risk management, employee benefits and retirement services.

    about the job

    • You will assist in managing Workers Compensation litigated claims in taking responsibility to resolve all enquiries
    • You will review, resolve and finalize claims within authority limits at an optimum level and are processed effectively
    • You will process the relevant evidence and information to accurately assess the value of the litigated claim and to recognize potential fraud/recovery indicators
    • You will develop a claim case strategy to ensure appropriate reserves are assigned with investigations conducted and appropriate suppliers engaged
    • You will conduct in-house global settlement or be able to guide team to conduct in-house global settlement
    • You will communicate with all stakeholders and achieve compromised settlement to conclude the case at the earliest time and avoid litigation
    • You will review claims with clients and work with our healthcare specialist in minimizing claims duration
    • You will report to claims management team on adverse trend of development of claims and for clients with adverse claims experience
    • You will assist Claims Manager to monitor and evaluate the performance of external loss adjuster whose services form part of claims services
    • You will set and monitor reserve adequately and timely and ensure the authoritative level laid down are complied with
    • You will supervise and coach staff on claims management


    skills & experiences required

    • You are a Bachelor Degree Holder, preferably with ANZIIF/ACII
    • You have 3+ years of EC claims experience and 1+ years of supervision experience
    • You have medical and litigation knowledge
    • You understand industry standard, legislation and legal liability
    • You have experience managing both corporate and SMEs clients
    • You have good interpersonal skills and are customer-oriented

    To apply online, please click on the link. Alternatively, for a confidential discussion please contact Keith Kwan on + 852 2232 3424 or email: keith.kwan@randstad.com.hk

    about the company

    You will join one of the world's largest privately held insurance firms, providing insurance, risk management, employee benefits and retirement services.

    about the job

    • You will assist in managing Workers Compensation litigated claims in taking responsibility to resolve all enquiries
    • You will review, resolve and finalize claims within authority limits at an optimum level and are processed effectively
    • You will process the relevant evidence and information to accurately assess the value of the litigated claim and to recognize potential fraud/recovery indicators
    • You will develop a claim case strategy to ensure appropriate reserves are assigned with investigations conducted and appropriate suppliers engaged
    • You will conduct in-house global settlement or be able to guide team to conduct in-house global settlement
    • You will communicate with all stakeholders and achieve compromised settlement to conclude the case at the earliest time and avoid litigation
    • You will review claims with clients and work with our healthcare specialist in minimizing claims duration
    • You will report to claims management team on adverse trend of development of claims and for clients with adverse claims experience
    • You will assist Claims Manager to monitor and evaluate the performance of external loss adjuster whose services form part of claims services
    • You will set and monitor reserve adequately and timely and ensure the authoritative level laid down are complied with
    • You will supervise and coach staff on claims management


    skills & experiences required

    • You are a Bachelor Degree Holder, preferably with ANZIIF/ACII
    • You have 3+ years of EC claims experience and 1+ years of supervision experience
    • You have medical and litigation knowledge
    • You understand industry standard, legislation and legal liability
    • You have experience managing both corporate and SMEs clients
    • You have good interpersonal skills and are customer-oriented

    To apply online, please click on the link. Alternatively, for a confidential discussion please contact Keith Kwan on + 852 2232 3424 or email: keith.kwan@randstad.com.hk