
Claims Specialist - Employee Benefits (Supporting Hong Kong)
- Hong Kong
- Permanent
- Full-time
- Hong Kong ASO (Administrative Services Only) handling customer inquiries and providing assistance in Employee Benefits Claims line.
- Resolving customer complaints and escalations: The contact centre team addresses customer complaints, investigates issues, and works towards resolving them in a timely and satisfactory manner.
- Registration, Processing and Adjudication of claims within turnaround time.
- Compute claims settlement and verify reimbursements from members / panel providers are correct.
- Diligently monitor and follow-up on unsettled claims with members and/or outstanding information from clients / panel providers.
- Provide quality customer service to clients over phone call or email
- Follow up customer calls where necessary
- To manage claims status, claims dispute, enrolment process, program details and all account management tasks
- Handling email correspondences, and liaise with internal & external clients in positive manner for effective problem resolution to ensure smooth running of all daily operation matters
- Resolve client’s enquiries efficiently and escalate problems / issues promptly
- Ensure final outputs (calls, emails or tasks) are of good quality and consistent with the Standard Operating Procedures and Service Level Agreement assigned
- At least a Bachelor’s degree preferably of any field
- Minimum of 2 - 3 years experience in Claims Operation for Medical / Employee Benefits policies
- Good work ethics with high level of integrity, detailed oriented, compliant and process driven
- Good communication and interpersonal skills
- Willing to learn and take on new challenges
- Detail oriented
- Being team oriented