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Assistant Claims Manager / Senior Claims Officer (Employees' Compensation)

79310

Job Accountabilities

  • Handle Employees’ Compensation claims with focus on liability, investigation and global settlement
  • Provide quality and professional claims service to customers; drive outcomes on liability, return to work and injury management
  • Ensure claims procedures, documentation is adhered to the group claims management requirement and best practice
  • Take proactive approach in monitoring employees’ compensation claims in order to minimize claims settlement
  • Conduct in-house global settlement or be able to guide team to conduct in-house global settlement
  • Build up relationship with all stakeholders and achieve compromised settlement to conclude the case at the earliest time and avoid litigation
  • Meet with clients for claims review meeting
  • Work with our healthcare specialist in minimizing claims duration
  • Report to claims management team on adverse trend of development of claims and client issues with adverse claims experience
  • Assist Claims Manager to monitor and conduct assessment of the performance of external loss adjuster whose services form part of claims services; ensure all claims are processed effectively according to the company policies
  • Set and monitor reserve adequately and timely and ensure the authoritative level laid down are complied with; identify all potential recovery and fraud cases
  • Perform any other duties, task oriented or claims related as may be delegated by Claims Manager; assist in coaching staff on claims management
  • Promptly handles and support staff to manage WC litigated claims taking responsibility to resolve all enquiries from both customer and external contacts to ensure delivery of a focused claims service
  • Develop a claim case strategy to ensure appropriate reserves are assigned, investigations conducted and appropriate suppliers engaged
  • Acquire and efficiently organize the relevant evidence and information to accurately assess the value of the litigated claim and to recognize potential fraud/recovery indicators
  • Review, resolve and proactively finalize claims within authority limits ensuring settlement at an optimum level

 

Job Qualifications

  • Degree holder with over 4 years EC claims management experience
  • Tertiary education in one of the fields (or more) would be required: Health, Insurance, Business Administration or Legal
  • ANZIIF/ACII qualification would be an asset
  • Previous experience working with both Corporate and Small to Medium Business enterprises is a plus
  • Strong knowledge of Employees‘ Compensation Ordinance
  • Knowledge in insurance principles
  • Strong ability to understand barriers for return to work and strategies to deal with return to work issues
  • With medical knowledge would be an asset
  • Knowledge of the legal procedure of WC litigated case in Hong Kong
  • Understand legislation and legal liability with litigation knowledge and global settlement experience is highly preferred
  • Strong customer service skills and abilities
  • Understand industry standards and protocol
  • Knowledge of claims agreements and interpretation of policy cover
  • Good command of written and spoken English
  • Good negotiation skill, both in written and verbal
  • Candidates with less experience will be considered as Senior Claims Officer

 

 

Are you interested in working for a company that values its people and put's its customers and employees at the heart of everything we do? Are you looking for growth opportunities beyond simply a career? Then Zurich could be just the place for you!

 

Our people are the heart & soul of Zurich. Together we are committed to delivering on our purpose - Let’s Create a Brighter Future Together! 

Our ambition is to become one of the most responsible and impactful businesses in the world. To get there we hire and develop the best talent available. With Zurich, you can expect to work on challenges that will help you grow and to collaborate with a diverse and inclusive global team. 

People are Zurich’s most important asset. Their varied skills, perspectives and experiences drive innovation. And they reflect the breadth and diversity of our customers, suppliers, communities and investors around the world. We are committed to attracting and retaining talented individuals from a variety of backgrounds and experiences. Zurich does not discriminate based on race, ethnicity, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. 

 

 

  • Location(s):  HK - Hong Kong

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