Claims Officer (Employees Compensation / Retail Claims)

Job Summary

• Handling of Employees’ Compensation claims with focus on liability and investigation
• Provide quality and professional claims service to customers
• With moderate supervision to manage simple-medium standard (moderate severity) claims in the most effective, efficient way whilst delivering a customer centric claims service in a manner

Job Accountabilities

• Develop a claim case strategy to ensure appropriate reserves are assigned with investigations conducted and appropriate suppliers engaged
• Review, resolve and proactively finalize claims within authority limits ensuring settlement at an optimum level
• Ensure claims procedures, documentation is adhered to the group claims management requirement and best practice
• Take proactive approach and involve in monitoring employees’ compensation claims to minimize claims settlement
• Build up relationships with all stakeholders and achieve compromised settlement to conclude the case at the earliest and avoid litigation
• Report to Claims Manager on adverse trend of development of claims and for clients with adverse claims experience
• Provide quality customer service to clients
• 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

Job Qualifications

• Degree / Diploma holder or equivalent working experience
• ANZIIF/ACII would be an asset
• 3 years EC claims management experience
• Previous handling corporate client would be an asset
• Knowledge in insurance principles
• Interpretation of policy cover
• Understand industry standards and protocol with knowledge of claims agreements
• Good knowledge of Employees‘ Compensation Ordinance
• With medical knowledge would be an asset
• Good command of written & spoken English and Chinese (including Cantonese and Mandarin)
• Solid negotiation skills, both in written and verbal
• Be able to articulate how to prioritize and work to deadlines
• Desire to learn and be flexible to business change
• Common sense
• Knowledge on PC software
• Candidates with less experience can be considered as Claims Assistant

Why Zurich

At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right? 

We are an equal opportunity employer who knows that each employee is unique - that’s what makes our team so great! 
Join us as we constantly explore new ways to protect our customers and the planet.
 

• Location(s):  HK - Hong Kong 
• Remote working: Hybrid