Head of Underwriting & Claims Head of Underwriting & Claims …

Bluemont Consulting
à Hong Kong, Hong Kong, Hong Kong
CDI, Plein-temps
Dernière candidature, 29 mai 19
Up to HKD 100,000 per month
Bluemont Consulting
à Hong Kong, Hong Kong, Hong Kong
CDI, Plein-temps
Dernière candidature, 29 mai 19
Up to HKD 100,000 per month
The incumbent will lead the underwriting and claims team to ensure greater claims and underwriting effectiveness, and improve customer experience. This includes maximize the protective value of underwriting, minimize avoidable claims leakage, reduce volatility of the claims experience and create a sustainable and profitable operating model.

Job Responsibilities:

  • Develop and implement underwriting and claims principles, guidelines and standards;
  • Lead a team of medical underwriters and claims assessors to provide exceptional customer experience to individual and group customers, as well as brokers;
  • Analyze claim practice, including product and underwriting effectiveness;
  • Redefine processes, such as claims and underwriting rules development, to facilitate automation of simpler claims and underwriting;
  • Carry out underwriting and claims audits and other underwriting and claims related projects;
  • Ensure case underwriting and claims adjudication work and other tasks, e.g. review of guidelines are completed within agreed standards;
  • Govern the performance of Third Party Administrator to ensure SLAs are met;
  • Resolve escalated underwriting and claims issues and appeals with flexible solutions;
  • Source and develop training programs for uplifting their professional knowledge and standard of the teams;
  • Manage ad hoc projects as required.

Requirements:

  • Diploma or above, preferably with insurance-related qualifications, e.g. FLMI, ICA, ACII/ANZIIF;
  • At least 15 years relevant experience and management of Claims and Underwriting teams;
  • Strong analytical skills;
  • Ability to manage Underwriting and Claims functions with current and comprehensive knowledge of industry related issues;
  • Knowledge of Underwriting and Claims systems;
  • Strategic thinking, planning and organizational skills;
  • Well-developed decision making and problem solving capabilities, time management;
  • A solid knowledge of Underwriting and Claims management practices;
  • Good team player and self-starter; able to interact with people at all levels;
  • Claim and Underwriting knowledge in both individual & group claims is highly preferable;
  • Experience in managing vendor is an advantage;
  • Good team player, able to work independently and under pressure;
  • Possess customer centricity mindset;
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