Responsible for handling of Employees’ Compensation (EC) claims with focus on liability, investigation
Accountable for Large and Complex claims handling and managerial support
Provide quality and professional claims service to customers
Job Accountabilities
Review, resolve and proactively finalize claims within authority limits ensuring settlement at an optimum level
Develop a claim case strategy to ensure appropriate reserves are assigned, with investigations conducted and appropriate suppliers engaged
Take proactive approach in monitoring Employees’ Compensation claims in order to minimize claims settlement
Build up relationship with all stakeholders and achieve compromised settlement to conclude the case at the earliest and avoid litigation
Provide quality customer service to clients
Ensure claims procedures, documentation is adhered to the group claims management requirement and best practice
Report to Claims Manager on adverse trend of development of claims and/or for clients with adverse claims experience
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
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
Bachelor degree or above with related claims experience
5 years or above experience in Employee’s Compensation (EC) and Liability claims, preferably with large and complex claims management skill
Diploma holder with solid claims handling experience will also be considered
Achieved recognised industry standard (e.g. Snr Asso. of ANZIIF)
Experience in EC & Liability claims handling
Experience in EC & Liability claims with good customer service skill is a must
Legal knowledge is an advantageous
Data analytical skill is preferred
Technical knowledge of products and services
Technical claims handling knowledge of Employees’ Compensation and Liability
Understand local legislation and legal liability
Good knowledge of Employees’ Compensation Ordinance
Understand industry standards and protocol
Knowledge of claims agreements
Interpretation of policy over Knowledge and application of the litigation process
Extensive experience with all major aspects of the claims adjustment process.
Good command of written & spoken English and Chinese (including Mandarin)
Negotiation skill, both 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 will less experience can be considered as Senior Claims Officer
Why ZurichAt 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 .
Location(s): HK – Hong Kong
Expected salary:
Location: Hong Kong
Job date: Sat, 26 Apr 2025 07:53:00 GMT
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