Assistant Manager, Special Investigation Unit (P&C Claims)

Job title: Assistant Manager, Special Investigation Unit (P&C Claims)

Company: AXA Hong Kong and Macau


Job description: AXA Hong Kong and Macau is a member of the AXA Group, a leading global insurer with presence in 51 markets and serving 94 million customers worldwide. Our purpose is to act for human progress by protecting what matters. As one of the most diversified insurers in Hong Kong, we offer integrated solutions across Life, Health and General Insurance. We are the largest General Insurance provider and a major Health and Employee Benefits provider. Our aim is to not only be the insurer to provide comprehensive protection to our customers, but also a holistic partner to the individuals, businesses and community we serve. At the core of our service commitment is continuous product & service innovation and customer experience enrichment, which is achieved through actively listening to our customers’ needs and leveraging and investing in technology and digital transformation. We embrace our responsibility to be a driving force against climate change and a force for good to create shared value for our community. We are proud to be the first to address the importance of mental health through different products and services and thought leading iconic research. Our overall Sustainability Strategy, with emphasis on climate strategy and biodiversity commitment, is developed based on TCFD recommendations. We are committed to integrating environmental, social and governance factors across our business and strive to contribute to a sustainable future through 3 distinct roles – as an investor, an insurer and an exemplary company. Our people strategies are designed to enhance employee well-being and professional growth, ultimately empowering them to excel within the company. Click here to learn more about our Benefits (https://www.axa.com.hk/en/benefits) , Culture (https://www.axa.com.hk/en/culture-and-values), & Career Development (https://www.axa.com.hk/en/career-development).AXA is an equal opportunity employer. We are committed to promoting Diversity and Inclusion (D&I) by creating a work environment where all employees are treated with dignity, respect, and where individual differences are valued. We welcome and treasure diverse profiles to join our big family, and to build an inclusive culture together which allows everyone to maximise their personal potential.Responsibilities:

• Support P&C Claims Team to enhance and grow existing Fraud detection and prevention capabilities.
• Share and embed best practices, refine anti-fraud policies and methodologies and work with AXA Stakeholders, relevant external bodies and competitors to develop a more mature Anti-Fraud strategy.
• Provide technical direction to external investigators on complex and SIU investigations.
• Complete or delegate / oversee tasks associated with the delivery of an investigation, including; planning; escalations; case administration; undertaking or assisting with interviews and reporting.
• Consistently review and re-evaluate rules-based selection based on changing market trends.
• Conduct Fraud Awareness and / or trainings of staff on fraud related issues/flags.
• Act as line management and undertakes wider leadership responsibilities across claims handling on fraud related issues.
• Reduce leakage through fraudulent and/or inflated claim.
• Assist to develop rules-based selection of claims for further inspection by SIU department.
• Contribute to the progression of the Fraud Maturity Model and develop initiatives to enhance and advance the Fraud Maturity Level.
• Maintain and take ownership of the Fraud Dashboard and Fraud Maturity Model.
• Adhere to the AXA Group’s and any local regulatory fraud monitoring policy and report fraud to appropriate authorities as and when required.
• Develop key metrics, governance, process, vendor management and training programs to educate and inform the Claims Team to continue professionalizing their fraud detection and prevention capabilities in-house.
• Manage and support Fraud related Projects and Initiatives

Qualifications:

• Thorough knowledge of claims management processes and procedures
• Multi-line experience preferred. Experience in handling complex claims and suspected insurance fraud investigations.
• Strong investigative background with experience in handling investigations into bodily Injury related claims
• Understanding of local Insurance Laws
• Strong computer skills using Word, Excel, Power Point and Outlook
• Ability to learn new software operating systems.
• Strong Analytical and interpretive skill
• Ability to manage multiple projects and set priorities
• Ability to work in a team environment

Expected salary:

Location: Hong Kong

Job date: Sun, 03 Nov 2024 08:56:46 GMT

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