Manager I, Claims Services

SunLife

Hunghom, Hong Kong
Base: not specified; bonus/equity: not specified; ...
Pre-approval medical claims management
Tpas relationship management
Medical cost and quality control
This role specializes in pre-approval medical services and involves overseeing junior case reviews and establishing medical cost and quality control guidelines

Job Summary

  • This role specializes in pre-approval medical services and involves overseeing junior case reviews and establishing medical cost and quality control guidelines.
  • The company offers a 5-day work week, attractive salary, MPF, group life and group medical insurance, and excellent career development opportunities.
  • You will work with dynamic colleagues who are experts in their fields and be empowered to make a difference in the lives of individuals, families, and communities.

Matching Summary

This role specializes in pre-approval medical services and involves overseeing junior case reviews and establishing medical cost and quality control guidelines.

Salary

Base: Not specified; Bonus/Equity: Not specified; Benefits: MPF, group life and group medical insurance

Skills & Requirements

Must-have

  • pre-approval medical claims management
  • TPAs relationship management
  • medical cost and quality control
  • claims processing efficiency
  • leadership in claims services
  • regulatory compliance in insurance

Nice-to-have

  • data analysis and reporting
  • training and support for junior staff
  • strong communication and interpersonal skills
  • knowledge of medical terminology and procedures
  • quality assurance experience

Key Requirements

  • University degree in business or healthcare administration
  • Minimum 5+ years relevant life insurance claims experience
  • At least 2 years in managerial role
  • Experience managing TPAs relationships
  • Knowledge of regulatory requirements and compliance standards

Work Rights

Not specified

Tailored Resume

Cover Letter