Assistant Claims Officer

Assistant Claims Manager

(Medical Insurance | International Claims Services)

Join a team where your expertise makes a real difference.

We're looking for a proactive, solutions-driven Assistant Claims Manager who's passionate about delivering exceptional service and elevating claims excellence across international markets. If you thrive in a dynamic environment and enjoy driving meaningful impact, this role is for you.

What You'll Do

As a key member of our Claims team, you will:

Lead & Support Claims Excellence

• Partner closely with the Claims Manager to manage end-to-end international medical claims, ensuring accuracy, compliance, and a seamless customer experience.
• Analyze claims data, monitor trends, and help strengthen our claims governance and control frameworks.

Drive Projects & Innovation

• Support and contribute to exciting initiatives—including system enhancement, process optimization, and digital transformation projects.

Empower & Train Talent

• Coach and mentor junior team members, elevating their knowledge of medical products, insurance principles, and claims assessment.

Collaborate Across Borders

• Liaise with global service providers, hospital administrators, and emergency assistance partners to coordinate pre-authorization and emergency support.
• Work hand-in-hand with emergency assistance companies to manage urgent cases—even outside standard office hours when required.

Deliver Expert Claims Assessment

• Review, adjudicate, and approve claims aligned with policy terms and internal guidelines.
• Make informed decisions efficiently within your approval authority while maintaining professional service turnaround times.

What You Bring

• Bachelor's degree or higher.
• At least 7 years of solid experience in medical insurance claims operations.
• Strong understanding of insurance fundamentals and medical terminology.
• Professional designations such as FLMI / FLHC or para-medical qualifications (e.g., registered nurse, pharmacist, physiotherapist) are highly advantageous.
• Excellent command of English and Chinese, both written and spoken.
• Proficiency in MS Office (Word, Excel, PowerPoint).
• Candidates with less experience or medical-related academic backgrounds may be considered for Senior Claims Officer.