Employee Benefits Claims Director

Employee Benefits Claims Director

AXA Group Operations Malaysia Sdn Bhd
Hong Kong
10-13 years
Not Specified

Job Description

  • In charge of Employee Benefits (EB) Claims team comprising of Pre-approval, Inpatient Claims, Outpatient Claims and Claims Support functions

  • Manage the daily operation of EB Claims and ensure delivery of division/department goals, service standard and quality

  • Work with Life and Individual Health Claims team to align, improve and simplify claims processes

  • Establish/review claims guidelines in accordance with Company risk guidelines

  • Collaborate with Health %26amp; EB Team on practices, issues, customer needs/feedback for continuous improvement

  • Participate in meetings with brokers/customers/partners (as needed) in relation to EB Claims related matters

  • Support on new product development and TPA

  • Liaise with reinsurers on complicated claims

  • Monitor the handling of customer/distributor enquiries and complaints referred by Contact Centre and Complaint team  

  • Play as key player in Claims Transformation related projects and drive Straight Through Processing (STP)

  • Identify staff training needs, develop and implement training plan

  • Staff performance review, development and succession planning

    • University graduate or above

    • Minimum 10 years of experience in life or health claims with at least 5 years in management position

    • Possess extensive medical knowledge

    • Good command of spoken and written English and Chinese

    • Fluency in Cantonese required

    • Excellent interpersonal and people management skills

    • Strong ability to assess business priorities and negotiate with clients accordingly

    • PC literate in Word, Excel, PowerPoint and Chinese word processing

Job Details

Would you like to wake up every day driven and inspired by our noble mission and to work together as one global team to empower people to live a better life Here at AXA we strive to lead the transformation of our industry. We are looking for talented individuals who come from varied backgrounds, think differently and want to be part of this exciting transformation by challenging the status quo so we can push AXA - a leading global brand and one of the most innovative companies in our industry - onto even greater things. In a fast-evolving world and with a presence in 64 countries, our 166,000 employees and exclusive distributors anticipate change to offer services and solutions tailored to the current and future needs of our 103 million customers.

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