Oliver James Associates is supporting an innovative Insurance firm in Hong Kong to find them their next Claims Project Manager who will support them on ongoing improvements on their systems & processes.
The company in questions has been well known for providing the best digital solutions and customer centric solutions to their customers as such the Claims Project Manager will play an important part in delivering effiency to their services.
- Initiate & lead operation efficiency projects and drive system enhancements to uplift operation efficiency and customer experience and to meet business priorities. Work closely with internal IT and external IT vendors to report and test system issues. Identify opportunities for system enhancements and perform full cycle UAT to ensure successful production;
- Participate in customer proposition projects by providing professional advice in claims.
- Ensure the effectiveness of the claim adjudication and administration processes of network service providers / Third Party Administrators (TPA) to achieve various KPIs;
- Ensure network service providers / Third Party Administrators (TPA) delivering quality services to both our internal and external customers;
- Conduct audit review of claims processing for TPA / vendors to identify improvement areas and ensure adherence to standards and guidelines set up the company and regulators;
- Review the service agreement regularly to update the scope of services, terms and pricing;
- Liaise with external vendors to support new or enhanced services to meet business priorities.
- Handle claim enquiries from external and internal customers;
- Prepare monthly management report and ad-hoc report for claims management;
- Analyze claims data to identify improvement opportunities, propose resolutions and execute improvement plans;
- Conduct claims training/briefing for both internal & external parties.
- Claims Insurance experience
This is an excellent time to join a company who are well known in the Insurance Sector in providing solutions to their customers, if you are interested please apply now to be considered.