# Claims Manager

**Company**: Sun Life
**Experience**: senior
**Job type**: full-time
**Salary**: attractive salary
**Category**: Finance
**Industry**: Finance

**Apply**: https://sunlife.wd3.myworkdayjobs.com/en-US/Experienced-Jobs/job/Hunghom-Kowloon-Hong-Kong/Manager-I--Claims-Services_JR00128225?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_6d77ecff-acb

## Description

This role supports effective claims management through complex and major claims handling, involving overseeing junior case reviews and establishing medical cost/quality control guidelines as well as communicating with channels on claims initiatives.

**Responsibilities**

- Handle and assess complex claims, including cases requiring escalation or further review.

- Manage claims appeals and complaints, ensuring appropriate review, follow-up, and resolution.

- Communicate with distribution channels and relevant stakeholders on claims enquiries, issues, and updates.

- Manage mini projects and claims-related initiatives, coordinating with relevant parties to support implementation.

- Conduct market intelligence and benchmarking to identify market practices, trends, and insights relevant to claims.

- Drive operational efficiency by identifying process improvements and opportunities to streamline claims operations.

**Requirements**

- University degree, preferably in business, healthcare administration or related discipline

- Minimum 5+ years relevant life insurance claims experience, with at least 2 years in managerial role and TPAs relationship management experience

- Excellent leadership skills

- Proficiency in data analysis and reporting

- Strong communication and interpersonal skills

- With quality assurance experience

- Knowledge of medical terminology and procedures

- Knowledge of regulatory requirements and compliance standards in the insurance industry

At Sun Life, we offer a 5-day workweek, attractive salary, MPF, group life and group medical insurance, and excellent career development opportunities.

## Skills

### Required
- leadership
- data analysis
- reporting
- communication
- interpersonal skills
- quality assurance
- medical terminology
- regulatory requirements

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Source: [Apply at sunlife.wd3.myworkdayjobs.com](https://sunlife.wd3.myworkdayjobs.com/en-US/Experienced-Jobs/job/Hunghom-Kowloon-Hong-Kong/Manager-I--Claims-Services_JR00128225?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)