Claims Excellence

Mandatory Skill

• Cantonese language speaking and reading fluently
• Medical/Health Insurance domain
• Claims operations

Job Description
The Supervisor supports the Quality Assurance & Training Assistant Manager in overseeing the Claims Excellence Team. This role is responsible for ensuring that post-payment claim reviews are completed within the established Service Level Agreements (SLAs). The Supervisor also assists in delivering training programs to the offshore team.

This position requires advanced knowledge of medical claims processes and the ability to identify potential risks or quality issues. The Supervisor is expected to recommend and implement corrective training measures to prevent recurrence of identified errors.

• Assist the Assistant Manager/Manager in training and management of the offshore team to ensure operational efficiencies and effectiveness
• Provide ongoing training to Offshore Claims Team and e...