Director/ Associate Director, Claims

Manulife Hong Kong is seeking for a Claims Director to be responsible for team performance across cashless process to group and individual claims. This will be a key role for adjudication of complex cases, handling complaint and regulatory responses, as well as contribution to claims-related projects.

**Position Responsibilities**

Daily Operations

+ Assist the CCRM in overseeing the entire claims journey and ad hoc tasks, including BAU of both reimbursement & cashless/preassessment processes.
+ Adjudicate and review complex or escalated cashless cases or claims, both major and minor, ensuring compliance with policy provisions and regulatory requirements.
+ Collaborate with stakeholders to manage complex cases, complaints, and appeals, ensuring smooth & professional resolution.
+ Monitor team performance and KPIs, focusing on continuous improvement to deliver enhance claims service that enhance customer experience.

Claims Risk Management
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