Claims, Specialist & Senior Advisor

Company : Hays

Job Description - Claims, Specialist & Senior Advisor

Your new company

You'll be joining a leading insurance provider with a strong reputation in delivering customer-focused solutions across health and general insurance. The company is committed to excellence, innovation, and compliance, offering a dynamic environment where your expertise in claims operations will make a real impact.

Your new role

Reviewing and processing claims to ensure accuracy, compliance, and service benchmarks.
Handling escalated and in-hospital claims beyond standard authority levels.
Managing customer enquiries and complaints, providing professional advice and reassurance.
Collaborating with internal teams (Contact Center, Network Management, IT) to improve processes and customer satisfaction.
Ensuring claims practices meet regulatory requirements, company policies, and data privacy standards.

What you'll need to succeed

University/College graduate with relevant insurance or claims experience.
Hands-on knowledge of claims operations (medical or employee benefits preferred).
Strong problem-solving skills and customer-oriented mindset.
Excellent communication skills in English, Cantonese, and Putonghua.
Proficiency in Excel, Word, and PowerPoint; familiarity with UAT or system testing is an advantage.
Ability to work both independently and collaboratively in a fast-paced environment.

What you'll get in return

Competitive salary and benefits package.
Exposure to complex claims and opportunities to build expertise in medical/employee benefits.
A supportive team culture with ongoing training and development.
Career progression within a leading insurance organization.
The chance to make a tangible impact on claims quality, compliance, and customer satisfaction.

What you need to do now

If you're interested in this role, click 'apply now' to forward an up-to-date copy of your CV, or call us now.

If this job isn't quite right for you, but you are looking for a new position, please contact us for a confidential discussion on your career.

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Claims, Specialist & Senior Advisor

Job Description - Claims, Specialist & Senior Advisor

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