Asst Manager, Medical Services

HSBC is one of the world's largest banking and financial services organisations. Our global businesses serve more than 40 million customers worldwide through three global businesses: Wealth and Personal Banking, Commercial Banking, Global Banking & Markets. Our network covers 64 countries and territories in Europe, Asia, the Middle East, Africa, North America, and Latin America.

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If you're looking for a career where you can make a real impression, join HSBC and discover how valued you'll be. Whether you want a career that could take you to the top, or simply take you in an exciting new direction, HSBC offers opportunities, support and rewards that will take you further.

HSBC Life is a world-class institution where you can specialize in Insurance but enjoy the advantages that come with being part of a leading global international bank. Insurance is about people, and the promises they make. At HSBC Life we help deliver on these promises by providing a wide variety of life insurance products and services to our clients throughout the Asia-Pacific region.

Our employees enjoy a dynamic and innovative workplace and a world of opportunities to develop their careers in a high-profile growing business segment. We empower our team of high-performing individuals to build skills and explore new experiences to realize the full potential of being part of HSBC.

Together we pursue efficient ways of working. We harness the latest data and technology solutions to achieve meaningful outcomes for our clients. The protection we offer creates broad and lasting impact, helping clients to be healthier, more productive and more confident in their futures.

We are currently seeking a high calibre professional to join our team as an Assistant Manager, Medical Services (Claims Audit & Quality Control) .

Principal Responsibilities

The role holder is accountable to ensure the Insurance business service targets exceed business partner and customer expectations, and is responsible for Insurance Business Service oversight, assessment, continuous improvement and quality reviews. Also, the role holder will ensure employee benefits service expectations are defined, measured and assessed, business impact of service problems is communicated, understood and actions progressed to prevent re-occurrence, as well as provide Insurance business insight to, and ensure appropriate communication of, Insurance business change activities or concerns.

• Assist in in-house Employee Benefits (EB) Claims audit to ensure claims adjudication, processing, documentation is adhered to standard operating procedure and best practice
• Take proactive approach in monitoring employee benefits claims Quality control (QC) initiatives and prepare QC reports with the findings
• Assist team members to handle and resolve complicated claim case
• Prepare audit reports, drive actionable insights for improvisation
• Assist in system requirement and enhancement related to claims audit & quality controls
• Undertake other projects and support business initiatives as assigned by the management
• Assist in in-house Employee Benefits Claims audit to ensure claims adjudication, processing, documentation is adhered to standard operating procedure and best practice
• Take proactive approach in monitoring employee benefits claims Quality control (QC) initiatives and prepare QC reports with the findings
• Assist team members to handle and resolve complicated claim case
• Prepare audit reports, drive actionable insights for improvisation
• Assist in system requirement and enhancement related to claims audit & quality controls
• Undertake other projects and support business initiatives as assigned by the management

• Bachelor's degree
• At least 5 years' relevant claims experience medical insurance industry
• Good technical and product knowledge in Insurance
• Strong analytical and problem solving skills
• Strong interpersonal skills including communication at all levels of internal counterparts, brokers or customers, stakeholders
• Own the job attitude, Independent, self-motivated, well-organized, good team player and able to work under pressure
• Good command of written and spoken English and Chinese
• Good computer skill, proficient in MS Office, Excel and PowerPoint

You'll achieve more when you join HSBC.

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Issued by The Hongkong and Shanghai Banking Corporation Limited.