1 year contract - FWA Claims (Fraud) - Manager / Snr Manager

Company : Hays

Job Type : Full Time

Hong Kong

Number of Applicants

000+

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Job Description - 1 year contract - FWA Claims (Fraud) - Manager / Snr Manager

My client is one of the insurance firms in Hong Kong, they are seeking an experienced Fraud Claims Specialist to join on a 12-month contract. This role is ideal for someone with deep insurance expertise, strong leadership skills, and a passion for strengthening operational integrity and customer protection.

What You'll Do

Review operations and workflows to identify gaps, improve efficiency, and strengthen FWA controls, particularly within the Claims department.
Stay updated on regulatory changes and ensure all practices meet compliance standards.
Collaborate with cross-functional teams (e.g., Underwriting, Customer Service, IT, Finance, Compliance) to manage and mitigate FWA risks.
Use data analytics and reporting insights to enhance controls and support informed decision-making.
Lead claims strategy execution with a strong focus on FWA awareness and prevention.
Prepare for audits and ensure operational workflows meet regulatory and internal requirements.
Support digitalisation, product launch, compliance, and process improvement projects-embedding FWA safeguards throughout.
Act as Subject-Matter Expert for claims-related system enhancements; partner with IT for requirements and UAT.
Maintain and update the FWA/Claims/Audit Rules Master List.
Serve as Fraud Ambassador-raising awareness, sharing insights, and driving continuous improvement.
Lead the FWA framework, oversee fraud alerts, and ensure timely escalation and case resolution.
Reconcile fraud dispute cases and ensure accurate reporting.

✔ What We're Looking For

Bachelor's degree in Business, Finance, Insurance, or related fields.
10+ years of insurance experience, with a strong focus on FWA management, medical insurance, claims fraud, and project execution.
5+ years of leadership experience with a proven ability to lead teams and collaborate across functions.
Strong understanding of insurance and healthcare regulations, with solid medical knowledge relevant to fraud analysis.
Advanced experience in financial crime investigation and risk management.
High proficiency in MS Office and strong analytical skills, especially in data interpretation and systems analysis.
Strong investigative, reporting, and communication skills.
Detail-oriented, resilient, and effective under pressure.
Ability to analyse large datasets and make sound, independent decisions.
Fluent in English and Cantonese (written and spoken).

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.

Original job 1 year contract - FWA Claims (Fraud) - Manager / Snr Manager posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.

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1 year contract - FWA Claims (Fraud) - Manager / Snr Manager

Job Description - 1 year contract - FWA Claims (Fraud) - Manager / Snr Manager

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