Manager, Complex Life Claims & Appeals

Sun Life of Canada (Philippines), Inc. Josephine Collado; Hong Kong; Sur place; HKD 600 000 - 900 000; Plein temps

Avantages offerts par ce poste

MPF

Group life insurance

Group medical insurance

Excellent career development

Résumé du poste

Sun Life invites experienced claims leaders to join our Life & Disability team in Hong Kong. This role oversees complex and major claims, mentors junior reviewers, and sets medical cost/quality guidelines while coordinating with channel partners on claims initiatives.

You will drive efficiency, conduct market benchmarking, manage claims appeals, and ensure regulatory compliance with strong data-analysis and leadership skills.

Qualifications

• University degree in business, healthcare administration or related discipline.
• Minimum 5+ years life insurance claims experience, with at least 2 years in a managerial role.
• Knowledge of medical terminology and regulatory requirements in insurance.
• Excellent leadership and interpersonal skills.

Responsabilités

• Handle and assess complex claims, including cases requiring escalation or further review.
• Manage claims appeals and complaints, ensuring appropriate review, follow-up, and resolution.
• Communicate with distribution channels and relevant stakeholders on claims enquiries, issues, and updates.
• Manage mini projects and claims-related initiatives, coordinating with relevant parties to support implementation.
• Conduct market intelligence and benchmarking to identify market practices, trends, and insights relevant to claims.
• Drive operational efficiency by identifying process improvements and opportunities to streamline claims operations.

Connaissances

Leadership

Data analysis

Communication

Regulatory compliance

Formation

University degree in business, healthcare administration or related discipline

Description du poste

Sun Life invites experienced claims leaders to join our Life & Disability team in Hong Kong. This role oversees complex and major claims, mentors junior reviewers, and sets medical cost/quality guidelines while coordinating with channel partners on claims initiatives.

You will drive efficiency, conduct market benchmarking, manage claims appeals, and ensure regulatory compliance with strong data-analysis and leadership skills.