What Jobs are available for Claims Investigation in Hong Kong?

Responsibilities:

• Handle and investigate fraud related alerts or cases in accordance with the Bank's policies and procedures and prepare reports for management's review
• Propose appropriate solutions for any identified issues, and monitor and follow up status of remedial actions
• Collect, screen, system update and analyse fraud related data and trend, and prepare reports for management's review
• Assist managers to handle fraud prevention and monitoring tasks
• Handle tasks assigned by managers

Requirements:

• University degree or above in academic qualifications
• 1-2 years working experience in financial crime compliance, audit, banking operations, internal control in banks / financial sectors
• Good command of both written and spoken English and Chinese (Cantonese and Mandarin)

Job Responsibilities

• Conduct investigation triggered by system alerts, cases referred by internal and external sources and thematic review

• Ensure suspicious transactions are thoroughly investigated and Suspicious Transaction Reports (STRs) are filed to JFIU with accurate information in a timely manner

• Handle case enquiries from FIs and local enforcement agencies

• Carry out post-STR measures

• Implement effective AML & fraud risk management related policies and procedures to manage the financial crime risks

• Support FCC and fraud risk management related projects

Job Requirements

• University degree in Law, Accountancy, Finance, Risk Management or a business­ related discipline preferred
• Holder of CAMLP/AAMLP/CAMS certification, CFE certification is a plus
• 2-5 years of experience in AML/ CFT/ investigating bank fraud and/or transaction monitoring cases in retail / commercial / corporate banks.
• Self-motivated, independent and ability to work with colleagues in different functions and across all levels
• Strong analytical and communication skills with a thinking out of the box mindset
• Proficiency in both written and spoken English and Chinese, fluency in Putonghua preferred

Launch your career in the dynamic world of insurance with comprehensive training and professional development This exciting entry-level opportunity offers candidates the chance to build expertise in claims handling and loss adjusting while working with diverse general insurance products. You'll develop critical investigative and analytical skills in a supportive environment that values continuous learning and professional growth in Hong Kong's thriving insurance sector.

• Process Claims: Provide comprehensive claim handling and adjusting services across various general insurance products, ensuring accurate assessment and timely resolution of client claims.
• Conduct Field Investigations: Carry out thorough on-site evaluations to gather evidence, assess damages, and verify claim details, developing practical skills in investigation and documentation.
• Interview and Document: Engage with claimants, witnesses, and relevant parties to collect detailed statements and compile comprehensive case documentation for accurate claim assessment.
• Research Precedents: Examine legal and procedural precedents to ensure consistent and compliant claim handling practices while building deep knowledge of insurance principles and regulations.
• Write Professional Reports: Prepare detailed, well-structured reports that clearly communicate findings, recommendations, and claim assessments to support decision-making processes.
• Develop Professionally: Engage in ongoing training programs and self-study initiatives while working toward professional examinations that advance your expertise in loss adjusting practice.

• University Graduates: Candidates from all disciplines, demonstrating strong academic foundation and analytical thinking capabilities essential for complex claim assessment work.
• Trilingual Communicators: Fluent communication skills in English, Cantonese, and Mandarin to effectively interact with clients and manage cases across Hong Kong's diverse community.
• Self-Motivated Individuals: Hardworking and driven professionals who demonstrate initiative and commitment to excellence in their responsibilities and client service delivery.
• Eager Learners: Individuals with a strong desire to acquire new skills through engaging self-study and continuous professional development, showing commitment to becoming an expert in insurance and loss adjusting.
• Career-Oriented Professionals: Dedicated individuals looking to develop a long-term professional career in loss adjusting practice, with willingness to pursue and successfully complete relevant professional examinations.
• Open to All Experience Levels: Candidates with no prior experience are welcomed to apply, as comprehensive training and mentorship programs are provided to develop industry expertise from the ground up.

Our client offers an attractive remuneration package and other benefits, such as:

• 5-day work week schedule
• Medical and travel allowances
• Generous performance bonus scheme
• Full reimbursement for successful completion of professional examinations
• Health insurance coverage and transportation allowances
• Mobile allowance and travel expense claims
• Internal training programs and education allowances
• Comprehensive training in specialized areas including field investigations, statement taking, precedent examination, and professional report writing

Ready to join this role? Click Apply now to submit your resume and share your availability and expected salary with us

We welcome applications from all candidates who are passionate about building a rewarding career in insurance and making a positive impact through professional claims management.

All information received will be kept strictly confidential and will be used only for employment-related purposes.

Refer A Candidate and Earn $2,000)

Job Description

Fresh Candidates

• Provides claim handling and adjusting services in General Insurance products

Qualifications

• University graduates of all disciplines
• Fluent in English, Cantonese & Mandarin
• Hardworking and self-motivated
• A strong desire to learn new skills and engaging in self-study
• Committed to develop a professional career in loss adjusting practice and taking professional examinations

Benefits

• Full training in work-related specialties, including field investigations, statement taking, examining precedents and report writings
• 5 day work week
• Medical and travelling allowance
• Generous Bonus Scheme
• Full reimbursement in successful professional examinations

Interested parties, please apply with your CV and application letter email to us, please press the APPLY NOW button.

Requirements:

• Associate degree or above, preferably with formal education or training in insurance
• 3-5 years' relevant experience in general insurance or related field
• Proven proficiency in written and spoken English and Chinese
• Good communication & negotiation skills
• Familiar with PC software e.g. MS Word, Excel, PowerPoint & Chinese Word Processing

Responsibilities:

• Handle general insurance claims (including Employee's Compensation, Public Liability and Property Damage claims)
• Verify and request claims documents, review policy liability, update system, liaise with insured, brokers and professionals including loss adjusters, negotiate settlement with claimants, prepare payments, etc.
• Perform other duties as assigned by supervisors

(Candidates with less experience will be considered for a more junior position.)

Good remuneration and attractive fringe benefits will be offered to the successful applicant. Interested parties please apply with full resume, present and expected salary, available date by clicking "Apply Now".

For further information, please visit our company website: 

We are an equal opportunity employer and welcome applications from all qualified candidates. All personal data collected will be used for recruitment purpose only.  Applicants not hearing from us within 3 months may consider their applications unsuccessful.  All personal data collected will be destroyed within 24 months.

Responsibilities

• Supervise and guide claims teams to maintain high standards in processing, communication, and service recovery.

- Address inquiries and resolve complaints from customers, distribution channels, internal departments, and insurance regulatory bodies; propose actionable improvements.

• Evaluate and approve claims fairly, offering flexible alternatives and maintaining transparent communication with distribution channels.

• Monitor productivity, quality, and efficiency of HK Operations through performance logs, audit findings, and management reports.

• Collaborate with auditors and reinsurers; participate in strategic projects to meet evolving business needs.

Requirement:

• Bachelor's degree or equivalent experience

• 5–8 years of relevant experience, or an equivalent combination of education and experience.

• Knowledge of life insurance claims processes

• FLMI and ALHC certifications preferred.

• Excellent communication and problem-solving abilities.

If you are interested in this position, please send your updated resume with details of work experience and contact number to us by clicking "APPLY NOW". OR you might contact Ella Chow at for further discussion.

• Responsible as the onsite delivery lead for the customer in Hong Kong.
• Lead project governance, milestone tracking, risk mitigation, and steering committee participation.
• Collaborate with customer business and technology stakeholders to align on priorities, scope, and execution timelines.
• Coordinate and manage offshore delivery teams (based in India) across product, engineering, QA, and implementation.
• Work closely with strategic implementation partner to ensure a seamless, joint delivery model.
• Ensure proper documentation, communication, and escalation channels are maintained across all phases of the project.
• Oversee UAT planning, cutover preparation, and post go-live support.

• 12+ years of experience in IT project management, with at least 5 years in insurance domain delivery.
• Hands-on experience leading core platform or claims transformation projects, preferably in life and health insurance.
• Strong understanding of Hong Kong health insurance landscape, including:
• VHIS (Voluntary Health Insurance Scheme)
• Group & Individual Reimbursement workflows
• Pre-authorisation, direct billing, and top-up claims
• Familiarity with ICD, PCS coding standards and regulatory guidelines
• Fluency in Cantonese is mandatory; professional-level English is required.
• Proven ability to manage offshore teams, especially India-based product and implementation functions.
• Strong communication, leadership, and program governance capabilities.
• Familiarity with project management tools like JIRA, Confluence, MS Project, etc.

• Experience working with Hong Kong insurers or large transformation programs in APAC.
• Understanding of STP (straight-through processing), provider network management, or adjudication engines.
• PMP, PRINCE2, or equivalent certification.
• Bachelor's degree in Engineering, IT, Business, or related domain.