What Jobs are available for Insurance Claims in Hong Kong?
Showing 14 Insurance Claims jobs in Hong Kong
Insurance Claims Handler
Posted today
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Job Description
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.
What you'll be doing?- 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.
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Insurance Claims Handler
Posted today
Job Viewed
Job Description
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.
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assistant officer – insurance claims
Posted today
Job Viewed
Job Description
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.
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Life Insurance Claims, Specialist
Posted today
Job Viewed
Job Description
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.
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Functional Lead (Insurance Claims)
Posted 12 days ago
Job Viewed
Job Description
+ Serve as the company's functional lead for claims during all phases of the implementation.
+ Act as the functional anchor for all claims-related requirements, workshops, and design validations-working directly with the customer and representing the company's product with domain authority.
+ Conduct and lead requirement workshops, including discovery, process validation, and data mapping sessions.
+ Lead workshops with confidence, validate use cases, map requirements, and guide the customer through best practices-avoiding vague elicitation.
+ Understand Hong Kong's health claims landscape-including: - VHIS products and top-up riders - Pre-authorisation flows and provider billing logic - Medical coding standards (ICD, PCS, TOSP) - Provider networks and reimbursement models - Claims SLAs, appeals, regulatory workflows, and audit readiness
+ Provide clear, assertive guidance to customers-mapping their needs to the company's product capabilities and identifying any configuration/localisation required.
+ Act as a bridge between the customer's business team and the company's offshore implementation and product teams (India-based).
+ Support test scenario definition, UAT planning, and go-live validation, ensuring alignment to the functional use cases.
+ Review product enhancements or localisation requests to ensure they are truly needed and not a workaround for missing understanding.
+ Document all validated requirements in collaboration with Business Analysts and maintain traceability.
**Required Skills & Experience**
+ 10+ years of experience in the health insurance claims domain.
+ Deep understanding of end-to-end health insurance claims processing in Hong Kong, including: - Pre-authorisation - Provider management - ICD/PCS codes - Adjudication rules - Regulatory expectations
+ Strong domain knowledge across claims processing, provider management, benefit adjudication, and regulatory compliance.
+ Prior experience working on claims platform implementations or transformation projects in Hong Kong or other APAC health insurance markets.
+ Familiarity with: - ICD, PCS, and surgical procedure codes - Medical necessity and coding validation - Claim-to-policy benefit mapping - Eligibility verification and co-pay/deductible logic
+ Ability to lead workshops, navigate ambiguity, and guide business users confidently.
+ Excellent communication skills in English; Cantonese proficiency is preferred but not mandatory.
+ Ability to interact closely with Hong Kong-based business users and health claims teams.
+ Ability to work with offshore teams and represent the product roadmap, configurability, and functional boundaries clearly.
**Preferred Qualifications**
+ Experience working with Hong Kong-based life and health insurers.
+ Functional experience with auto-adjudication engines, pre-auth platforms, or provider portals.
+ Exposure to regulatory guidelines from FHB, IA, or MOH in Hong Kong.
+ Clinical coding background or familiarity with coding audit processes is a strong plus.
+ Bachelor's degree in Life Sciences, Insurance, Healthcare Administration, or equivalent.
#LI-AL1
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
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Project Manager – Insurance Claims Transformation
Posted today
Job Viewed
Job Description
- 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.
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Project Manager - Insurance Claims Transformation
Posted today
Job Viewed
Job Description
+ 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.
**Required Skills & Experience**
+ 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.
**Preferred Qualifications**
+ 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.
#LI-AL1
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
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Insurance - Claims Specialist (up to 45K )
Posted today
Job Viewed
Job Description
Responsibilities
- Address inquiries and resolve complaints from customers, distribution channels, internal departments, and insurance regulatory bodies; propose actionable improvements.
Supervise and guide claims teams to maintain high standards in processing, communication, and service recovery.
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.
Knowledgeable in claims or underwriting
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.
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Manager / Assistant Manager - Group Insurance Claims
Posted today
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Job Description
Responsibilities:
- Assess and approve new group claims/complaint case/complicated case within authority and manage customer expectation by offering flexible solution.
- Prepare regular management and business reports of Claims Department.
- Assist Department Head to supervise the project team and lead the team to achieve the KPI and help driving initiatives to uplift operations efficiency and customer experience.
- Provide regular training and support to enhance professional knowledge and standard of subordinate and agency.
- Lead and coordinate BAU system enhancement activities to meet business priorities.
- Accountable for conducting business data analysis, preparing and gathering user requirements, defining project scope and reviewing functional specifications to ensure alignment with business objectives.
- Coordinate and assist in UAT activities such as preparation of test plan, test cases, pre-UAT quality check, monitoring of bug fixing, retest progress, UAT reports and post implementation monitoring.
- Work effectively and efficiently with cross-functional departments and external parties to ensure projects are delivered on time, within budget and aligned with company strategy.
Requirements:
- Bachelor degree holders in Insurance, medical, management or related disciplines.
- Holder of FLMI or ICA qualification is preferred.
- Minimum 8 years of claims experience in Life Insurance Industry with at least 3 years in management level.
- Proficient in written and spoken English and Chinese. Fluency in Putonghua is definitely an advantage.
- Highly organized self-starter, capable to lead multiple projects to meet tight deadlines and work in a fast paced environment.
- Excellent analytical, problem solving and decision making skills.
- Candidates with less experience will be considered for Assistant Claims Manager.
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Claims Manager, General Insurance
Posted today
Job Viewed
Job Description
My client is a reputable general insurance company offering a wide range of insurance products and solutions worldwide. They are currently looking for an experienced
Claims Manager
in
general insurance
to join their dynamic team.
Responsibilities
- Oversee and supervise subordinates in handling insurance claims, ensuring smooth daily operations in compliance with company requirements
- Monitor and manage vendor performance to guarantee quality services for clients
- Lead the team in providing appropriate training on claims handling
- Deliver claims services to customers and intermediaries, addressing inquiries as needed
- Conduct month-end reserve reviews for claims cases
- Assist in preparing management reports and statistics for review by management
Qualifications
- A Degree holder with a recognized insurance professional qualification is preferred
- At least
10 years of experience
in
general insurance claims
, specifically in
Property & Casualty - Team supervision experience
is advantageous - Strong technical expertise in
Property & Casualty
products - Independent with strong negotiation and problem-solving abilities
- Well-versed in market dynamics and competitive landscape
- Customer-focused with excellent communication and interpersonal skills
- Proficient in both spoken and written English and Cantonese
- Skilled in MS Word, Excel, and PowerPoint
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