专员,团险理赔岗

Reposted 17 Days Ago
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Guangzhou, Guangdong, CHN
In-Office
Mid level
Insurance • Financial Services
The Role
The role involves claims review, ensuring service standards, developing operation rules, providing professional opinions for complex claims, mentoring colleagues, conducting audits, and reporting to the claims manager.
Summary Generated by Built In

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

Sound like you? Then read on.

About the Role

专员,团险理赔岗

(1)    完成理赔审核权限范围内的理赔信息及审核

(2)    确保日常工作达到服务标准,包括业务量、时效、品质及客户满意度

(3)    参与医疗险理赔审核操作规则的制定

(4)    参与医疗险疑难案件合议并提供专业意见

(5)    参与新同事带教指导,同时积累理赔审核经验,定期分享。

(6)    参与医疗险业务理赔审计及反欺诈实施

(7)   月度总结工作并向理赔经理汇报

 

岗位要求:

       大学本科以上学历,医学或法律专业

       3年及以上理赔审核工作经历

       有理赔投诉处理、反欺诈专项工作经验者优先

       客户导向、具有团队合作精神和良好沟通能力

      高效的问题解决能力

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.

Skills Required

  • Bachelor's degree or higher in medicine or law
  • 3 years or more of claims review experience
  • Experience in handling claims complaints and anti-fraud work preferred
  • Customer-oriented with strong teamwork and communication skills
  • Efficient problem-solving skills
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The Company
HQ: Hong Kong
25,938 Employees
Year Founded: 1919

What We Do

AIA Group Limited is a multinational insurance and financial services corporation headquartered in Hong Kong, providing life insurance, savings, and health protection products across the Asia-Pacific region.

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