高级专员,团险营运专家中心理赔岗

Posted Yesterday
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Shanghai, Shanghai Municipality, Shanghai, CHN
In-Office
Senior level
Insurance • Financial Services
The Role
负责制定与优化团险理赔规则与制度,建立理赔风险自查与反欺诈体系,深度分析重大疑难案件,参与新产品理赔规则制定,建立理赔培训与案例库,培养理赔专业队伍,确保理赔合规与风险可控。
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

该岗位负责结合团险发展策略、监管要求、公司风险政策等,制定合理的理赔规则;通过理赔品质全面分析、重大疑难案件深透管理、理赔反欺诈管理及PKI追踪等,筑牢理赔风控基石;建立理赔专业培训体系,培养理赔专业队伍。

岗位职责:

1. 梳理优化理赔规则制度,确保理赔规则制度符合监管要求,并能跟随公司风险策略及业务发展需求及时进行迭代更新。

2. 建立理赔业务全面风险自查体系,包括理赔规则制度落实的有效性、理赔案件品质达成率、理赔反欺诈实施的有效性等,确保理赔各项业务指标符合内外部合规审计要求。

3. 对分公司及OSSC提出的理赔重大疑难案件进行全方位深入风险分析,确保重大疑难案件处置得当,风险可控。

4. 建立理赔培训专业培训体系,编写理赔专业培训课程及理赔经典案例库,培养理赔专业队伍。

5. 参与新产品开发,并制定新产品的理赔运营规则。

岗位要求:

1. 大学本科以上学历,医学或法律专业。

2. 10年以上理赔工作经历,具备3年以上理赔重大疑理赔案件专业审核经验或总公司理赔业审经验,不限个团。

3. 客户导向、良好的团队合作、良好沟通能力以及抗压力。

4. 高效的问题解决和决策能力。

5. 积极主动,勇于承责,有处理Muti-task的能力。

6. 有理赔咨诉类处理经验者优先

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

  • 本科及以上学历,医学或法律专业
  • 10年以上理赔工作经历,含3年以上重大疑难案件专业审核或总公司理赔业审经验
  • 熟悉监管要求与公司风险政策,能制定并迭代理赔规则制度
  • 建立并实施理赔风险自查、理赔品质达成及反欺诈管理体系经验
  • 能够对重大疑难案件进行全方位深入风险分析并提出处置建议
  • 建立理赔培训体系、编写培训课程及案例库的能力
  • 以客户为导向,良好团队合作与沟通能力,抗压、积极主动、能处理多任务
  • 有理赔咨询/投诉处理经验者优先
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The Company
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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