Claim Management Consultant

Posted 3 Days Ago
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Beijing
In-Office
Junior
Healthtech
The Role
The Claims Management Consultant manages complex claims assessments, maintains customer records, and ensures compliance with regulatory requirements while assisting colleagues and improving processes.
Summary Generated by Built In

Job Description:

Claims Management Consultant

Location: Beijing

Fix-term contract (3 years)

Full time

Onsite working

We make health happen

Bupa Global is the international health insurance division of Bupa. We provide customers who want premium international coverage with products and services to access the healthcare they need anytime, around the world, whether at home or when studying, living, travelling or working abroad.
 
Bupa Global has offices around the world including London and Brighton (UK), Dublin (Europe), Miami (USA), Dubai (UAE, in partnership with OIC), Egypt and Hong Kong (China) as well as regional offices in mainland China, Singapore, the Dominican Republic, Bolivia, Panama, Guatemala and Ecuador.

How you’ll help us make health happen

  • Handle the assessment of complex and high value claims predominately incurred in Asia (such as Hong Kong, Singapore, China).
  • Taking end to end ownership for the resolution of all claims queries within agreed SLAs and quality.
  • Managing the uploading and assessment of Customer and Provider claims, including both high value and complex claim.
  • Accurately maintaining and updating customer records on the customer management system include payee details.
  • Contribute to the continuous improvement process by putting forward CX ideas.
  • Share knowledge and experience with colleagues, provide training and guidance.
  • Take responsibility for your own development e.g. explore how different learning internal and external opportunities can develop personal skills and depth of knowledge according to agreed development objectives.
  • Complying with all regulatory and local governance requirements including FCA and Treating Customers Fairly
  • Participate in regular 121s and team meetings with your Manager

Key Skills/Qualifications needed for this role:

  • Diploma, Degree holder with relevant insurance experience is an advantage
  • Medical qualification is desirable.
  • Language Skills:
    • Fluency in spoken English and Chinese is essential.
    • Proficiency in written English is required.
  • Skills & Experience:
    • Broad experience of claims assessment / management within the healthcare sector is a strong advantage.
    • For less experienced / no experience candidates – eagerness and willingness to learn, absorb and deliver claim management activities will definitely be considered.
    • Excellent communication skills, especially in simplifying complex information.
    • Proven ability to work independently and manage time effectively.
    • Good problem solving and decision-making skills with cross cultural sensitivity.
    • Can performs tasks in effective pace with great quality.
    • Good command of written and spoken English and Chinese.

Why Bupa?

We’re a health insurer and provider. With no shareholders, our customers are our focus. Our people are all driven by the same purpose – helping people live longer, healthier, happier lives and making a better world. We make health happen by being brave, caring and responsible in everything we do.

We encourage all of our people to “Be you at Bupa”, we champion diversity, and we understand the importance of our people representing the communities and customers we serve.  That’s why we especially encourage applications from people with diverse backgrounds and experiences.

Bupa takes pride in being a Level 2 Disability Confident Employer and will aim to offer an interview/assessment to disabled applicants who best meet the minimum criteria for the role. We’re committed to ensuring you’re treated fairly during the recruitment process and offer reasonable adjustments to anyone who may benefit from accommodations to the recruitment process. 

Time Type:

Full time

Job Area:

Business Development

Locations:

China - Beijing

Top Skills

Customer Management System
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The Company
HQ: London
23,800 Employees
Year Founded: 1947

What We Do

Bupa's purpose is helping people live longer, healthier, happier lives and making a better world.

We are an international healthcare company serving over 38 million customers worldwide. With no shareholders, we reinvest profits into providing more and better healthcare for the benefit of current and future customers.

We directly employ around 85,000 people, principally in the UK, Australia, Spain, Chile, Poland, New Zealand, Hong Kong SAR, Türkiye, Brazil, Mexico, the US, Middle East and Ireland. We also have associate businesses in Saudi Arabia and India.

For more information, visit www.bupa.com

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