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Claims Officer (Commercial / Employees' Compensation) – Mid-level role in Guangzhou, hybrid.
Manage EC claims, settlements, negotiations, and legal support for employees worldwide.
Job Summary
Handle Employees’ Compensation (EC) claims with focus on liability, investigation and global settlement
Drive outcomes on liability, return to work and injury management
Provide quality and professional claims service to customers
Strong ability to understand barriers for return to work and strategies to deal with return-to-work issues
Job Accountabilities
Review, resolve and proactively finalize claims within authority limits ensuring settlement at an optimum level
Take proactive approach in monitoring employees’ compensation claims in order to minimize claims settlement
Handle EC litigated claims by taking responsibility to resolve all enquiries from both customer and external contacts to ensure delivery of a focused claims service
Ensure claims procedures, documentation is adhered to the group claims management requirement and best practice
Build up relationship with all stakeholders and achieve compromised settlement to conclude the case at the earliest time and avoid litigation
Develop a claim case strategy to ensure appropriate reserves are assigned, in which investigations are conducted and appropriate suppliers are engaged
Provide quality customer service to clients & meet with clients for claims review meeting
Acquire and efficiently organize the relevant evidence and information to accurately assess the value of the litigated claim and to recognize potential fraud/recovery indicators
Identify all potential recovery and fraud cases
Assist Claims Manager to monitor and conduct assessment of the performance of external loss adjuster whose services form part of claims services
Set and monitor reserve adequately and timely and ensure the authoritative level laid down are complied with
Report to claims management team on adverse trend of development of claims
Report to claims management team for clients with adverse claims experience
Perform any other duties, task-oriented or claims related as may be delegated by Claims Manager
Job Qualifications
Degree holder
Tertiary education in one of the fields (or more) would be required:
Insurance, Business Administration or Legal
ANZIIF/ACII would be an asset
Over 2 years EC claims management experience is a must
Experience in managing legal claims is highly preferred
Previous handling corporate client would be an asset
Knowledge in insurance principles
Litigation knowledge is highly preferred
Strong knowledge of Employees‘ Compensation Ordinance
Understand legislation and legal liability
Interpretation of policy cover
Understand industry standards and protocol
Knowledge of claims agreements
Knowledge of the legal procedure of WC litigated case in Hong Kong
Good command of written and spoken English & Chinese (including Cantonese & Mandarin)
Negotiation skill, both written and verbal
Candidates with less experience can be considered as Claims Assistant
Why Zurich
At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right?
We are an equal opportunity employer who knows that each employee is unique - that’s what makes our team so great!
Join us as we constantly explore new ways to protect our customers and the planet.
Location(s)
Location(s): HK - Hong Kong, CN - Guang Zhou, Pazhou
Remote working
Remote working: Hybrid