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Sun Life

Global financial services for insurance, investments

Manager 1 – Claims Services

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeHong KongNo salary listedIn-person

About the Job

Requirements

  • A university degree, preferably in business, healthcare administration, or a related discipline.
  • At least 5 years of relevant life insurance claims experience, including at least 2 years in a managerial role and experience managing relationships with third-party administrators.
  • Proficiency in data analysis and reporting.
  • Experience in quality assurance.
  • Knowledge of medical terminology and procedures.
  • Knowledge of regulatory requirements and compliance standards in the insurance industry.

Responsibilities

  • Manage pre-approval medical claims to ensure timely and accurate claim settlements.
  • Handle complex and high-value claims, making decisions and recommendations as needed.
  • Develop medical cost and quality control standards to improve claims processing efficiency.
  • Provide guidance, training, and support to junior claims assessors to ensure high performance.
  • Ensure compliance with regulatory requirements and internal policies.
  • Collaborate with third-party administrators to resolve claims-related issues and identify process improvements.

About the Company

Sun Life

Global financial services for insurance, investments

Sun Life provides a wide range of financial services worldwide, mainly through life and health insurance, financial planning, and investment solutions for individuals, businesses, and institutions. Its products work by collecting premiums for insurance coverage, fees for planning services, and returns on investments; these funds are used to pay claims, support financial planning advice, and generate investment gains. What sets Sun Life apart is its global presence across Canada, the United States, Asia, and Europe, plus a comprehensive product lineup and a focus on helping clients achieve financial security and healthier lives, rather than relying on a single product. The company aims to grow and manage wealth for clients while pursuing sustainability goals, including net zero emissions by 2050.

Company size
10,001+
Company stage
IPO
Headquarters
United States
Founded
1865

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