高级专员,理赔

Posted:
8/27/2024, 1:53:15 PM

Location(s):
Shanghai, Shanghai, China ⋅ Shanghai, China

Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior

Field(s):
Business & Strategy

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

参与新产品开发,结合监管要求、公司风险政策等,确定合理的理赔规则;
通过业务分析进行理赔风险评估,确保风险暴露在公司预期范围内。

Roles and Responsibilities:

个险业务理赔管理(80%)

  • 按照公司管理方向,协助主管进行个险理赔的整体绩效管理风险管理
  • 优化和维护理赔规则、流程和系统优化、参与创新项目
  • 参与新产品研发,根据产品特性、条款等,制定理赔规则及开发需求研讨,以符合公司风险管理、合规、反洗钱和相关法规的要求
  • 审批和处理超分公司/运营共享中心权限案件、复杂投诉的特殊案件
  • 协助监控医疗理赔KPI、形成医疗理赔报告,分析理赔趋势和数据
  • 为分公司/运营共享中心提供理赔技术培训,根据需要并为大健康团队等相关部门提供技术支持/培训

其他理赔相关职能(20%)

  • 参与理赔相关的项目,以提高理赔效率等
  • 解读监管政策规定、关注市场动态及理赔进展,参与理赔规则的调整或更新

Job Requirements:

  • 大学本科或以上,医学、法律背景优先
  • 5年以上理赔及相关工作经验,有项目管理经验优先
  • 熟练使用办公室软件如Word、Excel、PowerPoint
  • 较强的沟通协调能力,独立分析、解决问题的能力
  • 敢于创新和突破,有创造性思维以及持续自我学习能力, 学习新工具与新技术并快速应用在实际工作中
  • 流利通畅的中英文交流及书写能力
  • 具备FLMI资格者优先

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.