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Manager, Medical Services

2 months ago

Beijing, Beijing, China HSBC China Full time
Some careers have more impact than others.

If you're looking for a career where you can make a real impression, join HSBC and discover how valued you'll be. Whether you want a career that could take you to the top, or simply take you in an exciting new direction, HSBC offers opportunities, support and rewards that will take you further.

HSBC Life is a world-class institution where you can specialize in Insurance but enjoy the advantages that come with being part of a leading global international bank. Insurance is about people, and the promises they make. At HSBC Life we help deliver on these promises by providing a wide variety of life insurance products and services to our clients throughout the Asia-Pacific region.

Our employees enjoy a dynamic and innovative workplace and a world of opportunities to develop their careers in a high-profile growing business segment. We empower our team of high-performing individuals to build skills and explore new experiences to realize the full potential of being part of HSBC.

Together we pursue efficient ways of working. We harness the latest data and technology solutions to achieve meaningful outcomes for our clients. The protection we offer creates broad and lasting impact, helping clients to be healthier, more productive and more confident in their futures.

We are currently seeking a high calibre professional to join our team as a Manager, Medical Services - Claims Audit & Risk Management .

Principal Responsibilities
  • Conduct comprehensive risk assessment to identify potential risks affecting Group Life & Group Medical claims operations. Develop & implement risk mitigation actions to minimize the exposure to risks
  • Perform regular review of internal claims controls as per the compliance requirement of the organization and ensure the claims department is compliant with internal policies and regulatory requirements
  • Coordinate with Claims operations and medical concierge departments to streamline workflows and resolve operational issues
  • Act as point of contact with internal and external claims auditors to represent Claims department for regular review of claims operations & controls
  • Review and maintain Claims Standard Operating Procedures for Operational management, Fraud management and financial reporting
  • Prepare and submit timely reports on risk management and governance activities to management forums on Claims operations. Provide training and guidance to Claims teams on best practices, fostering culture of compliance and continual improvement
  • Maintain comprehensive documentation of processes, procedures, and risk assessments
  • Perform other responsibilities and duties periodically assigned by line manager to drive business requirements
Requirements
  • At least 3-5 years' relevant experience in claims compliance/risk/operational management in Life or Medical insurance industry is a must
  • Bachelor's degree in Business Administration, Finance, Risk Management, or a related field. A master's degree or professional certification (e.g., LOMA, ARM) is a plus
  • Knowledge of regulatory requirements and industry best practices in claims management and risk control
  • Good command of written and spoken English. Mandarin or Cantonese is preferred
  • Ability to effectively prioritise & execute tasks while under pressure
  • Results orientated, self-directed and motivated change leader. Ability to work effectively in a multinational, highly matrixed environment
  • Effective communication and interpersonal skills, with excellent relationship building and stakeholder management skills
You'll achieve more when you join HSBC.


HSBC is committed to building a culture where all employees are valued, respected and opinions count. We take pride in providing a workplace that fosters continuous professional development, flexible working and opportunities to grow within an inclusive and diverse environment. Personal data held by the Bank relating to employment applications will be used in accordance with our Privacy Statement, which is available on our website.

Issued by The Hongkong and Shanghai Banking Corporation Limited.