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Claims Specialist III&IV

Manpower | Hong Kong, Hong Kong | Posted July 03, 2026

Position Overview

  • Support the daily operations of the Pre-Assessment and Claims functions
  • Fixed hour working on Mon to Fri (Sat & Sun off)
  • 1 year renewable contract
  • Job Description:

  • Support the daily operations of the Pre-Assessment and Claims functions, including medical pre-approval, claims adjudication, and administration, ensuring accuracy, efficiency, and compliance with internal guidelines and SOPs
  • Assess medical cases and evaluate pre-approval requests with sound judgment to ensure appropriate and timely decisions
  • Handle and resolve customer complaints and disputes professionally, including escalated or complex cases
  • Communicate with hospitals, clinics, and other healthcare providers to follow up on medical reports, treatment details, and case status to facilitate timely processing
  • Collaborate with internal stakeholders to deliver consistent, high-quality, and customer-oriented claims services
  • Provide guidance and on...
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