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.

HSBC is one of the largest banking and financial services organisations in the world, with operations in 64 countries and territories. We aim to be where the growth is, enabling businesses to thrive and economies to prosper, and, ultimately, helping people to fulfil their hopes and realise their ambitions.

We are currently seeking an experienced professional to join our team in the role of Senior Financial Services Officer - INSURANCE - EB CLAIMS INHK.

Principal responsibilities:

Managing third parties (i.e. TPA) to operate in conformance with HSBC standards and regulatory requirements.Maintaining high quality Insurance service provision with reduced unplanned business impact in an environment of large business volume of medical claims, enhanced regulatory oversight and stringent cost management.Working with business lines and functions to understand and ensure transparency in quality performance from a customer perspective, in the language of the business and clearly articulating the business impact and cost of service problems.Ensuring effective management of issue handling to enable root cause analysis for remedial actions, preventive measures and timely management reporting.

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.

HSBC is one of the largest banking and financial services organisations in the world, with operations in 64 countries and territories. We aim to be where the growth is, enabling businesses to thrive and economies to prosper, and, ultimately, helping people to fulfil their hopes and realise their ambitions.

We are currently seeking an experienced professional to join our team in the role of Senior Financial Services Officer - INSURANCE - EB CLAIMS INHK.

Principal responsibilities:

Managing third parties (i.e. TPA) to operate in conformance with HSBC standards and regulatory requirements.Maintaining high quality Insurance service provision with reduced unplanned business impact in an environment of large business volume of medical claims, enhanced regulatory oversight and stringent cost management.Working with business lines and functions to understand and ensure transparency in quality performance from a customer perspective, in the language of the business and clearly articulating the business impact and cost of service problems.Ensuring effective management of issue handling to enable root cause analysis for remedial actions, preventive measures and timely management reporting.Assist to develop and implement claims policy, guidelines and standards. Regular review the administration procedures to ensure all activities are processed in the most effective means. Support implementation of Health Ecosystem automation. Assess and approve claims within own claims authority and make recommendation to senior for those claims exceeding own authority limit, conduct claims investigations where necessary. Assist in overseeing the operations of claims and case management. Resolve day to day claims related issue for all EB products.Identify ineffective claims practice. Report and assist in driving initiatives for change.Provide assistance in conducting routine audits to assure quality and timely processing targets are maintained and corrective action is taken to avoid recurrence. Support in monitoring trends in claims and prepare necessary statistical information and regular reports for management use. Assist in service providers monitoring and control. Ensure business objectives are delivered in accordance with procedures and service standard and the business operated in accordance with Group and regulatory compliance and with robust internal control. Deliver timely response and provide viable solutions to clients to meet customer expectations.Follow the internal HSBC protocol and external regulatory requirement to support the Third Party Administration agreement with service supplier from health insurance perspective. Collect market intelligence and feedback to facilitate services competitiveness improvement. Stay abreast of medical advance technology or information for claims adjudication.

Candidate with less relevant experience or skills may be offered a lower Global Career Band than stated above.

Due to the urgent hiring need, candidates with immediate right to work locally and no relocation need will be prioritised.

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.

Assist to develop and implement claims policy, guidelines and standards. Regular review the administration procedures to ensure all activities are processed in the most effective means. Support implementation of Health Ecosystem automation. Assess and approve claims within own claims authority and make recommendation to senior for those claims exceeding own authority limit, conduct claims investigations where necessary. Assist in overseeing the operations of claims and case management. Resolve day to day claims related issue for all EB products.Identify ineffective claims practice. Report and assist in driving initiatives for change.Provide assistance in conducting routine audits to assure quality and timely processing targets are maintained and corrective action is taken to avoid recurrence. Support in monitoring trends in claims and prepare necessary statistical information and regular reports for management use. Assist in service providers monitoring and control. Ensure business objectives are delivered in accordance with procedures and service standard and the business operated in accordance with Group and regulatory compliance and with robust internal control. Deliver timely response and provide viable solutions to clients to meet customer expectations.Follow the internal HSBC protocol and external regulatory requirement to support the Third Party Administration agreement with service supplier from health insurance perspective. Collect market intelligence and feedback to facilitate services competitiveness improvement. Stay abreast of medical advance technology or information for claims adjudication.

Candidate with less relevant experience or skills may be offered a lower Global Career Band than stated above.

Due to the urgent hiring need, candidates with immediate right to work locally and no relocation need will be prioritised.

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.