Head of Claim, Claim, HQ
Manulife
, Shanghai CN
2天前

Are you looking for unlimited opportunities to develop and succeed? With work that challenges and makes a difference, within a flexible and supportive environment, we can help our customers achieve their dreams and aspirations.

岗位职责 :

1. 确保宏利总部制定的理赔标准和各项管理制度在中宏的贯彻执行 包括基于上述标准和制度制定符合本地区特点的更 细的理赔准则并确保理赔部的各项操作均符合规定 同时确保理赔操作和规则符合国际理赔协会的原则声明

2.领导理赔员的培训和发展 保持公司在行业内首屈一指的专业形象和声誉

3.负责重大理赔案件及下属员工超越权限的各类理赔案件审核 负责监督理赔时效和流程的执行

4.负责理赔部质量审核 对理赔员的理赔授权提出更改建议

5.定期进行理赔数据分析 向风控 合规 核保 精算等部门提供理赔数据报告

6.参与新产品的开发 从理赔的角度提出意见 确保理赔操作符合产品的保障范围和定价假设

7.参与公司与再保险公司的协议制定工作

8.参加行业会议 关注监管和法律环境的变化及其对理赔的影响 及时调整 理赔规则以与之相适应

9.关注理赔欺诈情况的动态 与核保和财务等部门分享与其有关的理赔欺诈的情况

10.与公司其他分支.机构 第三方机构和同业保持良好关系

11.负责和参与各项有利于公司发展的各种项目

12.遵守各项法律法规监管要求 例如根据总公司的AML制度制定理赔部的AML 管理办法 并落实于日常工作中

13.协助处理理赔投诉

14.领导安排的其他工作

知识 / 技能 / 能力 / 学历 :

1. 大学本科以上学历 医学专业优先

2. 10年以上保险公司两核岗位从业经验 有理赔经验者优先

3. 有较强的沟通能力和在快节奏和压力下工作的能力

4 能够熟练操作电脑和Office软件

5. 有积极的工作态度和良好的学习能力

If you are ready to unleash your potential, it’s time to start your career with Manulife / John Hancock.

About Manulife

Manulife Financial Corporation is a leading international financial services group that helps people make their decisions easier and lives better.

We operate primarily as John Hancock in the United States and Manulife elsewhere. We provide financial advice, insurance, as well as wealth and asset management solutions for individuals, groups and institutions.

At the end of 2018, we had more than 34,000 employees, over 82,000 agents, and thousands of distribution partners, serving almost 28 million customers.

As of June 30, 2019, we had over $1.1 trillion (US$877 billion) in assets under management and administration, and in the previous 12 months we made $29.

4 billion in payments to our customers. Our principal operations in Asia, Canada and the United States are where we have served customers for more than 100 years.

With our global headquarters in Toronto, Canada, we trade as 'MFC' on the Toronto, New York, and the Philippine stock exchanges and under '945' in Hong Kong.

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