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AIA International Limited

About AIA Hong Kong and AIA Macau

AIA Hong Kong and AIA Macau are subsidiaries of AIA Group Limited. AIA Group Limited established its operations in Hong Kong in 1931. We have more than 11,000 financial planners*, as well as an extensive network of brokerage and bancassurance partners who serve more than 1.8 million customers*. Our products range from individual life, group life, accident, medical and health, personal lines insurance to investment-linked products with numerous investment options. We are also dedicated to providing superb product solutions to meet the financial needs of high net worth customers.
* As of February 2016

AIA International Limited About AIA Hong Kong and AIA Macau AIA Hong Kong and AIA Macau are subsidiaries of AIA Group Limited. AIA Group Limited established its operations in Hong Kong in 1931. We have more than 11,000 financial planners*, as well as an extensive network of brokerage and bancassurance...
AIA International Limited

About AIA Hong Kong and AIA Macau

AIA Hong Kong and AIA Macau are subsidiaries of AIA Group Limited. AIA Group Limited established its operations in Hong Kong in 1931. We have more than 11,000 financial planners*, as well as an extensive network of brokerage and bancassurance partners who serve more than 1.8 million customers*. Our products range from individual life, group life, accident, medical and health, personal lines insurance to investment-linked products with numerous investment options. We are also dedicated to providing superb product solutions to meet the financial needs of high net worth customers.
* As of February 2016

Health Services Specialist

Job level Entry
Work exp Minimum 3 Years
Education Bachelor Degree
Location
Wong Tai Sin Wong Tai Sin Kowloon, Hong Kong
Employment type Full Time
Industry Insurance
Job function Sales / Business Development / Customer Service > Customer service / Sales Support
Medical Services > Nursing
Published On 25/03/2018 2018-03-25 2018-04-24

Job Summary

Handles customers' / agents' / medical partners' enquiries and complaints regarding all activities in insurance operation process (Medical Panel Service) through face to face interaction at hospital locations.

Job Responsibilities

Enquiry Operation

  • Handles customers' / agents' enquiries and complaints regarding all activities in medical insurance policy operation process such as Prior Authorization (PA) Approval, Letter of Guarantee (LOG) Medical Service booking and advice, Claims and In / Outpatient arrangement;
  • Reports problems, potential crisis and complainst to Manager for service improvement;
  • Follows through with agents / customers on servicing issues;

Prior Authorization (PA) / LOG Approval

Processes Prior Authorization requests in accordance with the terms and conditions of the policy and the authority level with the benchmark of  pre-defined  turnaround time

  • Checks eligibility of the member for benefit entitlement;
  • Explains benefit details and delivers claims / PA decision to customer if required;
  • Issues Letter of Guarantee whenever required;

Administrative Works

  • PA, LOG process;
  • Documentation / Service log or email to AIAHK Business Partners;

Other responsibilities

  • Conduct agency visits to different panel private hospitals / satelline clinics
  • Performs other responsibilities and duties periodically assigned by Manager in order to meet operational and / or other requirements.

Job Requirements

  • University graduate preferably with medical background
  • Familiar with Claims and PA procedures
  • 2-3 years’ practical network management experience will be an advantage
  • Computer literacy
  • Cantonese and English speaking.  Excellent verbal and written communication skills
  • Customer centric mindset with excellent customer service and complaint handling skills 

We offer an attractive remuneration package to the successful candidate.  Please submit your application by clicking “Apply Now” for our processing.

All personal information provided by applicant will be treated in strict confidence and used solely for recruitment purposes.  The personal information will be used strictly in accordance with AIA’s personal data policies, a copy of which will be provided upon request.  It is possible that information about the applicant or the applicant’s application will be shared with AIA and its related companies.  AIA will retain all applications for a period of up to 24 months after which the documents will be destroyed.