Assistant Manager, Claims – Group Medical

Bowtie Life Insurance Company

Assistant Manager, Claims focused on efficient claims handling for group medical insurance at Bowtie Life Insurance. Leading a team to ensure high-quality service to corporate clients and members.

Posted 5/6/2026full-timeHong Kong • 🇭🇰 Hong KongMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Manage and adjudicate group medical claims, ensuring timely, accurate, and fair determination in line with policy terms and company guidelines
Oversee the end-to-end claims workflow for assigned portfolios, including triage, investigation, approval and payment authorisations
Review complex or high-value claims, escalate appropriately and coordinate with clinical, legal or underwriting teams as required
Build and maintain strong relationships with corporate clients, scheme administrators, brokers and healthcare providers to facilitate smooth claims resolution
Coach, lead and develop a small team of claims handlers; allocate workload and monitor performance against SLAs and KPIs
Identify process bottlenecks and partner with operations and technology teams to implement improvement initiatives that enhance efficiency and customer experience
Ensure compliance with regulatory requirements, internal controls and audit expectations; prepare documentation and reports for internal review
Analyse claims trends and produce insights to inform product, pricing and risk management decisions
Support claims-related projects and change programmes, including testing new processes or system enhancements

Requirements

What you’ll need

Minimum 3–5 years' experience in medical or group health insurance claims, with hands-on experience in claims adjudication and operations
Previous experience managing or supervising a small team; demonstrable coaching and people-management skills
Strong understanding of group medical policy terms, exclusions, benefit schedules and third-party arrangements
Excellent communication skills in English; Cantonese and/or Mandarin proficiency is an advantage
High attention to detail, sound judgement and the ability to make balanced decisions under pressure
Analytical mindset with experience using data to drive improvements; comfortable with claims metrics and reporting
Proactive, collaborative and customer-centric approach with a commitment to continuous improvement

Benefits

Comp & perks

Competitive package
Flexible work arrangement
Benefits include medical/dental coverage and wellness programmes
Employee discounts
Fun, co-operative, and flexible startup culture
Weekly sharing sessions and regular social gatherings
Excellent learning opportunities with Professional Development Sponsorship

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims adjudicationclaims operationsdata analysisclaims metricsreportingprocess improvementrisk managementcomplianceinternal controlsdocumentation

Soft Skills

coachingpeople managementcommunicationattention to detailjudgementdecision makingcollaborationcustomer-centric approachproactive mindsetcontinuous improvement