Bowtie’s mission is to make insurance good again and our vision is to build a category-defining health insurance company.
We are seeking an Assistant Manager, Claims (Group Medical) to join our Claims team. This person will play a pivotal role in ensuring efficient, accurate, and customer-focused claims handling for our group medical business. The role suits a practical, detail-oriented professional who thrives in a fast-paced, collaborative environment and is committed to delivering excellent service to corporate clients and members.
The Assistant Manager, Claims (Group Medical) will support end-to-end claims operations for group medical accounts. You will manage day-to-day claims assessment and processing, liaise with clients, brokers and healthcare providers, drive process improvements, and ensure compliance with internal policies and regulatory requirements. This role involves supervising claims handlers, mentoring junior staff, and contributing to cross-functional initiatives to enhance claims experience and operational efficiency.
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
About you
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
Apart from a great career path and an opportunity to do good and do well, we also offer:
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
We are the first licensed virtual insurer (虛擬保險公司) in Hong Kong.
We believe that insurance is fundamentally good, and we are here to bring the good back through our passionate, innovative, and customer-centric team.
By combining our deep domain expertise and our own proprietary modern technology, we are building one of the most iconic, category-defining health insurance companies in Asia.
We take pride in moving fast all the time and our track record in moving ahead in the game. Our digital insurance platform is also ranked #2 in the world in Sia Partners' 2023 report.
As we grow, we're always looking for highly dynamic, hands-on, and passionate talent to join our team. If you are looking for a rewarding career where you will grow together with strong talents from different backgrounds and build products and services that bring a positive impact on the lives of millions of people in Hong Kong / Asia, apply to our opening today!
Information collected will be treated in strict confidence and used solely for recruitment purposes.
The company will retain all applications no longer than 24 months of which will be destroyed thereafter.
We are an equal-opportunity employer. We do not discriminate on the basis of race, sex, disability, or family status in the employment process.
Bowtie Life Insurance CompanyHong KongCoach, lead and develop a small team of claims handlers; allocate workload and monitor performance against SLAs and KPIs.…30d+