Assistant Manager/ Manager, Medical Case Management | HK Talent Engage

Job description

We are committed to creating a workplace that offers unlimited opportunities for employees to realize their career goals. Whether it’s working abroad, exploring a new career direction or simply progressing in their chosen field, we help our employees reach their full potential.

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The opportunity

In support of our mission, "Decisions made easy, Lives made better," we are hiring for the role of Assistant Manager/ Manager, Medical Case Management.

Responsibilities

• Pro-actively contact clients, agents, service partners etc. via telephone, email and letter to advise on decision of request and fully explain benefit entitlement to all parties.
• Handle the entire process of individual case management including Pre-authorization in an independent manner with support from Lead of Medical Case Management & Senior Medical Director
• Offer support to agents/ clients eligible to Case Management Service in terms of identifying suitable medical service providers, service logistic, enquiries, delivery of empathy
• Handle the entire pre-authorization process including negotiation with service providers and the communication with the servicing agent/insured
• Work as intermediary between clients, agents and operations teams e.g. claims team on claims progress, claims enquiry
• Jointly accountable with different teams for delivering targeted levels of customer satisfaction
• Participate in ad-hoc tasks as and when assigned.
• Assist Lead of Medical Case Management in preparing reports, service model modification etc.

What motivates you?

• You obsess about customers, listen, engage and act for their benefit.
• You think big, with curiosity to discover ways to use your agile approach and enable business outcomes.
• You thrive in teams and enjoy getting things done together.
• You take ownership and build solutions, focusing on what matters.
• You do what is right, work with integrity and speak up.
• You share your humanity, helping us build a diverse and inclusive work environment for everyone.

What we are looking for

• Degree in Nursing highly preferred
• Strong medical background with a good understanding of medical treatments, medical insurance etc.
• Previous medical insurance experience
• Superior customer service and negotiation skills.
• Knowledge of clinical billing and coding is an advantage.
• Knowledge of Pre-authorization and/or claims management is an advantage
• Excellent knowledge of Microsoft Word® and Microsoft Excel is a must
• Licensed Insurance Intermediaries with valid IIQE I & III
• Good interpersonal skills, excellent team player
• Good communication skills
• Able to work independently and efficiently
• Strong language skills in English, Cantonese and Mandarin.
• Good analytical, problem solving and decision-making skills
• Self-motivated, able to work under pressure and independently in completing assignments
• Customer focus, detail-minded and committed to deliver high quality services, obsessed with both internal and external customers
• At least 3 years in health care management, medical or insurance claims
• Advanced experience in clinical nursing or hospital practicing would be an advantage

What can we offer you?

• A competitive salary and benefits packages.
• A growth trajectory that extends upward and outward, encouraging you to follow your passions and learn new skills.
• A focus on growing your career path with us.
• Flexible work policies and strong work-life balance.
• Professional development and leadership opportunities.

Our commitment to you

• Values-first culture
• We lead with our Values every day and bring them to life together.
• Boundless opportunity
• We create opportunities to learn and grow at every stage of your career.
• Continuous innovation
• We invite you to help redefine the future of financial services.
• Delivering the promise of Diversity, Equity and Inclusion
• We foster an inclusive workplace where everyone thrives.
• Championing Corporate Citizenship
• We build a business that benefits all stakeholders and has a positive social and environmental impact.

Learn more about opportunities with us at www.manulife.com/en/careers/why-join-us.html

宏利和恒康的各個職位都可以為您創造機會，從中學習新技能並推動職涯發展。準備好在某處地方發揮影響力了嗎？您還在等待什麼？立即報名申請。

宏利概覽

宏利金融有限公司是全球領先的金融服務供應商，致力幫助大眾輕鬆作出明智抉擇，實現精彩人生。本公司的環球總部設於加拿大多倫多，在加拿大、亞洲和歐洲的辦事處以「宏利」的名稱營運，而在美國主要以「恒康」的名稱經營。本公司提供理財建議及保險方案，並透過環球財富與資產管理部「宏利投資管理」為全球個人客戶、機構及退休計劃成員提供服務。截至2020年底，本公司旗下有超過37,000 位員工、逾118,000位代理人，以及數以萬計的經銷合作夥伴，為超過3,000萬位客戶提供服務。截至2021年6月30日，宏利所管理和提供行政管理的資產總值達13,000億加元（約11,000億美元），而在過去十二個月支付予客戶的款項達313億加元。本公司的主要業務遍及亞洲、加拿大和美國，爲客戶服務超過155年。本公司在多倫多、紐約及菲律賓證券交易所以股份代號MFC上市，在香港交易所則以股份代號945上市。

宏利為重視就業機會平等之雇主

在宏利／恒康，我們擁抱多元。我們致力吸引、發展並留住多元化的員工隊伍，正如我們所服務的客戶一樣多元化，並打造包容的工作環境，在充分發揮文化優勢的同時尊重個體差異。我們矢志維持公平的招聘、挽留、晉升及薪酬制度，我們管理的所有實踐及項目不會因種族、血統、原籍地、膚色、族裔、国籍、宗教或宗教信仰、信仰、性別（包括懷孕及其相關情況）、性取向、遺傳特徵、退伍軍人身份、性別認同、性別表達、年齡、婚姻狀況、家庭狀況、殘疾或受適用法律保護的任何其他因素而區別對待。

我們的首要任務是消除障礙，為員工提供平等就業機會。人力資源部代表將盡力為應徵過程中提出要求的申請人提供合理協助。 申請人要求提供協助所分享的信息將會按照適用法律及宏利政策儲存及使用。 應徵過程中如需協助，請聯絡[email redacted, apply via company website]