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高级经理,团险医学核保

AIA Australia
Shanghai, 上海市
全职
2天前
At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.
It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. We need great Actuaries who want to be part of something bigger than finance alone. Because the better we can nurture our financial wellbeing as an organisation, the better we can support and make a difference for our customers when they need us most. By ensuring our products are well designed and priced, analysing business performance and ensuring proper management of insurance policies in-force, you’re not just safeguarding AIA’s financial wellbeing. You’re securing a better future for the people and communities we serve - today, tomorrow and for generations to come.
If that interests you, read on.
About the Role
有效管控团险业务中涉及的健康风险,制定合理、有效的风险控制措施
岗位职责:
  • 负责定期回顾并健全完善团险医学核保规章制度、授权体系、作业流程等;
  • 日常案件处理:负责下级医学核保人员超权限上报案件的审批;再保临分案件的联络、沟通与协调处理;高额、疑难案件的审核签批;理赔/保全二核争议案件的合议;
  • 安排组织医学核保人员培训课程,提升医学核保人员专业能力;
  • 负责对团险医学核保团队的日常作业进行定期审计,并根据检查审计结果出具审计报告;
  • 完成主管交办的其他工作或项目 。
岗位要求:
  • 全日制大学本科或以上学历,医学相关专业优先,条件优秀者可适当放宽标准;
  • 5年以上医学核保相关工作经验,具备医学核保专业知识及技能,有较强的风险管控及合规意识;
  • 熟悉寿险业务中医学核保流程及相关规则;
  • 有人员管理和业务管理经验;
  • 客户导向,具有较强的服务意识和团队协作精神;
  • 具备良好的沟通协调能力、问题分析和解决能力。
Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.
You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.
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