2 results for Billing Officer S M jobs

Claims Officer - Contract

Hong Kong,
remote
Contract
20000 - 24000 HKD / Monthly
The CompanyOur client is looking for a dedicated Claims Officer to join a dynamic medical insurance claims team. This role is responsible for assessing and processing medical and hospitalization claims while ensuring compliance with policy terms, service standards, and regulatory requirements. The Role<ul><li>Review and assess medical, hospitalization, outpatient, surgical, and critical illness claims.</li><li>Verify claim documents, medical reports, invoices, and supporting records for claim eligibility.</li><li>Adjudicate claims accurately in accordance with policy provisions and company guidelines.</li><li>Liaise with policyholders, agents, brokers, healthcare providers, and internal stakeholders on claim enquiries.</li><li>Support process improvement initiatives and participate in UAT testing or system enhancement projects when required.</li></ul> Your Profile<ul><li>Degree holder with minimum 2 years with relevant experience in medical insurance claims.</li><li>Knowledge of medical insurance products, claims assessment, and policy coverage</li><li>Ability to interpret medical reports, diagnoses, and treatment information is an advantage.</li><li>Strong analytical, problem-solving, and attention-to-detail skills.</li><li>Good communication skills in English and Chinese.</li></ul> Apply Today To apply online (Word attachment only), please click the 'Apply' button. Please note that only short-listed candidates will be contacted. Reference No. 67010-0013462307 By clicking 'apply', you give your express consent that Robert Half may use your personal information to process your job application and to contact you from time to time for future employment opportunities. For further information on how Robert Half processes your personal information and how to access and correct your information, please read the Robert Half privacy notice: <a href="https://www.roberthalf.com/hk/en/privacy">https://www.roberthalf.com/hk/en/privacy</a>. Please do not submit any sensitive personal data to us in your resume (such as government ID numbers, ethnicity, gender, religion, marital status or trade union membership) as we do not collect your sensitive personal data at this time.<img src="https://counter.adcourier.com/TmljaG9sYXMueWV1bmcuNTY5NzAuMTA5MTVAcmhpaGsuYXBsaXRyYWsuY29t.gif">
2026-07-02T01:19:57Z

A Life insurer - Hospital/Out-patient claims (up to 26k)

Hong Kong,
remote
Permanent
20000 - 25000 HKD / Monthly
The CompanyA Life insurer - Hospital/Out-patient claims (up to 26k) The Role<ol><li>Claims Assessment: Evaluate inpatient, outpatient, and surgical claims against policy terms, pre-authorizations, and coverage exclusions.</li><li>Invoice & Medical Review: Examine hospital bills, itemized receipts, and discharge summaries to verify medical necessity and identify non-payable or inflated charges.</li><li>Stakeholder Coordination: Communicate with hospitals, clinics, and policyholders to obtain missing documentation and resolve claim inquiries.</li><li>Direct Billing: Manage Guarantee of Payment (GOP) processes for hospital admissions and major outpatient treatments.</li><li>Fraud & Quality Control: Identify potential fraud, waste, or billing errors, escalating red flags to management or investigation teams.</li><li>System Entry: Maintain accurate record-keeping of diagnosis codes (ICD-10/CPT) and claim decisions within operational SLAs.</li></ol> Your Profile Education & Experience<ul><li>Experience: 2+ years in health insurance claims adjudication, TPA operations, or hospital billing.</li></ul> Technical & Professional Skills<ul><li>Good knowledge of insurance products and policy administration processes</li><li>Proficient in Microsoft Office (Excel, Word, Outlook)</li><li>Knowledge of ILAS products and regulatory requirements is an advantage</li></ul> Apply Today To apply online (Word attachment only), please click the 'Apply' button. Please note that only short-listed candidates will be contacted. Reference Number: 67010-0013477395By clicking 'apply', you give your express consent that Robert Half may use your personal information to process your job application and to contact you from time to time for future employment opportunities. For further information on how Robert Half processes your personal information and how to access and correct your information, please read the Robert Half privacy notice: <a href="https://www.roberthalf.com/hk/en/privacy">https://www.roberthalf.com/hk/en/privacy</a>. Please do not submit any sensitive personal data to us in your resume (such as government ID numbers, ethnicity, gender, religion, marital status or trade union membership) as we do not collect your sensitive personal data at this time.<img src="https://counter.adcourier.com/QWxleC5MYXcuNDU5NzcuMTA5MTVAcmhpaGsuYXBsaXRyYWsuY29t.gif">
2026-08-03T07:02:57Z