Claims Specialist

Are you a seasoned claims professional with a passion for technical excellence and a drive to make a real difference in the Life & Health reinsurance space? If you thrive in a collaborative, fast-paced environment and want to be at the heart of a dynamic team shaping the future of claims management across Asia Pacific, this could be the role for you.

About the Role

This is an exciting opportunity to join Swiss Re's Life & Health Reinsurance Market Unit in Hong Kong as a Claims Specialist, where your technical expertise will directly influence the quality and integrity of claims decisions across the HKTW portfolio. You'll be a key contributor to a team that values precision, fairness, and continuous improvement — working at the intersection of client service, governance, and claims innovation.

Reporting to the Head of L&H Underwriting, Claims & HNW for Hong Kong & Taiwan, you will play an instrumental role in delivering a meaningful, best-in-class claims service while sharing expertise with clients and internal stakeholders across the region.

Key Responsibilities

• Maintain governance guidelines and quality control for a robust operation of HKTW L&H Claims and ensuring adherence to relevant frameworks and standards
• Manage and assess claims with technical rigor, delivering fair, accurate, and timely decisions that align with policy terms, conditions, and pricing assumptions
• Support Claims Reviews and Audits within the internal framework, providing actionable recommendations to improve both technical decision-making and operational efficiency to enhance clients' claims standards
• Support client engagement through visits and training sessions, enhancing the quality and effectiveness of claims management
• Support the development of training materials and programs tailored to client requirements and emerging industry topics
• Provide technical input on emerging issues and actively support process enhancement initiatives 
• Maintain accountability for individual claim quality, accuracy, turnaround times, and a high standard of customer service 

About the Team

The Underwriting and Claims team is part of Life & Health Reinsurance Market Unit Hong Kong & Taiwan. The team is responsible for delivering disciplined, high-quality risk selection for HNW business while supporting sound management of the in-force portfolio. Working closely with cross-functional teams across L&H, the team applies deep underwriting expertise and portfolio insights to support strong new business margins, sustainable client solutions, and informed portfolio decisions — all while championing operational excellence, risk governance, and continuous improvement across the HNW underwriting value chain.

About You

You are a technically strong, detail-oriented claims professional who brings both depth of expertise and a collaborative spirit to everything you do. You are comfortable navigating complexity, engaging with clients, and contributing to a team culture that values curiosity, integrity, and continuous learning. You know how to balance the detail with the bigger picture — and you're not afraid to challenge the status quo when it leads to better outcomes.

We are looking for candidates who meet these requirements:

• University degree or equivalent qualification in insurance, business, financial services, law, or a medical discipline
• 5+ years of experience in critical illness, disability, death and medical claims within an insurance or reinsurance environment, with demonstrated technical proficiency in assessing complex claims.
• Strong knowledge of Life & Health insurance/reinsurance, including technical claims assessment, underwriting principles, and product knowledge 
• Proven analytical capability, including experience handling and interpreting large volumes of data to inform decisions and identify trends
• Excellent communication skills in English and Cantonese, with the ability to present, influence, and engage effectively with both
• internal stakeholders and external clients; proficiency in Mandarin will be considered an asset
• Experience working in cross-functional teams, with the ability to build strong relationships across diverse groups
• Curiosity and courage to challenge existing approaches, bringing fresh thinking that enhances business outcomes
• Ability to step back from details to see the bigger picture.

The base salary range for this position will be shared with you during the interview process