Perform end‑to‑end FWA investigations in accordance with established investigation frameworks, governance standards and confidentiality requirements
Identify, analyze and assess suspicious or potentially fraudulent claims by reviewing claims documentation and interpreting transactional, behavioral and historical claims data
Apply risk‑based investigation techniques to prioritize cases, balancing investigation depth, timeliness and potential financial or reputational impact
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Act as the liaison between information technology and business for the development and implementation of new systems and enhancement of existing systems
Evaluate new applications and identify systems requirements
Evaluate new information technology developments and evolving business requirements and recommend appropriate systems alternatives and / or enhancements
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Policy & Governance: Support the implementation and maintenance of the Operational Risk and TPRM governance frameworks to ensure robust policy compliance.
Risk Oversight: Review, challenge, and report on the organization’s operational risk profile, ensuring alignment with third-party risk appetite.
Incident Monitoring: Monitor material incidents, key risk indicators (KRIs), and control weaknesses to proactively mitigate emerging operational and vendor risks.
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Review claims documentation, policy coverage, medical evidence, and loss details to determine claim validity, liability, and entitlement in accordance with Company guidelines and delegated authority.
Assess, review, investigate, approve and process Major Claims (Death and Critical Illness) accurately and timely, applying sound technical judgment and appropriate risk controls.
Utilize digital claims systems, workflow tools, and data dashboards to manage claim assessments, monitor turnaround time and ensure adherence to service level and quality benchmarks.
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Lead the team to perform review and consolidate submissions from local business units for various external and internal reporting requirements including IFRS, EV, HKRBC, LCSM, HKFRS, Bermuda and management reporting.
Ensure all required financial reporting and analysis are provided to Group Office timely, accurately, without compromising on the quality and in accordance to AIA Group accounting policies and its related regulations.
Review the analytical review prepared by Specialist / Lead Specialist / Peer on financial reporting deliverables submitted by local business units.
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Independently assess complex claims by applying strong technical judgment, policy interpretation, and medical understanding to ensure fair and accurate claim outcomes.
Leverage digital tools, rules engines, and available automation outputs to enhance assessment efficiency, while exercising human judgment for cases requiring interpretation, exceptions, or escalation.
Analyze medical reports, invoices, and supporting documentation to validate claim eligibility, identify inconsistencies, and determine appropriate claim decisions in line with policy terms and exclusions.
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Drive and manage off-cycle salary adjustments and promotions exercises where applicable. Providing advisory support on best practices and governance in accordance with GPR principles/standards/policies.
Drive and complete internal equity analysis (as and when needed) and end-to-end external benchmarking exercises to provide compensation and benefits, intelligence and analytics to stakeholders (HRBP and HODs) where required to ensure pay and benefits competitiveness across the Company.
Perform Job Evaluation as needed in accordance with existing/new operating model of the Department/Company, while ensuring compliance with Group Job Architecture and Career framework while driving future-aligned job profiles to enable clear career pathways and support capability development
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Support Contract Owners in the risk management process, collaborate with relevant Risk Subject Matter Experts (SMEs) to obtain necessary clearances for vendor engagements, and manage the submission process through the Third-Party Management (TPM) system.
Support vendor onboarding, due diligence, and qualification processes.
Collaborate with legal, sourcing, finance, operational teams, suppliers along the processes.
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Participate in discussions with the business / program managers on understanding the scope of work, rules and procedures required to prepare functional specification document (FSD) detailing the solution for the given business needs.
Responsible to filter the needs and wants of a requirement including the functional and non-functional requirements; refine the varying messages as well as the requirements of the project stakeholders into a consistent single vision.
Offers fact based and innovative solutions as part of process improvement to solve pain points focusing on simplification.
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Supports the end-to-end functional operations of the SAP Sales & Distribution (SD) module at SCHOTT globally, including incidents, problems, service requests, and change requests.
Handles customer enquiries and complaints regarding all activities in insurance policy operation process such as Underwriting, Policy Owner Service, and Claims (PA approval, case assessment, appointment booking).
Deliver world-class customer service, while responding to customer’s inquiries and concerns via calls, email or live chat for the Hong Kong market.
Reports problems, potential crisis and complaint to supervisor for service improvement.
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Perform daily investment accounting processing in accordance with Business Process Manuals and applicable accounting policies & standards and ensure that all investment accounting data are processed and maintained accurately, in a complete manner and on a timely basis.
Maintain high quality of documentation for investment accounting processes and in accordance with Business Process Manuals
Attend and respond to investment accounting enquiries from Group and Local Finance and Investment Operations teams, and other relevant stakeholders, satisfactorily and in a timely manner.
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Provide SAP Basis support and perform system maintenance, including system health checks, daily monitoring of system performance & tuning, system installation, upgrades, patching, SAP Note check & implementation, assess security-related updates and the perform relevant patching, client copies/system refreshes, transport management, and user administration.
Provide Basis support in internal projects and work alongside other project team members which includes SAP functional and development teams.
Handle incident tickets and change requests, including handling security and authorization, job administration, connection issues, and troubleshooting Basis-related issues.
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