Claims Administrator (Chinese Speaking)

For over 30 years, APRIL International has specialised in providing innovative international health insurance solutions. We design, distribute, and manage insurance plans and assistance services for individuals and businesses worldwide. With teams operating across Asia, Europe, and the Americas, we are committed to ensuring our members have access to the best care, no matter where they are.

As part of the APRIL Group, an insurance specialist with 3,000 staff members in 20 countries, we are dedicated to simplifying insurance and delivering exceptional customer experiences.

To sustain the company's growth and expand our services, we are currently looking for Insurance Operations & Underwriting Lead

Role Purpose:

This role is responsible for the end-to-end delivery of insurance operations in China, covering Underwriting, Policy Management, Claims Handling, and Customer Service. The position requires a hands-on, multifunction profile able to ensure operational quality, regulatory compliance, and service excellence in a developing or transitioning market.

Key Responsibilities:

1. Underwriting Support & Risk Assessment

Perform and oversee underwriting activities in line with delegated authority and regional underwriting guidelines

Review risks, policy terms, benefits structures, exclusions, and pricing inputs

Act as the operational interface between local teams and regional underwriting/insurer partners

Ensure underwriting decisions are properly documented and auditable

2. Policy Management & Administration

Manage the full policy lifecycle: onboarding, issuance, endorsements, renewals, and cancellations

Ensure accuracy and timeliness of policy documentation and system records

Coordinate with brokers, insurers, and internal stakeholders on policy changes

Identify and correct data quality or process gaps impacting policy administration

3. Claims Handling & Oversight

Manage day-to-day claims handling, from first notification to settlement

Ensure claims are assessed in line with policy terms, SLAs, and local regulations

Act as escalation point for complex, high-value, or sensitive claims

Monitor turnaround times, leakage risks, and claimant experience

4. Customer Service & Service Quality

Act as senior point of contact for key corporate and individual clients

Ensure consistent, professional, and timely responses across all touchpoints

Handle service escalations and complaints, including root-cause analysis

Drive a client-outcome-focused service culture across operations

5. Compliance, Controls & Market Practices

Ensure compliance with local regulatory, insurer, and internal governance requirements

Maintain operational controls across underwriting, policies, and claims

Support audits, insurer reviews, and internal compliance checks

Keep abreast of regulatory and market practice changes impacting operations

6. Continuous Improvement & Cross-Functional Support

Identify and implement process simplifications and efficiency improvements

Support regional initiatives such as system enhancements, reporting upgrades, and standardisation

Contribute to operating model evolution as the China business scales

Provide ad-hoc operational or project support as required

Qualifications and Experience:

Solid experience across multiple insurance functions (underwriting, policy admin, claims, or operations)

Prior exposure to health insurance / IPMI / employee benefits strongly preferred

Strong understanding of insurance policy structures and claims adjudication

Ability to operate hands-on, independently, and with limited local support

High attention to detail and strong ownership mindset

Comfortable interfacing with insurers, brokers, providers, and internal stakeholders

Key skills:

Native Mandarin required; working English required

Experience with insurance administration and claims systems preferred

By submitting an application you indicate that you have read and accept the terms of the APRIL data privacy notice available at https://assets.april.fr/april-international/Documents/files-april-asia-privacy-notice-applicants.pdf and the Bamboo HR LLC privacy policy available using the link at the bottom of this page.