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Manager, Medical Claims Analytics & Gen AI Enablement

Brand:  HSBC
Area of Interest: 
Location: 

Kowloon City, Kowloon, HK

Work style:  Hybrid or Home Worker
Date:  30 Apr 2026

GCB 5

 

 

We are currently seeking a high calibre professional to join our team as a Manager, Medical Claims Analytics & Gen AI Enablement.

 

In this role you will: 

  • Lead data driven Fraud, Waste & Abuse (FWA) checks using advanced analytics to identify anomalies, trends, patterns of abuse and insights for cost containment in large sets of Employee Benefits (EB) & VHIS Claims
  • Deliver management reporting on Claims KPI’s, providing actionable insights and recommendations in a timely & accurate manner
  • Dashboards & Visualization: Create & maintain business scorecards through visualization tools such as QlikView & Power BI to support decision making process
  • As an AI champion within the team, identify manual/repetitive workflows and MI that can be automated using AI and data analytics
  • Compliance & Standards: Ensure all data analytics and reporting activities adhere to relevant regulations & standards.
  • Collaborate with business stakeholders, internal & external technology teams, data teams to build & implement Machine learning & Gen AI solutions which will aid business in operational efficiency & FWA detection
  • Collaborate with medical community and the insurance industry to generate meaningful insights from industry

 

To be successful you will need: 

  • Bachelor’s degree in Data Science, Statistics, Actuarial Science, Computer Science, Business analytics or related field. A master’s degree is a plus
  • Prior experience in data analysis & reporting in insurance industry preferably in medical claims/Pricing
  • Proficiency in Python, Excel (including Pivot tables, macros), Power Point is required
  • Experience in visualisation tools such as Power BI, Tableau, QlikView
  • Familiarity with large language models (LLM’s) and Generative AI applications in claims
  • Strong analytics skills with ability to extract, collect, analyse data with speed and accuracy. Excellent skills in data story telling & articulate insights to management
  • Effective communication and interpersonal skills, with excellent stakeholder management skill. Good command of written and spoken English. Mandarin or Cantonese is preferred.
  • Results orientated, self-directed and motivated change leader

 

Opening up a world of opportunity 
http://www.hsbc.com/careers 

 

HSBC is committed to building a culture where all employees are valued, respected and opinions count. We take pride in providing a workplace that fosters continuous professional development, flexible working and opportunities to grow within an inclusive and diverse environment. Personal data held by the Bank relating to employment applications will be used in accordance with our Privacy Statement, which is available on our website. 

 

Issued by The Hongkong and Shanghai Banking Corporation Limited. 

https://www.youtube.com/embed/QmZ7Un5gR8c?si=LCa6slfBqlUlxUE-

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