Associate Director - Claims Technical Excellence

Associate Director - Claims Technical Excellence Responsibilities include, but are not limited to, the following :

Claims Governance, Control and Risk Management

Manage and maintain Group-wide Operations Standards, procedures and guidance notes to ensure consistent governance and effective risk mitigation

Collaborate with key stakeholders to complete the risk and compliance reporting requirements for various forums

Drive the achievement of Group business goals in Claim control and risk management

Support the review and assessment of high-value claims to ensure accuracy and integrity

Collaborate with key stakeholders to deliver new innovative Claims capabilities to support the delivery of Group business goals (Gen AI, AI based FWA and auto adjudication, OCR and claims processing)

Champion data-driven decision-making by defining claims analytics and KPI’s that reflect quality, turnaround and leakage metrics

Lead the development and continuous improvement of the Group Claims guidelines and framework

Support the development of claims operation model for growing markets

Perform operational due diligence to support potential M&A

Job Requirements :

Minimum 10-15 years of experience in Claims Operations, preferably in a regional or group-level role

Proven experience in claims governance, risk management and fraud detection

Strong organisational and management skills to lead multi-functional teams

Strong influencing skills to engage partners and stakeholders in the delivery of key goals

Effective communication and relationship skills to engage senior level stakeholders

Ability to demonstrate independent leadership, judgment, and decision making

Ability to adjust to multiple and changing priorities, remaining flexible, open, and collaborative

Experience in driving end to end Claims automation and STP for Life and Health Claims

Exposure to digital transformation initiatives in claim (e.g. AI, OCR, auto adjudication)

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Project Management and Consulting

Industries

Insurance

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