Home Philippines Claims Operations Lead - Insurance

Home Philippines Claims Operations Lead - Insurance

Claims Operations Lead - Insurance

Full time at Michael Page in Philippines
Posted on May 8, 2024

Job details

About Our Client A prominent international consumer internet corporation, aims to enhance the lives of individuals and businesses across Southeast Asia by providing technological financial services. Their diverse offerings, such as mobile wallets, payment processing, credit services, and digital financial products, are accessible through different brands in seven markets. Job Description * Help develop claims standard operating procedures, focusing on claims processing, investigation, dispute resolution, payouts, and reporting * Oversee complicated claims cases on an as-needed basis with input from underwriting and business teams as well as re insurers, as applicable. * Aid in creation of claims financial standards and KPIs and develop / monitor claims metrics to manage portfolio loss ratio and claims processing benchmarks * Engage in fraud prevention analysis and develop investigative guidelines to serve as standard for claims risk management * Coordinate with the Product Management Team to drive and manage system enhancements for claims process and overall insurance products * Support quality assurance and user acceptance testing (UAT) efforts working with relevant stakeholders to ensure alignment with system and customer requirements * Work alongside business and cross-functional teams to constantly optimise the operational processes and product experience of the internal and external users The Successful Applicant * A Bachelor's Degree in Finance, Commerce, Accounting or Business equivalent * Minimum of [5] years of experience in a Life Insurance firm. Experience with general and health insurance products is preferred * Good understanding of local life and health insurance product market, including main claims processes and main technology tools used to manage claims in a large-scale insurance setting * Understanding of health-related claims and overall Filipino health service systems (i.e. public / private health care, clinics, other providers) network * Good understanding of local regulatory requirements, particularly from a claims perspective * Experience working with cross-functional, multi-country teams; able to work with internal and external stakeholders well * Ability to identify, analyse and solve problems as well as the ability to learn rapidly, adapt quickly to change, exercise influence, and manage and prioritise multiple concurrent projects What's on Offer

  • Be the driving force in launching our business across multiple markets
  • Extensive Learning & Development opportunities
  • A vibrant & collaborative office environment
  • Exciting employee engagement activities
  • Work with talented and passionate individuals
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