Head of Claims
Core
Lead end-to-end claims operations, strategy, and cost management for medical and general insurance portfolios to ensure operational excellence and customer outcomes.
Role type
Head of Claims (Senior Leadership)
Builds
Claims ecosystem, digital claims workflows, and provider/vendor networks
Domain
Insurance (Medical & General) / Claims Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Claims operations management, claims cost management, provider and vendor management, regulatory compliance, team leadership, stakeholder management, fraud detection, process optimization, data analytics
Preferred skills
Legal knowledge (liability claims, litigation, policy interpretation), Insurance Authority licensing (Paper 1 & 2)
Technologies
eClaims, workflow automation, straight-through processing (STP), data analytics tools, AI tools
Responsibilities
Oversee day-to-day claims adjudication across medical and general insurance lines; drive claims cost containment and loss ratio improvement; manage relationships with medical providers, loss adjusters, and legal vendors; lead digital transformation initiatives for claims processes; ensure compliance with regulatory requirements and internal governance; lead and develop claims teams.
Seniority
Director/Head level, strategic execution & team leadership
