Director / Associate Director, Claims
Core
Oversee end-to-end claims operations (reimbursement and cashless/pre-authorization) for Group and Individual Life & Health businesses, managing complex cases, complaints, and fraud/waste/abuse activities.
Role type
Senior management claims operations director
Builds
Claims processing workflows, risk management frameworks, and customer experience improvements
Domain
Insurance (Life & Health)
Required skills
Claims adjudication, regulatory compliance, complaint resolution, risk management, team leadership, process improvement, stakeholder management
Preferred skills
FWA management, professional qualifications (e.g., FLMI), knowledge of AML/FATCA/CRS
Technologies
MS Office suite, Chinese word processing tools
Responsibilities
Oversee end-to-end claims operations, adjudicate complex claims, manage complaints and disputes, liaise with regulatory bodies, drive operational performance improvements, train claims assessors
Seniority
Director/Associate Director, strategic leadership