Associate Director, Claims Technical Excellence - Cyberjaya, Malaysia - AIA

Description

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About the Role

Establish Claims Technical Excellence across the Group to increase competitive advantage by strengthen claim control and risk management. Responsible for the execution & governance of group's integrated health strategy for healthcare claims administration. Create the FWA prevention and control framework and targets and reduce FWA in all entities

Roles and Responsibilities ​

Drive the achievement of Group business goals in Claim control and risk management to prevent, detect the potential Fraud, Wastage and Abuse across all BUs

Collaborate with key stakeholders to deliver new innovative Claims capabilities to support the delivery of Group business goals on Claim control and risk management (AI based FWA and auto adjudication, OCR)

Collaborate with key stakeholders in support the delivery of other Claim Excellence goals (E2E STP, Unit Cost, CSAT, FWA Saving)

Collaborate with key statekehoders to deliver health claim administration strategy

Define and govern Group-wide Claims Standards, procedures and guidance notes

Set professional development standards for the Claims Community of Practice across the Group

Set and shape development opportunities for the Claims COP (e.g., workshops and forums)

Support the development of Claim operation model for growing markets

Perform operational Due Diligence to support potential M&A

Minimum Job Requirements:

Claims SME with at least 15 years Insurance operations management experience and at least 10 years Claims Management experience

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

Experience of leading transformation in a within a Group / Regional Office where delivery is through influence rather than direct control

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 Group and BU ExCo level stakeholders

Ability to demonstrate independent leadership, judgment, and decision making

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