You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

Job Description:

This role is responsible for life claims processing, including Death, CI, WP, medical and accident claims, ensure the claims are assessed accurately, ethically, and within the stipulated Turnaround Time (TAT). It involves handling large amount claim or complex cases, providing technical guidance to junior assessors, and acting as a key point of contact for stakeholders such as distribution channels, medical vendor and other internal departments.

Responsibilities

• Case Management & Approval: Review and approve claims within assigned authority limits; prepare thorough recommendations for cases exceeding that limit for Head of Claims/Committee approval.

• Operational Excellence: Monitor team queues to ensure KPIs and Service Level Agreements (SLAs) are met consistently.

• Quality Assurance: Conduct regular audits of claims files to ensure adherence to internal guidelines, regulatory requirements, and anti-fraud protocols.

• Dispute Resolution: Handle escalated inquiries and complaints from intermediaries, policyholders, or legal representatives with a focus on fair outcomes.

• Process Improvement: Identify bottlenecks in the claims journey and propose digital or procedural enhancements to improve the customer experience.

• Training & Coaching: Identify knowledge gaps within the team and conduct training sessions on new product launches or updated claims philosophies.

Requirements

• Bachelor’s Degree in Business, Finance, Law, or a Medical/Healthcare-related field.

• Progress toward or completion of insurance certifications (e.g., ALHC/FLMI from LOMA, or local equivalents like CII).

• Minimum of 4-6 years of experience in Life Claims.

• Advanced knowledge of life insurance products, medical terminology, and legal principles (e.g., duty of disclosure, utmost good faith).

• Ability to dissect complex medical reports and forensic evidence to make sound liability decisions.

• Experience in managing workflows and mentoring junior staff to improve quality and speed.

• High level of empathy for sensitive claimant interactions, paired with the assertiveness needed for dispute resolution.

• Experience with claims management systems and data visualization tools (like Excel) for performance tracking.

We offer 5-day work, attractive salary, MPF, group life and group medical insurance; and excellent career development opportunities to the right candidate.

We are an equal opportunity employer and welcome applications from all qualified candidates. Application forms and resume will be kept for a period of 24 months after completion of the recruitment process. (All information will be held in strict confidence and only be used for recruitment purpose).

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