Head of Health Claims & Digital Transformation

FWD Insurance; Kuala Lumpur; On-site; MYR 120,000 - 180,000; Full time

Job summary

FWD Takaful Berhad is seeking a seasoned health claims executive to lead the end-to-end Health Claims operations in Malaysia. You will ensure fair claim assessments in line with policy contracts and regulatory standards, while driving digitalisation, process improvements, and performance with TPAs and internal teams.

The role focuses on managing a team, optimizing TAT, and delivering accurate, customer-centric claims outcomes within a regulated takaful environment.

Qualifications

• Bachelor’s degree in insurance, medicine, nursing, biomedical science, pharmacy, health sciences or related fields.
• 7–10 years of experience in health claims operations.
• Minimum 3 years of people management experience.
• Experience managing TPAs, healthcare providers, and vendor performance.

Responsibilities

• Lead end-to-end Health Claims operations including hospitalization, surgical, outpatient, medical reimbursement, and group medical claims.
• Ensure claims are assessed fairly and in accordance with policy contracts and regulatory requirements.
• Monitor and improve claims turnaround time, productivity, accuracy, and customer satisfaction.
• Lead claims digitalisation initiatives, requirements gathering, UAT, implementation and monitoring.

Skills

Claims leadership

People management

TPA management

Regulatory awareness

Process improvement

Education

Bachelor's degree in health/insurance or related

Tools

Claims systems

Workflow tools

Job description

FWD Takaful Berhad is seeking a seasoned health claims executive to lead the end-to-end Health Claims operations in Malaysia. You will ensure fair claim assessments in line with policy contracts and regulatory standards, while driving digitalisation, process improvements, and performance with TPAs and internal teams.

The role focuses on managing a team, optimizing TAT, and delivering accurate, customer-centric claims outcomes within a regulated takaful environment.