Senior Claims Governance & AI Automation Lead

AIA Hong Kong; Kuala Lumpur; On-site; MYR 100,000 - 150,000; Full time

Job summary

A leading insurance provider is seeking a seasoned professional to serve as a subject matter expert for claims technical matters across Life and Health insurance products. The ideal candidate should have 10-15 years of experience in Claims Operations, with expertise in governance, risk management, and fraud detection. This role involves leading the development of Group Claims guidelines and collaborating with stakeholders to enhance claims capabilities. Strong leadership and influencing skills are essential for success in this position.

Qualifications

• Minimum 10-15 years of experience in Claims Operations, preferably in a regional or group-level role.
• Proven experience in claims governance, risk management, and fraud detection.
• Strong organizational 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 senior level stakeholders.
• Experience in driving end-to-end Claims automation and STP for Life and Health Claims.

Responsibilities

• Manage and maintain Group-wide Operations Standards and procedures.
• Support the review and assessment of high-value claims to ensure accuracy.
• Collaborate with stakeholders to deliver innovative Claims capabilities.
• Champion data-driven decision-making to define claims analytics and KPIs.
• Lead the development and improvement of Group Claims guidelines and frameworks.
• Support the development of claims operation model for growing markets.

Skills

Claims Governance

Risk Management

Fraud Detection

Data-driven Decision Making

Leadership

Stakeholder Engagement

Claims Automation

Job description

A leading insurance provider is seeking a seasoned professional to serve as a subject matter expert for claims technical matters across Life and Health insurance products. The ideal candidate should have 10-15 years of experience in Claims Operations, with expertise in governance, risk management, and fraud detection. This role involves leading the development of Group Claims guidelines and collaborating with stakeholders to enhance claims capabilities. Strong leadership and influencing skills are essential for success in this position.