Non-Medical Claims, Consultant

AIA Malaysia; Kuala Lumpur; Vor Ort; MYR 180.000 - 300.000; Vollzeit

Zusammenfassung

AIA Malaysia is seeking a senior life claims leader to oversee end-to-end life claims operations and drive strategic automation initiatives. You will manage complex claim assessments, ensure regulatory compliance, and lead cross-functional collaborations across Finance, Legal, Technology, and Distribution.

The role emphasizes governance, process improvements, and a high-performing team culture. The ideal candidate has extensive claims experience, strong regulatory knowledge, and proven

Qualifikationen

• Bachelor's degree in Insurance, Business Administration, Finance, Law or related disciplines.
• 8–10 years of claims experience in the insurance industry, including handling complex/high-value claims.
• 3–5 years of people management experience leading, coaching and developing teams.
• Strong knowledge of life, health, medical, and major claims assessment principles and regulatory requirements.
• Experience in managing complex claims investigations, escalations, disputes, and stakeholder negotiations.
• Understanding of insurance regulations, governance, compliance and fair claims practices.
• Excellent analytical, decision-making and problem-solving skills with sound judgment.
• Strong stakeholder management and communication with senior management, reinsurers, medical professionals and external partners.
• Demonstrated ability to drive operational excellence and process improvements.
• Proficiency in claims systems, data analysis and MS Office applications.
• Professional insurance qualifications (DMII, AMII, ACII, ANZIIF or equivalent) are an added advantage.
• Experience leading major claims transformation, governance, or strategic initiatives is desirable.

Aufgaben

• Lead Life Claims Operations (30%) to oversee assessment, governance, timely and compliant decisions.
• Drive Strategic Projects and Automation (25%) to lead digital transformations including RPA and e-Submission platforms to improve efficiency.
• Enhance Process and Productivity (15%) to boost productivity and optimize workload management through automation and reengineering.
• Stakeholder Engagement and Collaboration (10%) to partner with Finance, Legal, Technology, Distribution and drive product launches.
• Team Leadership and Development (10%) to mentor and build a high-performing team culture.
• Compliance and Quality Assurance (10%) to ensure regulatory adherence, audit readiness and risk controls.

Kenntnisse

Claims leadership

Stakeholder management

Regulatory compliance

Process improvement

Analytical thinking

Team development

RPA automation

Ausbildung

Bachelor's degree in Insurance, Business Administration, Finance, Law, Medical Sciences or related disciplines

Tools

Claims systems

RPA platforms

e-Submission platforms

MS Excel

Data analysis tools

Jobbeschreibung

About the Role

To lead and oversee the strategic and operational management of Individual Life claims, ensuring timely, compliant, and customer-focused service delivery. The role supports the company’s business goals, regulatory obligations, and departmental KPIs through innovation, governance, and people leadership.

Roles and Responsibilities

• Lead Life Claims Operations (30%)

  Oversee the assessment and governance of Life Claims to ensure timely, accurate, and compliant decisions.

• Drive Strategic Projects and Automation (25%)

  Lead digital transformation initiatives including RPA, macro automation, and e-Submission platforms to improve efficiency, reduce manual work, and optimize resources.

• Enhance Process and Productivity (15%)

  Drive process improvements to boost productivity, reduce turnaround time, and ensure sustainable workload management. Lead strategic initiatives in automation, digitalization, and process reengineering to enhance operational efficiency and elevate customer experience.

• Stakeholder Engagement and Collaboration (10%)

  Foster strong partnerships with cross-functional teams (Finance, Legal, Technology, Distribution) to drive strategic initiatives and product launches. Champion alignment across stakeholders to ensure seamless execution and shared outcomes. Strengthen agency capabilities and engagement through targeted roadshows, workshops, and advisory clinics.

• Team Leadership and Development (10%)

  Mentor and develop team members, foster engagement, and build a resilient, high‑performing team culture.

• Compliance and Quality Assurance (10%)

  Ensure adherence to regulatory requirements and internal policies, with zero AML breaches and consistent audit compliance. Lead audits (internal/external/self) and implement controls to mitigate risk and prevent abuse. Ensure team meets KPIs and deliverables.

Minimum Job Requirements

• Bachelor's Degree in Insurance, Business Administration, Finance, Law, Medical Sciences, or related disciplines.
• Minimum 8–10 years of claims experience within the insurance industry, with significant exposure to handling complex and high‑value claims.
• Minimum 3–5 years of people management experience, including leading, coaching, and developing claims teams.
• Strong knowledge of life, health, medical, and major claims assessment principles, claims operations, and regulatory requirements.
• Proven experience in managing complex claims investigations, claim escalations, disputes, and stakeholder negotiations.
• Strong understanding of insurance industry regulations, governance, compliance requirements, and fair claims practices.
• Excellent analytical, decision‑making, and problem‑solving skills with the ability to exercise sound judgment in complex claim cases.
• Strong stakeholder management and communication skills, with the ability to engage effectively with senior management, reinsurers, medical professionals, legal partners, and external stakeholders.
• Demonstrated ability to drive operational excellence, process improvements, and service quality initiatives.
• Proficient in claims systems, data analysis, and Microsoft Office applications.
• Professional insurance qualifications (e.g., DMII, AMII, ACII, ANZIIF or equivalent) will be an added advantage.
• Experience in leading major claims transformation, governance, or strategic claims initiatives is highly desirable.