Vendor Management and Projects Lead

Tune Protect Group; Kuala Lumpur; On-site; MYR 90,000 - 130,000; Full time

Job summary

Tune Protect Group in Kuala Lumpur is seeking a strategic Claims Operations Lead to oversee registration and payment processing, ensuring timely, accurate, and compliant handling of claims. You will manage vendor and TPA governance, drive process improvements, and lead transformation initiatives such as e-payments and digital registration to enhance efficiency and customer experience.

This role requires cross-functional leadership to re-engineer workflows, monitor SLAs, and align operating

Qualifications

• Experience in claims operations and governance is preferred.
• Ability to manage external partners and contracts.
• Strong project leadership and cross-functional collaboration.

Responsibilities

• Oversee claims registration and payment processing to ensure timeliness and accuracy.
• Govern vendors and TPAs, monitor SLAs and compliance.
• Lead contract reviews, tenders, and renewals for external partners.
• Drive claims transformation initiatives, automating workflows and enabling digital registration/e-payments.
• Identify gaps in the claims journey and lead cross-functional modernization projects.
• Foster a continuous improvement culture and re-engineer workflows to improve capacity.

Skills

Vendor governance

TPA governance

Process improvement

Digital transformation

Job description

This role oversees claims registration and payment operations, ensuring timely, accurate, and compliant processing. It manages vendors and TPAs, monitors SLAs, and leads process improvement and digital transformation initiatives within claims operations.

• Vendor & TPA Governance
• Performance Monitoring: Establish and manage a structured performance management framework for External Vendors and TPAs, focusing on service quality, SLA adherence, cost efficiency, and compliance.
• Agreement Management: Review vendor contracts and implement monthly tracking mechanisms to ensure all external partners uphold professional standards.
• Contract Review: Conduct regular reviews of External Vendors' and TPAs' agreements and implement a monthly tracking mechanism to monitor performance and compliance.
• Tender & Renewals: Manage the full end-to-end process for open tenders, new applications, or contract renewals for External Vendors and TPAs.
• Strategic Project Leadership
• Act as the project lead for Claims Transformation initiatives, focusing on automating manual workflows and integrating new technical capabilities (e.g., e-payments or digital registration).
• Identify gaps in the current claims journey and lead cross-functional projects to modernize the claims infrastructure
• Process Innovation & Business Improvement
• Explore and implement new approaches to the business operating model to exceed customer expectations while ensuring a commercial return.
• Drive a "continuous improvement" culture by re-engineering workflows in the registration and ancillary services sections to optimize team capacity.