Claims Manager

AIA Shared Services; Manila; On-site; PHP 800,000 - 1,200,000; Full time

Job summary

AIA Shared Services in Manila seeks a Claims Manager to oversee processing and release of claims under our customer-focused, digital-first approach. You will lead a multi-disciplinary team, ensure timely, compliant handling, and drive initiatives for improved service levels and risk controls.

Qualifications include at least five years managing a claims team, strong analytical abilities, and excellent English and Filipino communication.

Qualifications

• Five (5) years’ experience in managing the claims team and achieving targets.
• Strong analytical skills with high attention to detail and accuracy.
• Proficient in MS Office applications and reporting systems.
• Excellent written and oral communication in English and Filipino.

Responsibilities

• Lead and manage the claims team to ensure timely, accurate processing.
• Ensure compliant processing with data governance and regulatory requirements.
• Monitor KPIs, identify bottlenecks, and drive improvements.
• Escalate complex cases and provide guidance to team members.
• Collaborate with Distribution, Compliance, Finance, and other units.

Skills

Analytical skills

Communication (English & Filipino)

People management

MS Office

Education

College graduate

Tools

MS Office

Job description

Build a healthier and more sustainable future for everyone. At AIA, your skills, perspective and ideas can contribute to our Purpose of helping millions of people live Healthier, Longer, Better Lives. Across our diverse markets, you will take on meaningful challenges, collaborate with talented colleagues and help turn ideas into positive outcomes for our customers and communities. Join us to shape what comes next, grow through new experiences and extend your impact across Asia.

About the Role

The Claims Manager is responsible for ensuring that processing and releasing of claims are effectively and efficiently managed. Processes should be properly established for all claim types. Oversees claims processing with a view to providing high quality service across all claims following our customer-focused, digital first approach.

Roles and Responsibilities:

• Performance management
• Ensure that claims are processed in a timely and judicious manner; with clear, concise, and customer-friendly communications.
• Cognizant of data governance, data privacy and relevant regulations in ensuring continuous, timely and effective processing of claims transactions.
• Plans, schedules, supervises and controls work operations within the team to ensure that the claims volume can be adequately supported.
• Reviews and decides on cases referred by claim assessors within authority limit in accordance with proper claims practices.
• Closely monitor TATs and SLAs, identify process bottlenecks and recommend improvements accordingly.
• Act as the primary escalation and decision-making point for complex operational and customer issues. This includes resolution of customer complaints, offer viable courses of action and/or recommend handling of exceptional cases beyond own authority for management approval.
• Reviews, edits, approves and/or signs letters, memos and documents and other correspondence to the policy owner, agent or other concerned parties pertaining to processing of Claims transactions.
• Leadership responsibilities
• Conduct regular conversations with team members to provide feedback on performance, discuss strengths and areas for improvement, and address concerns.
• Evaluates job performance of employees for probationary and/or regular appointments and for performance management purposes.
• Conduct learning sessions to upskill team members.
• Define and discuss performance goals for each team member.
• Drive action plans to improve team engagement.
• Assist the Head of Claims in developing and implementing action plans in accordance with set priorities.
• Build strong relationships with Distribution, Agency, Customer Service, Compliance, Finance, Technology, Operations, Marketing, and other business units.
• Assist and provide insights for cross functional and management reporting.
• Performs other responsibilities and duties periodically assigned by superior o meet operational and/or other requirements.
• Risk management
• Participates in analysis and recommendations of cases referred to the Executive in charge for decision on requests for reconsideration and exception cases.
• Review claims processes to identify risk areas and recommend improvements
• Perform and oversee adherence to control standards as defined in the control framework (including but not limited to eGRC, FSCA, ICFR/non-ICFR controls, AML requirements, and operational risk management).
• Monitor suspense accounts, unresolved transactions, operational exceptions, and control deficiencies.
• Own and maintain policies, procedures, operating guidelines, and process documentation.
• Projects and initiatives
• Develop and implement initiatives that improve team efficiency, productivity, customer experience, and operational performance.
• Oversee change management activities and support successful implementation and adoption of new processes, systems, and business solutions.
• Provides process owner expertise to various initiatives of the Company through attendance to requested meetings, email and phone consultations and the like.
• Participate in and support automation initiatives by providing inputs, defining requirements and testing enhancements.

Minimum Job Requirement

• College graduate of any course With at least five (5) years’ experience in managing the claims team and with a strong track record in achieving company targets
• Strong analytical skills with high attention to detail and accuracy
• Proficient in the use of MS Office applications and other business application systems for reporting and daily transaction handling
• With excellent written and oral communication skills in both English and Filipino.

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives. You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date. “Better” starts with people who reimagine what is possible and turn ideas into meaningful action. At AIA, you will contribute in your own way, help shape outcomes that matter and collaborate with colleagues across disciplines, teams, markets and levels. We will support you to broaden your perspective, strengthen your capabilities and grow your impact. Together, we challenge assumptions, learn from one another and find better ways forward. Bring your ambition, experience and ideas to AIA, and help shape what “better” looks like. View our AIA LinkedIn page Bring your difference to AIA