Head of Claims Transformation & Technical Excellence

Sun Life Financial; Philippines; On-site; PHP 2,000,000 - 3,200,000; Full time

Job summary

Sun Life Financial seeks a Head of Claims Technical Excellence and Transformation to lead strategic, end-to-end transformation of the Claims function, delivering faster, simpler, more digital, client-centered experiences.

You will provide technical leadership on high-value claims, establish governance, drive process improvement, automation, and regulatory compliance while aligning with business priorities and risk management.

Qualifications

• Bachelor’s degree in Business, Management, Insurance, Finance, Operations, Information Systems, or related field.
• Strong experience in claims operations, insurance operations, transformation, process improvement, or business change management.
• Experience leading large-scale transformation, digitalization, automation, or operational excellence initiatives.
• Strong understanding of claims processes, insurance products, controls, compliance, and customer service standards.
• Proven ability to manage complex projects and influence senior stakeholders.
• Experience in people leadership or cross-functional project leadership is preferred.

Responsibilities

• Provide technical guidance on complex, high-value, and sensitive claims, ensuring sound, fair, and consistent claim decisions.
• Develop, establish, and maintain claims standards, technical guidelines, and governance frameworks aligned with business and regulatory requirements.
• Lead claims quality reviews and assessment audits, identifying gaps and opportunities to improve decision accuracy, consistency, and overall claims quality.
• Evaluate claims processes and controls to identify operational risks, control weaknesses, and potential claims leakage, and implement appropriate mitigation strategies.
• Provide technical subject-matter expertise for claims systems development, enhancements, automation, and process transformation initiatives.
• Act as the key business lead for Claims transformation programs, ensuring alignment across senior leaders and business partners.
• Develop and execute the Claims transformation roadmap aligned with business, operations, digital, technical claims, and client experience priorities.
• Ensure all transformation initiatives comply with internal policies, regulatory requirements, data privacy standards, and claims governance principles.
• Identify technical and operational capability gaps, and coach and mentor team members through structured development, knowledge sharing, and on-the-job guidance.
• Build sustainable claims transformation capability across the function through training, mentoring, and knowledge sharing.

Skills

Strategic thinking

Transformation leadership

Claims expertise

Governance & compliance

Stakeholder influence

Claims quality assurance

Operational excellence

Education

Bachelor’s degree in Business/Finance/Insurance

Job description

Sun Life Financial seeks a Head of Claims Technical Excellence and Transformation to lead strategic, end-to-end transformation of the Claims function, delivering faster, simpler, more digital, client-centered experiences.

You will provide technical leadership on high-value claims, establish governance, drive process improvement, automation, and regulatory compliance while aligning with business priorities and risk management.