Senior SME – Claims Platform Implementation

Antal International Network; Singapore; Remote; Confidential; Full time

Job summary

An innovative InsurTech platform company is seeking a Senior SME for Claims Platform Implementation. This exciting role involves driving the end-to-end implementation of a claims platform, ensuring scalability across markets. You will collaborate with cross-functional teams to align platform features with customer needs while identifying solution gaps and recommending enhancements. With a strong focus on the health insurance domain, this position offers a unique opportunity to impact the insurance value chain significantly. Join a forward-thinking company that values innovation and expertise in the APAC region.

Qualifications

• 12+ years in health/life insurance, focusing on platform implementation.
• Strong understanding of claims processing and provider management.

Responsibilities

• Drive end-to-end platform implementation across claims and provider management.
• Lead workshops to translate domain needs into platform capabilities.

Skills

Platform Implementation

Claims Processing

Provider Lifecycle Management

Fraud Detection Techniques

Stakeholder Management

Tools

Policy Administration Systems

Integration Platforms

Rules-Based Engines

Job description

Senior SME – Claims Platform Implementation

Upto INR 65 LPA including upto 20% variable

Our client is an Indian headquartered InsurTech platform company focused on creating innovative software products to address the challenges of the global Insurance Industry. Leveraging their domain expertise, regulatory knowledge and technology experience, they architect innovative products and disrupt the Insurance value chain from Customer Acquisition to Engagement. Their products serve customers across the APAC region including India, Singapore, Vietnam and Indonesia. They have raised more than 3 million USD through two rounds of VC funding and are looking to grow their number of offerings in health insurance, claims and underwriting.

• Title / Designation: Senior SME – Claims Platform Implementation
• Reporting Manager: Chief Product Officer
• Work Mode: Remote

Role & responsibilities:

• Drive end-to-end platform implementation across Provider Management, Claims (from Intake to Settlement), and Fraud, Waste & Abuse (FWA) detection, ensuring scalability across markets.
• Lead requirement workshops with business and IT stakeholders, translating domain needs into clear platform capabilities and articulated use cases.
• Act as the single point of contact for client interactions, including requirement validation, clarifications, and change requests.
• Collaborate with Product Owners, Architects, and Engineering teams to ensure platform features align with customer needs and delivery timelines.
• Identify solution gaps and recommend platform enhancements based on industry benchmarks and competitive analysis.

Candidate requirements:

• 12+ years of experience in the health or life insurance domain, with at least 5 years focused on platform implementation.
• Strong understanding of Provider Lifecycle Management, Contracting and Tariffs, Claims processing, and FWA detection techniques.
• Proven experience leading discovery and design workshops, particularly in APAC markets.
• Familiarity with policy administration systems, integration platforms, and rules-based engines.
• Excellent communication and stakeholder management skills, especially in cross-functional, multi-country environments.
• Ability to work in fast-paced programs with shifting priorities.

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