Roles and responsibilities
Manage and organize the team ensuring optimum deployment of resources & reporting to the Headquarters. Devise and implement claims cost control strategies, liaising where necessary with other relevant parts of the business. Ensure that all existing operating service standards are consistently met and devise strategies to improve these further. Devise and obtain approval for manpower and resource plans which ensure continued delivery of agreed service standards as business increases. Develop and continually refine objective mechanisms to measure the productivity of individual members of the Department and implement strategies to increase this productivity. Enhance existing claims protocols and review and refine these in light of experience. Continually review the Claims system functionality, taking the lead role in identifying required improvements and liaising with other relevant parts of the business to achieve these. Develop and implement strategies to continually enhance a strong customer-focused culture within the Department. Ensure continuous learning and development by all department members, identifying training requirements, and devising strategies to address these needs. Develop and maintain good working relationships with all departments and support them according to their needs. Develop and maintain good working relationships with Assistance providers and other external suppliers. Develop and implement claims analysis protocols, liaising with other relevant parts of the business as necessary. Support actuarial and product development activities. Develop and maintain relationships with major clients, intermediaries, and the Company’s own sales and marketing personnel. Member of the claims Cost containment. Responsibility for Health, Safety, and Welfare within the team (please refer to the Company’s Safety Statement for a full list of responsibilities). What you bring: Bachelor’s of Medicine (MBBS) / Nursing/Pharmacy. 5+ years medical practical experience (reputable insurance provider, broker, or TPA experience a plus). At least 3-4 years of leadership experience. Knowledge of overall insurance industry practices is a plus. Legally permitted to work in the country of operations. Physically fit to carry out duties. Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills. Desired candidate profile
Process Management Skills: Strong understanding of process design, workflow management, and process optimization techniques. Ability to assess processes, identify inefficiencies, and make improvements.
Leadership and Team Management: Strong supervisory skills, including managing and motivating a team. Ability to delegate tasks effectively and manage team performance.
Analytical and Problem-Solving Skills: Ability to analyze data and trends, identify areas for improvement, and make data-driven decisions. Strong problem-solving abilities, especially in identifying and addressing process bottlenecks.
Communication Skills: Excellent verbal and written communication skills to interact with team members, other departments, and senior management. Ability to present data and process insights clearly and concisely.
Attention to Detail: Strong attention to detail to ensure that processes are followed correctly and that quality standards are met.
Project Management: Familiarity with project management principles to oversee process improvement projects, manage timelines, and coordinate cross-functional teams.
Change Management: Experience with change management processes, ensuring smooth transitions when implementing new processes or changes to existing workflows.
Technical Proficiency: Familiarity with process management software and tools (e.g.,
Microsoft Excel ,
Tableau ,
Lean Management Software , or
SAP ). Knowledge of process improvement methodologies such as
Six Sigma ,
Lean ,
Kaizen , or
Agile .
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Manage and organize the team ensuring optimum deployment of resources & reporting to the Headquarters. Devise and implement claims cost control strategies, liaising where necessary with other relevant parts of the business. Ensure that all existing operating service standards are consistently met and devise strategies to improve these further. Devise and obtain approval for manpower and resource plans which ensure continued delivery of agreed service standards as business increases. Develop and continually refine objective mechanisms to measure the productivity of individual members of the Department and implement strategies to increase this productivity. Enhance existing claims protocols and review and refine these in light of experience. Continually review the Claims system functionality, taking the lead role in identifying required improvements and liaising with other relevant parts of the business to achieve these. Develop and implement strategies to continually enhance a strong customer-focused culture within the Department. Ensure continuous learning and development by all department members, identifying training requirements, and devising strategies to address these needs. Develop and maintain good working relationships with all departments and support them according to their needs. Develop and maintain good working relationships with Assistance providers and other external suppliers. Develop and implement claims analysis protocols, liaising with other relevant parts of the business as necessary. Support actuarial and product development activities. Develop and maintain relationships with major clients, intermediaries, and the Company’s own sales and marketing personnel. Member of the claims Cost containment. Responsibility for Health, Safety, and Welfare within the team (please refer to the Company’s Safety Statement for a full list of responsibilities). What you bring: Bachelor’s of Medicine (MBBS) / Nursing/Pharmacy. 5+ years medical practical experience (reputable insurance provider, broker, or TPA experience a plus). At least 3-4 years of leadership experience. Knowledge of overall insurance industry practices is a plus. Legally permitted to work in the country of operations. Physically fit to carry out duties. Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills. Desired candidate profile
Process Management Skills: Strong understanding of process design, workflow management, and process optimization techniques. Ability to assess processes, identify inefficiencies, and make improvements.
Leadership and Team Management: Strong supervisory skills, including managing and motivating a team. Ability to delegate tasks effectively and manage team performance.
Analytical and Problem-Solving Skills: Ability to analyze data and trends, identify areas for improvement, and make data-driven decisions. Strong problem-solving abilities, especially in identifying and addressing process bottlenecks.
Communication Skills: Excellent verbal and written communication skills to interact with team members, other departments, and senior management. Ability to present data and process insights clearly and concisely.
Attention to Detail: Strong attention to detail to ensure that processes are followed correctly and that quality standards are met.
Project Management: Familiarity with project management principles to oversee process improvement projects, manage timelines, and coordinate cross-functional teams.
Change Management: Experience with change management processes, ensuring smooth transitions when implementing new processes or changes to existing workflows.
Technical Proficiency: Familiarity with process management software and tools (e.g.,
Microsoft Excel ,
Tableau ,
Lean Management Software , or
SAP ). Knowledge of process improvement methodologies such as
Six Sigma ,
Lean ,
Kaizen , or
Agile .
#J-18808-Ljbffr
