Senior Expert, Claims (Insurance Project)

Project Management Insurance Risk Management Compliance

Icon salary Salary
Negotiable
Icon Location Location
Hanoi

Job Overview And Responsibility

Claims Process Setup & SOP Development • Develop and implement Standard Operating Procedures (SOPs) for claims processing, ensuring efficiency and compliance • Design end-to-end claims workflows, from claim submission to assessment, approval, and payment • Ensure alignment of claims processes with regulatory requirements and industry best practices Collaboration with IT & Digital Transformation • Define business requirements for IT teams to implement a digital claims management system • Work with IT and digital teams to integrate claims automation tools and AI-driven claims assessment models • Ensure seamless integration of claims processing with policy administration and customer service platforms Claims Risk Management & Reinsurance Coordination • Collaborate with reinsurance companies to define claims handling guidelines and facultative claims assessment • Establish governance frameworks for claims risk monitoring and fraud detection • Work closely with actuarial and underwriting teams to ensure claims trends inform future risk assessment strategies

Required Skills and Experience

Education • Bachelor’s or Master’s degree in Business Administration, Finance, Insurance, Law, or a related field Experience • Minimum of 7–10 years of experience in life insurance claims management, including experience in setting up claims processes and guidelines • Experience working with reinsurance companies on claims policies and facultative claims support • Proven track record in digital transformation of claims operations, including automation and system implementation • Strong experience in managing third-party claims service providers, including medical panels and claims investigators • Exposure to bancassurance operations and an understanding of financial data integration to support claims processing Skills & Competencies • Claims Management & Risk Assessment – Expertise in designing claims policies and handling complex claims cases • Regulatory & Compliance Knowledge – Strong understanding of Vietnam’s insurance claims regulations and legal frameworks • IT & Data Integration – Experience in working with IT teams to implement claims automation and digital claims processing • Reinsurance & Fraud Prevention – Ability to collaborate with reinsurers to ensure risk-appropriate claims handling and fraud mitigation • Stakeholder & Third-Party Management – Strong skills in engaging with Techcombank, reinsurers, and medical service providers • Customer-Centric Approach – Ability to balance efficient risk management with an excellent customer experience in claims processing

Why Candidate should apply this position

• Benefits will be shared in details for successful candidates

Preferred skills and experiences

• Prioritize candidates who can onboard as soon as possible

Joseph T

Headhunter | Recruiter
Verified
employee 201 candidates
cup 42 interviews
health 13 offers

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Joseph T

Headhunter | Recruiter
Verified
Icon employee 201 candidates
Icon cup 42 interviews
Icon health 13 offers

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