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- Drive the achievement of Group business goals in Claim control and risk management to prevent, detect the potential Fraud, Wastage and Abuse across all BUs
- Collaborate with key partners to deliver new innovative Claims capabilities to support the delivery of Group business goals on Claim control and risk management (AI based FWA and auto adjudication, OCR)
- Collaborate with team members in support the delivery of other Claim Excellence goals (E2E STP, Unit Cost, CSAT, FWA Saving)
- Collaborate with key parties to deliver health claim administration strategy
- Define and govern Group-wide Claims Standards, procedures and guidance notes
- Set professional development standards for the Claims Community of Practice across the Group
- Set and shape development opportunities for the Claims COP (e.g., workshops and forums)
- Support the development of Claim operation model for growing markets
- Perform operational Due Diligence to support potential M&A
- Claims SME with at least 15 years Insurance operations management experience and at least 10 years Claims Management experience
- Experience in driving end to end Claims automation and STP for Life and Health Claims
- Experience of leading transformation in a within a Group / Regional Office where delivery is through influence rather than direct control
- Strong organisational and leadership skills to lead multi-functional teams
- Strong influencing skills to engage partners and team members in the delivery of key goals
- Effective communication and relationship skills to engage Group and Business Unit Exco level members
- Ability to demonstrate independent leadership, judgment, and decision making
- Ability to adjust to multiple and changing priorities, remaining flexible, open, and collaborative
Associate Director, Claims Technical Excellence - Hong Kong, 香港 - AIA
描述
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About the Role
Establish Claims Technical Excellence across the Group to increase competitive advantage by strengthen claim control and risk management. Responsible for the execution & governance of Group's integrated health strategy for healthcare claims administration. Build the FWA prevention and control framework and targets and reduce FWA in all entitiesJoin Us
Roles and Responsibilities
Minimum Job Requirements: