Associate Director, Claims Technical Excellence

FIND YOUR 'BETTER' AT AIA

We don't simply believe in being 'The Best'. We believe in better - because there's no limit to how far 'better' can take us.

We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives.

If you believe in better, we'd love to hear from you.

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. Create the FWA prevention and control framework and targets and reduce FWA in all entities

• 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 stakeholders 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 key stakeholders in support the delivery of other Claim Excellence goals (E2E STP, Unit Cost, CSAT, FWA Saving)
• Collaborate with key statekehoders 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

Minimum Job Requirements:

• 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 management skills to lead multi-functional teams
• Strong influencing skills to engage partners and stakeholders in the delivery of key goals
• Effective communication and relationship skills to engage Group and BU ExCo level stakeholders
• Ability to demonstrate independent leadership, judgment, and decision making
• Ability to adjust to multiple and changing priorities, remaining flexible, open, and collaborative

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

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