Head of Health Claim

The Head of Health Claim is Responsible for implementing processes and practices across the organization. Supporting team and ensuring coaching, development and motivation of Claim Team. Co-ordinate, motivate, control and ensuring all claims team to process various types of claims meet terms and condition of each policy, including Standard Operational Procedure (SOP), Audit/Compliance requirements

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Position Responsibilities:

• To coordinate and supervise the day-to-day claim Analyst and support claim in accordance with the standards set by the company.
• Take an active role in solving the complex and critical issues in the team.
• Ensuring all claim team process can meet service level agreement and turnaround time which put on SLA with Bank Partner and SOP.
• Review Daily productivity claim team.
• Coordinate & communicate with other teams to find solution for complaint related claim or communicate directly to customer.
• Provide training to internal staffs if needed.
• Participate in claim projects, system enhancement and give input for improving claim process.
• Contributing to audits, reviews as required in order to support and enable the maintenance of an effective control environment.
• Approve claims within own claims authority and make recommendation to senior for those claims exceeding own authority limit in line with established standards, procedures and guidance provided.
• Ensuring comply with applicable regulations in PT AJMI (including AML / KYC and Privacy).
• Ensure the report has been delivered on time.

Required Qualifications:

• Bachelor's Degree in Medicine (Medical Doctor)
• Certified Insurance Award (ICA) or equivalent insurance qualification is an advantage
• Minimum 10 years of experience in the insurance, financial services, or healthcare industry
• Proficient in Microsoft Office (Word, Excel, and PowerPoint)
• Excellent communication, interpersonal, and leadership skills.
• Strong analytical and problem-solving skills.
• Ability to manage multiple priorities and deadlines in a fast-paced environment

Preferred Qualifications:

• Solid interpersonal skills to effectively build relationships and communicate with other departments

When you join our team:

• We’ll empower you to learn and grow the career you want.
• We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
• As part of our global team, we’ll support you in shaping the future you want to see.

About Manulife and John Hancock

Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html.

Manulife is an Equal Opportunity Employer

At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact [email protected].

Hybrid