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Head of Claim

Key Facts

Remote From: 
Full time
English

Other Skills

  • Record Keeping
  • Training And Development
  • Quality Control
  • Communication
  • Leadership
  • Team Management
  • Organizational Skills
  • Self-Motivation
  • Problem Solving

Roles & Responsibilities

  • Proven leadership and people management experience, with the ability to supervise claim supervisors and motivate staff.
  • Strong expertise in claims management, underwriting synergy, and quality control processes; experience in SOP development and workflow optimization.
  • Budgeting, cost control, and financial planning skills; ability to develop forecasts and department budgets.
  • Analytical mindset with data-driven approach; ability to analyze claim data, monitor trends, and prepare management reports; effective communication with clients.

Requirements:

  • Lead staff training projects, develop departmental SOPs, review workflows, and implement quality control for Claims and Underwriting; establish efficient structure and processes.
  • Manage and supervise claim supervisors, approve claims within authority, and implement corporate claims philosophy with added client services; motivate staff and ensure efficient administrative support and record-keeping.
  • Analyze claim data to monitor trends, provide timely alerts to relevant departments, control internal costs, and plan budgets and projections.
  • Contribute to business planning, provide in-house claim training, prepare monthly and annual reports, present claims procedures to clients, and assist marketing plans for insurance products.

Job description

Duties and Responsibilities

To work on Staff Training Projects, Departmental SOP, Workflow Review, and quality control for both Claims and Underwriting Departments.
Set up an effective departmental structure, logical & smooth workflow, and efficient claim procedures.
Manage and supervise claim supervisors to assess and settle claims regarding effective corporate claims philosophy (plan and set up effective and valuable added services for consumers).
Ensure that the claim staff is effectively managed and motivated.

Set up efficient administrative support and record-keeping.
Check and approve all claims within the authority and will get approval from the upper level if it is beyond the authority.
Analyze claim data to closely monitor the claim trend and also keep timely alert to the involved departments about the claim experiences or other relevant information.
Control and monitor tightly the internal cost of running the department and claim costs.
Plan claim projection and budget for the department.
Be involved with preparing a Business Plan or Business Strategy for the whole operation.
Provide a claim training program in-house to claim staff.
Prepare monthly and annual claim reports to the management team.
Provide a presentation about the claims procedure to clients.
Be involved with preparing marketing plans and strategies for insurance products.
Other jobs related to the Claims Department or the Company.
Other tasks as assigned by the CEO





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