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Insurance Operations Manager

1 week ago

Kuala Lumpur, Kuala Lumpur, Malaysia Manulife Full time
About the Role
We are seeking a highly skilled Insurance Operations Manager to oversee our claims department, ensuring efficient and effective claim processing. This role involves strategic leadership, development of standard operating procedures, and maintaining high standards of customer service and experience while adhering to compliance and regulatory requirements.

Key Responsibilities
  • Lead and manage the claims team, providing guidance and support to ensure high performance and engagement.
  • Plan and review the end-to-end claims process, ensuring timely and accurate settlement of claims.
  • Develop and implement policies and procedures for claims management, ensuring consistency and compliance with regulatory requirements.
  • Review quality assurance for internal claims teams and Third-Party Administrators (TPAs), ensuring quality and accuracy of claims adjudication.
  • Build and maintain strong relationships with vendors, especially TPAs, to address our needs effectively.
  • Manage TPAs and review their performance as per contract scope.
  • Develop strategies to improve claims operations and enhance customers' satisfaction.