FIND YOUR BETTER AT AIA
If you believe in better, we'd love to hear from you.
About the Role
The role also supports the Head of Claims, Corporate Solutions in matters of Governance, Fraud/Waste/Abuse, Intermediary/client communications and transformation projects.
System Projects & Innovation
Governance
- Lead in matters of internal auditing and governance of claims operations.
- Work with the Claims internal auditing team to ensure all Dashboards and reports are timely review.
- Implement, Direct and Monitor any corrective/mitigation actions that arise from these reviews pertaining to Claims operations.
- Support team to check on alignment with committed regulatory commitments and actions. Active management of resources required to support claims functions
Fraud Waste Abuse
- Co-Lead on FWA matters and the SIU Team based in OSS.
- Plan and strategise to ensure KPIs are met in this area.
- Responsible for cases handled by CS Claims SIU team. This includes timely reporting to R&C, Senior Management/Exco, Regulators, Singapore Police force and similar claims cases.
- Recommending, implementing and advocating changes necessary to avoid or mitigate FWA. This may include sharing on product design etc.
- Communications to client/intermediaries on specific cases. This includes planning to recover losses by collaborating with client/intermediaries and any other parties we work with on the case.
- Communicate with overseas partners, providers in the course of FWA work.
- Undertake analysis, strategizing from such analytics and presenting/ reporting on FWA to R&C, Finance, Exco as necessary.
Intermediary & Client communication
- Organize, plan and manage all Communications & feedback of changes to claim operations and projects roll out.
- Deliver presentations on all projects to be implemented.
- Support Project Lead to manage all feedback and provide responses to close all feedback.
- Management of client relationships while handling sensitive FWA matters
Product Design/Development
- Review policy document, set up and processes for new products
- Collaborate with other CS teams to ensure Claims can deliver the desired coverage according to specifications required.
- Focus on Cost Containment, to ensure that the product/benefits address cost containment goals of CS.
- Benefit profitability of the product to shape the product design and business operations to manage claims loss ratios
Projects
- Undertake and studies, review, projects assigned towards Claims initiatives
- Support OCR/CVD project (or similar projects) as a team member
- Support Agentic AI initiatives on FWA work
- Manage all project external communications
- Lead and drive AI initiatives moving forward in line with group and business strategic directions
Requirements:
- Experience of 8-10 years or more in an employee benefits role.
- Claims background will be an advantage.
- Excellent communication and organizational skills
