Expert, Corporate Claims (Techcom Insurance)

Job Purpose

The role is directly supporting the Claims Director to ensure all insurance claims across Property, Casualty, Specialty Lines (Marine, Engineering), and Motor are processed accurately, promptly, transparently, and in strict compliance with policy terms and conditions.

The role is accountable for driving day-to-day team execution, taking ownership of tasks, maintaining high standards of time management and logical thinking, guiding effective communication and negotiation with clients, brokers, and loss adjusters, and delivering high-quality, reliable claim outcomes.

Key Accountabilities (1)

1. Team Operations, Coaching & SLA Performance Management 
- Workload Allocation & Task Ownership: Organize, allocate, and monitor daily claim assessments for team members; foster a proactive mindset where members are willing to take on tasks and stay accountable for timely, high-quality deliverables.
- Coaching & Subordinate Guidance: Coach, guide, and share practical experience with team members to ensure professional, accurate, and standardized medical claim handling.
- SLA & Turnaround Time: Oversee claim cycle times (TAT), interim payouts, and initial reserves, ensuring full compliance with service commitments and policy terms.
- Time Management & Case Prioritization: Apply strong time management skills to prioritize urgent and complex claims, actively preventing claim backlogs.

Key Accountabilities (2)

2. Claims Adjudication, Partner Coordination & Negotiation 
- Claim Assessment: Review and recommend settlement solutions for Property, Casualty, Marine, Engineering, and Motor claims strictly adhering to policy terms, deductibles, and limits.
- Loss Adjuster/TPA Oversight: Work with independent adjusters, surveyors/TPA; review assessment reports, fee computations, and invoices to verify reasonableness and accuracy.
- Negotiation & Communication: Communicate and negotiate claim settlements with clients, and stakeholders transparently, persuasively, and harmoniously.
- Reporting & Escalations: Prepare claim summaries, submit delegation approval requests, and advise the Head of Claims on complex or disputed cases.
        

Key Accountabilities (3)

3. Anti-Fraud, QA Check & Department Support 
- Anti-Fraud: Identify signs of fraud waste abuse and take prompt countermeasures.
- Quality Assurance (QA Check): Perform routine random quality checks across loss adjusters/TPAs, team to ensure calculation accuracy, complete claims documentation, and procedural adherence.
- Digital Transformation: Actively adopt digital tools (auto-adjudication, OCR, mobile claim tracking) to streamlineclaims processing.
- Department Targets & Direct Manager Tasks: Able to complete duties to support Department targets and company objectives; and complete tasks when assigned by Direct manager.
        

Key Relationships - Direct Manager

Claims Director    

Key Relationships - Direct Reports

Manages an assessment team of 5-10 members     

Key Relationships - Internal Stakeholders

Internal function Division in company    

Key Relationships - External Stakeholders

Customers, TPAs, Independent Loss Adjusters, Surveyors, etc.    

Success Profile - Qualification and Experiences

- Education: Bachelor's degree or higher in Insurance, Economics, Foreign Trade, Engineering, Law, or a related field.
- Professional Experience: MMinimum 3 years of direct hands-on experience in non-life insurance claims assessment and loss adjusting at leading non-life insurance companies or international loss adjusting firms.
- Domain Expertise: Solid experience handling Property (Fire, IAR, BI), Casualty (CGL, Liability), and Specialty Lines (Marine Cargo, Marine Hull, Engineering CAR/EAR). Experience in Motor claims is preferred.
- Team Management Experience: At least 2 years of experience managing a team of 5+ members (preferably in claims operations).
- English Intermediate: only requires ability to listen, read, and write in English (able to comprehend English insurance wordings, and draft written communications/emails, etc.).