Claims, Principal

In this role, you will support 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