Purpose

Own the end-to-end solution architecture for the Claims Platform for large, global insurers

across Life and Health insurance lines. This role is responsible for ensuring the platform is

implemented correctly, integrated effectively within complex insurer ecosystems, and

successfully taken from discovery through production go-live.

The Solution Architect acts as the single point of architectural ownership across customer

stakeholders, internal product teams, delivery teams, implementation partners, and third-

party vendors.

This is not a purely advisory or remote architecture role. The expectation is that the

individual has operated on the ground, worked closely with insurers during critical

implementation phases, handled ambiguity, and made real-time decisions during UAT,

cutover, and go-live.

Core Responsibilities

1. International On-Site Implementation Ownership (Mandatory)

Must have prior experience travelling internationally for enterprise insurance platform

implementations.

Must have led implementations on-site from requirements gathering through solution design,

UAT, cutover, go-live, and hypercare.

Serve as the primary architectural authority during customer engagements and represent the

product confidently in front of senior stakeholders.

Work closely with:

 Claims business teams

 Operations teams

 Customer IT, architecture, and security teams

 System integrators

 Third-party vendors and external partners Drive workshops to understand

understand current-state requirements, gaps, and dependencies.processes, future-

state

Convert business requirements into practical, scalable solution designs while balancing

product capability versus customer-specific customisation.

Handle ambiguity during discovery phases and bring structure to incomplete or evolving

requirements.

Make real-time decisions during testing, cutover, and production support situations.

Support high-pressure go-live activities, defect triage, business escalations, and hypercare.

Ensure customer confidence through strong communication,



ownership, and decisive

problem-solving.

2. Enterprise Integration Ownership

Own end-to-end integration architecture between the Claims Platform and the insurer

ecosystem.

Hands-on experience integrating claims solutions with:

o Policy Administration Systems

CRM and omni-channel platforms

Document Management Systems (DMS)

Payment and finance systems

External provider, hospital, TPA, and regulatory ecosystems

Customer communication platforms such as SMS, email, portals, and

contact centres

Define and drive the overall API and integration strategy for customer implementations.

Design synchronous and asynchronous integration patterns across upstream and

downstream systems.

Own error handling, retry mechanisms, exception management, reconciliation, and

operational monitoring for integrations.

Ensure end-to-end data consistency and transaction integrity across multiple systems.

Work with customer enterprise architects and integration teams to ensure the solution fits

within the broader insurer landscape.

Support data mapping, interface specifications, payload definitions, and integration testing.

Provide architectural guidance on performance, dependency management, and system

interoperability.

3. Claims Product & Domain Mastery

Demonstrate deep expertise in Life and Health claims processes and operating models.

Solid understanding of:

Pre-authorisation workflows

Reimbursement and cashless claims

o Auto-adjudication and manual assessment flows

Claims intake and registration

Medical coding and clinical pathways

Provider and hospital workflows

Claims payment, settlement, and recovery

o Fraud, Waste, and Abuse controls





Claims correspondence and communication processes

Guide customers on how to use the platform effectively rather than over- customising it.

Identify where customer requirements can be solved through product configuration versus

custom development.

Ensure solution designs align with industry best practices and support operational efficiency.

Understand the broader impact of claims processes on customer experience, operational

teams, provider networks, and downstream finance systems.

METAMORPHOSYS

TECHNOLOGIES

Be able to challenge customer requests when they introduce unnecessary complexity,

operational risk, or deviation from the product roadmap.

• Act as a trusted advisor to business stakeholders by combining deep claims knowledge

with practical implementation experience.

Experience Profile

10-12 years of total experience

2- 4+ years of experience specifically in Life and Health Claims platforms Proven experience

leading international, on-site insurance implementations Strong exposure to APAC, EMEA,

or other global insurer environments Experience working across complex insurer IT

landscapes and multiple stakeholder groups

Hands-on involvement in large-scale implementations, production go-lives, and hypercare

Strong ability to work across business, technology, and delivery teams

Ability to operate independently and drive outcomes under pressure

What Success Looks Like

Smooth and predictable go-lives with minimal escalations

Strong confidence and trust from customer CIOs, Heads of Claims, and business leadership

teams

Well-designed integrations and stable production systems

Delivery teams aligned to a product-first implementation approach

Clear architectural decisions with minimal ambiguity or rework

Faster implementation cycles with reduced delivery risk

Reduced dependency on founders and senior leadership for delivery assurance Customers

viewing the individual as a trusted advisor rather than only a technical architect

📌 Solution Architect – Claims Platform (Life & Health) (Mumbai)
🏢 Prinkal Mukhi (Proprietor OF Infinity Career Edge)
📍 Mumbai