**Responsibilities:** + To coordinate and supervise the day-to-day claim Analyst and support claim in accordance with the standards set by the company. + Take an active role in solving the complex and critical issues in the team. + Ensuring all claim team process can meet service level agreement and turnaround time which put on SLA with Bank Partner and SOP. + Review Daily productivity claim team. + Coordinate & communicate with other teams to find solution for complaint related claim or communicate directly to customer. + Provide training to internal staffs if needed. + Participate in claim projects, system enhancement and give input for improving claim process. + Contributing to audits, reviews as required in order to support and enable the maintenance of an effective control setting. + Approve claims within own claims authority and make recommendation to senior for those claims exceeding own authority limit in line with established standards, procedures and guidance provided. + Ensuring comply with applicable regulations in PT AJMI (including AML / KYC and Privacy). + Ensure the report has been delivered on time. + Responsible for the audit process of the vendors, including the Third-Party Administrator (TPA) ensuring that the audits are conducted in accordance with standards agreed upon with Underwriting & Claims Risk Management and the Underwriting & Claims Risk + Coaching claim team to improve capability and KPI company **Qualifications** + Bachelor's degree in Medicine + Minimum 7-10 years of experience in Claims Operations within the insurance industry, with at least 3 years in a people leadership or managerial role. + Strong knowledge of life and health insurance products, policy provisions, underwriting principles, and risk management practices.



+ Demonstrated expertise in claims assessment, adjudication, fraud detection, and investigation. + Proven experience in project management, process improvement, and operational excellence initiatives. + Strong analytical, problem-solving, and decision-making skills with the ability to manage complex claim cases. + Excellent communication, stakeholder management, and relationship-building skills, with the ability to collaborate effectively across functions and with external partners. + Sound understanding of insurance regulations, compliance requirements, and industry standards. + Proficient in claims management systems, data analytics, and Microsoft Office applications. + Customer-focused mindset with a commitment to delivering high-quality service and enhancing customer experience. **_When you join our team:_** + We'll empower you to learn and grow the career you want. + We'll recognize and support you in a flexible environment where well-being and inclusion are more than just words. + As part of our global team, we'll support you in shaping the future you want to see.



**マニュライフとジョン・ハンコックについて** マニュライフ・ファイナンシャル・コーポレーションは、「あなたの未来に、わかりやすさを」を提供する、国際的な大手金融サービスプロバイダーです。当社について詳しくは、 https://www.manulife.co.jp/ lをご覧ください。 **マニュライフは機会均等を是とする雇用主です** マニュライフ/ジョン・ハンコックでは、多様性を受け入れます。私たちは、サービス提供先であるお客さまと同様に、多様な人材を引きつけ、育成し、定着させ、文化や個人の力を受け入れる包括的な職場環境を促進するよう努めています。当社は公正な採用、定着、昇進、報酬に努めています。当社のすべての慣行およびプログラムは、人種、祖先、出身地、肌の色、民族的出自、市民権、宗教または宗教的信念、信条、性別（妊娠および妊娠関連の状態を含む）、性的指向、遺伝的特徴、退役軍人としての地位、性自認、性に関する表明、年齢、婚姻状況、家族状況、障害、または適用法で保護されるその他の要因に対する一切の差別を行うことなく管理されます。 雇用への平等なアクセスを提供するために、障壁を取り除くことが当社の優先事項です。人事担当者は、応募者が応募プロセス中に合理的配慮を要求する場合に協力します。配慮要求のプロセス中に共有されるすべての情報は、適用される法律およびマニュライフ/ジョン・ハンコックのポリシーに準拠した方法で保存および使用されます。申請プロセスにおいて合理的配慮を要求するには、 [email protected] までご連絡をお願いします。 **Working Arrangement** オフィス勤務

📌 Head of Life Claim (India)
🏢 Manulife
📍 India