Claim Analyst Lead

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

Job Description:

Job description

• an experienced and dynamic Claim Analyst to lead our claims department in Indonesia. This role is responsible for overseeing all aspects of the claims process, ensuring efficient and fair claim settlements while maintaining high customer satisfaction levels.

Preferred skills

• Professional with medical background

• Having insurance certifications will be plus points (e.g., PAMJAKI, LOMA)

• Experience with digital transformation initiatives in claims processes

• Knowledge of multiple insurance product lines (life, health)

Qualifications

• Preferably has Medical Background

• Minimum 8 years of experience in insurance claims management, with at least 5 years in a leadership role

• In-depth knowledge of Indonesian insurance regulations and market practices

• Strong analytical and problem-solving skills

• Excellent leadership and team management abilities

• Outstanding communication and interpersonal skills

• Fluency in Bahasa Indonesia and English (both written and spoken)

• Proficiency in claims management systems and data analysis tools

Responsibilities

• Develop and implement strategic plans for the claims department aligned with Sun Life Indonesia's overall business objectives

• Lead and manage the claims team, providing guidance, mentorship, and fostering a culture of continuous improvement

• Ensure compliance with all relevant regulations, internal policies, and industry best practices in claims handling

• Optimize claims processes to enhance efficiency, reduce turnaround times, and improve customer experience

• Analyze claims data to identify trends, potential fraud, and areas for process improvement

• Collaborate with other departments (e.g., Underwriting, Customer Service, Legal) to ensure seamless operations

• Manage relationships with third-party service providers and vendors related to claims processing

• Develop and monitor key performance indicators (KPIs) for the claims department

• Stay updated on industry trends and innovations in claims management

• Represent the claims department in management meetings and external industry forums

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