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About the Role
We’re seeking a detail-oriented and strategic claims professional to lead oversight of claims operations, ensuring adherence to regulatory standards, internal policies, and industry best practices. This role is pivotal in driving operational integrity, risk mitigation, and continuous improvement across the claims lifecycle.
Key Responsibilities
- Develop and implement frameworks for claims handling and resolution
- Monitor compliance with internal controls, regulatory requirements, and audit standards
- Lead quality assurance initiatives to ensure accuracy, fairness, and consistency in claims processing
- Collaborate with cross-functional teams to identify process gaps and recommend improvements
- Prepare and present reports on claims performance, risk exposure, and compliance metrics
- Serve as a liaison with internal audit, legal, and external regulatory bodies
- Provide training and guidance to claims teams on compliance protocols and best practices
Qualifications
- Proven experience in claims management, compliance, or risk governance (5+ years preferred)
- Strong understanding of regulatory environments (e.g., insurance, financial services)
- Exceptional analytical, organizational, and communication skills
- Ability to lead cross-functional initiatives and influence stakeholders
- Proficient in Cantonese and English; Mandarin is plus.
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