Reporting to the Asia Claims Operations Head, this role will lead in-market strategy, client advisory, and transformation delivery, working closely with health insurers, health providers, and regulators.
Key Responsibilities
- Lead claims transformation strategy and execution, driving operational efficiency, cost optimisation, and improved outcomes
- Redesign end-to-end claims processes, enhancing STP rates and reducing manual intervention
- Deploy AI, automation, and advanced analytics for claims adjudication, fraud detection, and workflow optimisation
- Act as a key advisor to clients, translating business needs into scalable operational and technology solutions
- Partner with internal product and tech teams to implement data-driven solutions and digital capabilities
- Engage with external stakeholders (providers, regulators) to ensure alignment with industry standards
- Drive change management and capability building within client organisations
- Support provider risk management initiatives, including workflow design and integration into insurer systems
- 7–10 years’ experience in claims operations, healthcare insurance, or consulting
- Proven track record in claims transformation / process improvement
- Strong exposure to AI, analytics, and automation in claims environments
- Experience working with healthcare providers, payors, or health systems
- Strong stakeholder management and client-facing advisory experience
- Ability to operate across strategy, operations, and technology
- Must be fluent in Thai and English
- Opportunity to shape next-generation claims operations across the region
- High-impact role at the intersection of healthcare, data, and technology
- Exposure to AI-driven transformation and ecosystem partnerships
