Claims Specialist

About the Team

Swiss Re Life and Health (L&H) Claims forms part of the Swiss Re L&H Business Management function which is responsible for managing in-force business and the related operations. There are four units within the Business Management division; Claims, Actuarial Management, Portfolio Management and Technical Accounting. In addition to the in-force management of existing business, Business Management ensures insights gained from in-force business are appropriately incorporated in our new business activities.

L&H Business Management works closely with other Swiss Re teams specifically L&H Products and Client Markets to ensure Swiss Re has aligned priorities and client focus whilst delivering market-specific, portfolio-directed services, which support our overall strategic approach to managing risks and client relationships.

About the Role

This role provides an excellent opportunity to become part of the Swiss Re L&H Business Management team and collaborate with clients and various teams within Swiss Re locally and regionally. This role will be instrumental in the implementation of a meaningful and relevant claims philosophy whilst promoting and sharing best practice claims management techniques with clients and internal stakeholders. 

• Manage the day-to-day planning and operations to carry out his/her responsibilities effectively
• Analyze clients' portfolio to understand the details and trend of claims under management in order to add value to the outcome within a reasonable timeline
• Ensure required claims data and reports are accurate and complete for business reporting purposes (KPIs, etc.)
• Support the Claims Manager in developing client portfolio management strategy, planning and carrying out Claims Audits to ensure alignment to business goals and priorities
• Work closely with team members in managing client relationships, providing solutions and value added claims services, including claims case management, training, seminars, projects etc.
• Assess and manage client claims case referrals within the terms and conditions of the policy and pricing assumptions;
• Ensure Client Audits are conducted within internal framework, and oversee implementation of any remedial actions to improve claims standards;
• Support the Claims Manager in tendering for new business, innovative product development and in promoting claims profile and expertise in the SEA market;
• Ensure treaty documentation contains agreed terms and conditions, and the relevant claims clauses and articles according to acceptable SR standards.

About You

• 5 to 10 years technical L&H claims experience
• Significant awareness of life insurance markets and portfolio dynamics in South East Asia
• Knowledge of products being offered in these markets along with the ability to anticipate and/or mitigate potential risks and identify product development or service opportunities
• Understanding as well as knowledge of the insurance/reinsurance industry
• The ability to conduct client audits and develop training materials from audit findings to strengthen client's technical knowledge
• The capability to consider data, identify anomalies and use information to develop action plans
• Negotiation, communication, influencing and presentation skills
• Collaboration capability and the ability to work in cross-functional teams
• Courage to challenge the status quo and to explore new ideas that improve our business
• Excellent written and verbal communication skills in English, other languages a plus
• Tertiary level education in a relevant discipline