Senior Claims Specialist

FWD Life Insurance Group

Manila, Philippines
**
Complex claims assessment expertise
Policy provision interpretation skills
Regulatory compliance adherence
** FWD Life Insurance Group is seeking a Senior Claims Specialist in Manila, Philippines, to oversee complex insurance claims, ensuring accurate assessments and adherence to policy provisions. The role emphasizes customer experience and requires collaboration across functions while supporting team training and process improvements. **

Job Summary

  • The role ensures accurate and timely assessment of complex, high-risk insurance claims while adhering to policy provisions and regulatory standards.
  • Candidates will act as subject-matter experts providing technical guidance to Claims Ambassadors and supporting the resolution of escalated cases.
  • The position involves participating in operational projects, including process improvements, risk controls, and system enhancements to uplift claims quality.

Matching Summary

Match Score: 75

** FWD Life Insurance Group is seeking a Senior Claims Specialist in Manila, Philippines, to oversee complex insurance claims, ensuring accurate assessments and adherence to policy provisions. The role emphasizes customer experience and requires collaboration across functions while supporting team training and process improvements. **

Skills & Requirements

Must-have

  • Complex claims assessment expertise
  • Policy provision interpretation skills
  • Regulatory compliance adherence
  • Medical evidence validation
  • Cross-functional collaboration

Nice-to-have

  • Subject matter expert knowledge
  • Process improvement initiative experience
  • Technical coaching abilities
  • System implementation support
  • Positive customer experience focus

Key Requirements

  • Experience with contestability and non-disclosure cases
  • Knowledge of non-forfeiture provisions and grace period rules
  • Ability to validate medical evidence and investigative findings

Work Rights

Not specified

Tailored Resume

Cover Letter