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Open nowFirst seen 45 hours ago

Senior Operations Executive

Second Talent182 open roles

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11.8% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 2.1%1 day
  2. 4.4%3 days
  3. 11.8%7 days
  4. 18.6%14 days
  5. 35.6%30 days
  6. 45.1%60 days
This job: first seen 45 hours ago

The posting

Operations / Senior Operations Executive (Claims) Health Tech Platform

Key Responsibilities

  • Manage and oversee a portfolio of complex claims, ensuring prompt, accurate, and transparent processing in accordance with internal SLAs and regulatory standards.
  • Provide guidance, training, and support to claims and customer service team members; act as a Subject Matter Expert (SME) to resolve escalated cases and develop best practices.
  • Investigate, assess, and adjudicate claims, including review of documentation, data analytics, and digital health records, to determine eligibility, coverage, and liability.
  • Ensure strict compliance with company policies, industry regulations, and evolving digital health legislation in local and international markets.
  • Monitor, analyze, and report on claims performance using KPIs and dashboards; drive data-driven process improvement projects aiming for higher efficiency, automation, accuracy, and customer satisfaction.
  • Collaborate cross-functionally on system enhancements as well as solving customer enquiries.
  • Maintain accurate up-to-date claims databases and generate regular and ad hoc management reports for internal and regulatory review.
  • Proactively identify operational risks and recommend process or technology improvements.
  • Process Business as Usual (BAU) operational processes as well and any ad hoc tasks to improve company efficiency.

Qualifications

  • Bachelors degree in business, finance, insurance, health administration, or a related field.
  • Minimum 2-3 years experience in claims management, ideally in life/health insurance or a digital health platform in Asia.
  • Preferred Experience with claims operating systems, workflow automation, and data analytics tools; proficiency in Microsoft Office and relevant claims management software.
  • Sound knowledge of insurance regulations, industry standards, and digital health compliance requirements in Asia.
  • Strong analytical, investigative, and problem-solving skills with a keen eye for process optimization.
  • Excellent communication, negotiation, and interpersonal skills; able to engage diverse stakeholders and influence outcomes.
  • Self-driven, results-oriented, and comfortable working in fast-growing, dynamic, and digital-first environments.
  • Strong language capabilities especially in Cantonese, Mandarin as well as English
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