Role Summary
We are seeking an experienced Life Insurance Claims Subject Matter Expert (SME) for 12 months contract to support claims operations, transformation initiatives, and system implementations.
You will play a critical role as a bridge between business and technology teams, ensuring claims processes are efficient, compliant, and aligned with business objectives while enhancing customer experience.
Key Responsibilities
Claims Domain Expertise
- Provide deep expertise across end-to-end life insurance claims processes (death, maturity, disability, riders)
- Interpret and translate complex claims policies, regulations, and business rules into operational and system requirements
- Act as the primary point of contact for claims-related queries across business and IT teams
Business & Technology Collaboration
- Partner with IT, product teams, and vendors on system enhancements, upgrades, and implementations
- Review and validate business requirements, functional specifications, user stories, and test scenarios
- Ensure solutions accurately reflect claims processes, controls, and compliance requirements
Transformation & Process Improvement
- Support claims transformation initiatives including automation, digitization, and workflow optimisation
- Identify process gaps, inefficiencies, and risks, and recommend improvements
- Participate in process redesign and future-state operating model discussions
Testing & Implementation Support
- Support UAT by reviewing test cases, validating outcomes, and ensuring readiness
- Assist with data validation, migration activities, and issue resolution
- Contribute to change management and business readiness initiatives
Compliance & Risk Management
- Ensure adherence to regulatory requirements, internal policies, and audit standards
- Support audit and risk reviews related to life insurance claims
Required Qualifications & Experience
- Bachelor's Degree in Business, Insurance, Finance, or related field
- 5+ years of hands-on experience in life insurance claims operations
- Strong knowledge of life insurance products, claims adjudication, and regulatory frameworks
- Proven experience as a Business SME in system implementation, transformation, or automation projects
- Experience working with IT teams, vendors, and cross-functional stakeholders
Key Skills & Competencies
- Deep expertise in life insurance claims
- Strong analytical and problem-solving skills
- Ability to translate business needs into clear, actionable requirements
- Excellent communication and stakeholder management abilities
- Familiarity with claims systems, workflow tools, or core insurance platforms
- Strong attention to detail with a compliance-focused mindset
Why join this organization:
- Work on high-impact projects with leading global banks and financial institutions
- Be part of transformative initiatives shaping the financial services industry
- Collaborative, dynamic, and consulting-driven environment
- Prime office location in Mid Valley