Job Description
全面負責理賠部門的策略規劃、運營管理與團隊領導，確保理賠流程高效、合規且以客戶為中心。制定並優化理賠政策、流程與標準，提升理賠時效與客戶滿意度。推動數位化與自動化工具於理賠流程的應用，提升運營效率與風險控管能力。分析理賠數據，預防及偵測詐欺行為，並提出風險管理建議。與法務、合規、產品、客服等部門密切合作，確保理賠決策符合公司政策與監管要求。培養專業理賠團隊，推動持續轉型學習與專業變革成長。Lead the Claims Department with full responsibility for strategic planning, operational management, and team leadership, ensuring efficient, compliant, and customer-centric claims processes.Develop and optimize claims policies, procedures, and standards to enhance turnaround time and customer satisfaction.Drive the adoption of digital and automation tools in claims operations to improve efficiency and risk control.Analyze claims data to prevent and detect fraud, and provide risk management recommendations.Collaborate closely with Legal, Compliance, Product, and Customer Service teams to ensure claims decisions align with company policies and regulatory requirements.Build and develop a profess...