Head of Claim (Life Insurance)

An exciting Head of Claim (Life Insurance) has just become available at one of the Life Insurance based in Jakarta.

HEAD OF CLAIMS

Salary: Competitive and based on experience
Location: Jakarta

Keywords: health insurance, claims management, regulatory compliance, team leadership, collaborative environment, Jakarta

An esteemed life insurance provider in Jakarta is seeking a Head of Claims to oversee and enhance their health insurance claims division. This pivotal role offers you the opportunity to shape the future of claims management, ensuring that every claim is handled with precision, empathy, and in full alignment with regulatory standards. You will be at the forefront of developing and refining policies, collaborating closely with internal teams and external partners to deliver seamless service to policyholders. The organisation is committed to fostering a supportive and inclusive workplace where your expertise will directly influence operational excellence and customer satisfaction. If you are passionate about making a meaningful impact in the insurance sector and thrive in an environment that values knowledge-sharing, teamwork, and professional growth, this is your chance to take on a highly influential position.

* Play a key role in shaping claims strategy for a leading life insurance provider in Jakarta, driving improvements in efficiency, accuracy, and compliance across all health insurance claim processes.
* Enjoy a collaborative work culture that encourages open communication, continuous learning, and strong interdepartmental relationships to ensure the best outcomes for clients and colleagues alike.
* Benefit from flexible working opportunities and ongoing training initiatives designed to support your professional development while contributing to the company’s mission of delivering exceptional service.

What you'll do:

As Head of Claims, you will play an instrumental role in guiding the overall direction of the health insurance claims department. Your day-to-day responsibilities will involve overseeing the end-to-end claims process—ensuring each case is managed efficiently while maintaining strict adherence to regulatory frameworks. You will collaborate extensively with both internal teams such as finance and head office staff as well as external partners like hospitals. By preparing insightful reports for management review and continuously updating policies based on evolving industry standards, you will help safeguard the company’s interests while delivering fair outcomes for policyholders. Success in this role requires not only technical proficiency but also a genuine commitment to nurturing your team’s growth through supportive leadership. Your ability to foster cooperation among diverse stakeholders will be essential in maintaining smooth operations and upholding the highest standards of service excellence.

* Analyse complex claim submission data to make well-informed decisions that align with consent principles and comply with all relevant regulations, ensuring fairness for both policyholders and the company.
* Develop, update, and implement comprehensive health insurance claim policies and procedures that promote effective, efficient operations while minimising risk exposure for the business.
* Prepare detailed regular reports that provide accurate insights into health insurance claim activities, supporting strategic decision-making by senior management.
* Coordinate closely with hospitals, head office departments, finance teams, and other stakeholders to facilitate smooth processing of claims from validation through to payment.
* Monitor adherence to standard operating procedures (SOPs) within the claims team to maintain high standards of quality control and regulatory compliance.
* Lead, mentor, and support a dedicated team of claims professionals by setting clear objectives, providing constructive feedback, and fostering a culture of shared responsibility.
* Identify areas for process improvement within the claims function by leveraging data analysis and industry best practices to drive operational enhancements.
* Ensure all claim decisions are made transparently and ethically, upholding both company values and legal requirements at every stage of the process.
* Act as a key point of contact for escalated or complex cases requiring expert judgement or cross-functional collaboration.
* Stay abreast of changes in Indonesian insurance regulations (including OJK guidelines) to ensure ongoing compliance across all aspects of claims management.

What you bring:

To excel as Head of Claims, your background should reflect substantial hands-on experience within either an insurance or healthcare setting—ideally focused on health-related products. Your academic foundation in medicine enables nuanced understanding when reviewing clinical documentation or liaising with medical professionals. Beyond technical acumen, your interpersonal skills are vital: you must be able to communicate complex concepts clearly across different audiences while building trust-based relationships internally and externally. Experience managing teams demonstrates your capacity for empathetic leadership—balancing accountability with encouragement so everyone feels valued. Familiarity with Indonesian regulatory requirements ensures every action aligns with current laws; meanwhile, your attention to detail underpins robust reporting practices that inform strategic choices at senior levels. Ultimately, your combination of analytical thinking, industry expertise, collaborative spirit, and commitment to continuous improvement will set you apart as an invaluable asset within this forward-thinking organisation.

* A Medical degree is required, provides you with essential medical knowledge required for evaluating health insurance claims accurately.
* At least five years’ experience working within an insurance company or hospital environment equips you with practical insights into health insurance claim processes.
* Demonstrated analytical skills enable you to assess complex information effectively when making critical claim decisions.
* Proven experience leading a team ensures you can manage performance expectations while nurturing professional development among your colleagues.
* Comprehensive understanding of health insurance products allows you to navigate various policy terms confidently during claim assessments.
* Familiarity with consent principles ensures all actions taken respect both legal obligations and ethical considerations within Indonesia’s regulatory landscape.
* In-depth knowledge of local insurance regulations—including OJK requirements—guarantees ongoing compliance throughout all stages of claims management.
* Expertise in legal provisions related to claims handling supports transparent decision-making processes that protect both customers’ rights and company interests.
* Ability to develop clear standard operating procedures (SOPs) helps maintain consistency across all aspects of departmental operations.

What sets this company apart:

This organisation stands out as one of Indonesia’s most respected life insurers—renowned for its unwavering dedication to customer care and operational integrity. Employees benefit from a culture rooted in mutual respect where knowledge-sharing is actively encouraged across all levels. The company places significant emphasis on professional development through structured training programmes tailored to individual needs; this ensures every team member has access to resources that support their career aspirations. Flexible working arrangements further demonstrate their commitment to employee wellbeing—enabling you to balance personal priorities alongside professional responsibilities. With a reputation built on transparency, reliability, and ethical conduct within the industry, joining this team means becoming part of an inclusive network where your contributions are genuinely valued—and where collective success is celebrated together.

What's next:

If you are ready to advance your career by taking on this rewarding leadership opportunity in Jakarta’s thriving insurance sector, we encourage you to apply now!

Apply today by clicking on the link provided—your next career chapter awaits.

Due to the high volume of applications we are experiencing, our team will only be in touch with you if your application is shortlisted.