{"id":1173327,"url":"https://alion.io/job/fwd-claims-manager","title":"Claims Manager","company":{"id":5339,"name":"FWD","domain":"fwd.com","url":"https://alion.io/company/fwd","size_band":"1001-5000","is_staffing_agency":false,"is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":75,"open_postings":14,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":32,"computed_at":"2026-09-24T05:45:00Z"}},"role":"Finance","role_family":"Finance","seniority":"senior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Taguig, Philippines"],"countries":["PH"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":16000,"max_usd":31000,"period":"year","method":"role_seniority_country_cell","sample_n":17},"experience_years_min":8,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-09-24T09:15:59Z","employer_posted_date":"2026-09-24","last_verified_at":"2026-09-24T16:51:53Z","board_verified":true,"closed_at":null,"days_open":0,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":0},"description":"About FWD Group\nFWD Group (1828.HK) is a pan-Asian life and health insurance business that serves approximately 40 million customers across 10 markets, including BRI Life in Indonesia. FWD’s customer-led and tech-enabled approach aims to deliver innovative propositions, easy-to-understand products and a simpler insurance experience. Established in 2013, the company operates in some of the fastest-growing insurance markets in the world with a vision of changing the way people feel about insurance. FWD Group is listed on the main board of the Hong Kong Stock Exchange under the stock code 1828.\nFor more information, please visit www.fwd.com\nAbout FWD Life Philippines\nFWD Life Insurance Corporation (FWD Life Philippines) launched its commercial operations in September 2014. As of end-2022, FWD Life Philippines ranks 3rd and 6th in terms of Paid-up Capital(1) and New Business Annual Premium Equivalent(2), respectively.\nFor more information, please visit fwd.com.ph.\n1 www.insurance.gov.ph > Statistics > Life > 2022 > Based on Paid-Up Capital\n2 www.insurance.gov.ph > Statistics > Life > 2022 > Based on New Business Annual Premium Equivalent\nThe Claims Manager is responsible for leading the end-to-end claims function, ensuring fair, accurate, and timely adjudication of life and health insurance claims while delivering an exceptional customer experience. The role oversees technical claims assessment, claims operations, quality assurance, regulatory compliance, people leadership, and continuous process improvement.The incumbent will manage a team of Claims Analysts and Claims Support staff and serve as the technical authority for complex, contestable, escalated, and high-value claims involving Death, Critical Illness, Disability, Hospitalization, Waiver of Premium, and related benefits. The role also drives operational efficiency, governance, risk management, and customer-centric claims practices. This aligns with internal claims approval, assessment, payment, QA, and escalation processes documented in your claims operations materials\n1. Claims Adjudication and Technical Leadership\nProvide technical oversight on the assessment and adjudication of:\nDeath Claims\nContestable and Incontestable Claims\nCritical Illness Claims\nTotal and Permanent Disability Claims\nWaiver of Premium Claims\nHospitalization and Medical Reimbursement Claims\nReview and approve claims within delegated authority limits.\nAssess complex, high-exposure, contestable, fraudulent, or litigated claims.\nEvaluate medical, financial, occupational, legal, and investigative information to determine claim validity.\n2. Operations Management\nManage the end-to-end claims workflow from claim notification to benefit settlement.\nEnsure delivery of service level agreements (SLAs), turnaround times, and productivity targets.\nMonitor claim inventories, aging reports, pending requirements, and backlog management.\nDrive operational excellence initiatives to improve efficiency, quality, and customer outcomes.\nAnalyze claims data, trends, and operational metrics to identify opportunities for improvement.\nOversee vendor relationships involving investigators, medical reviewers, legal counsel, and third-party service providers.\nEnsure proper documentation and maintenance of claim records and audit trails.\n3. People Leadership and Talent Development\nLead, coach, and develop a high-performing claims team.\nConduct performance management, talent reviews, career development planning, and succession planning.\nStrengthen technical claims capability through training, case reviews, and calibration sessions.\nFoster a culture of accountability, customer focus, collaboration, and continuous learning.\nDrive employee engagement and team effectiveness.\n4. Governance, Risk, and Compliance\nEnsure compliance with Insurance Commission regulations, Anti-Money Laundering requirements, data privacy regulations, and company policies.\nMaintain robust claims controls and quality assurance programs.\nSupport internal audits, regulatory reviews, and compliance assessments.\nMonitor fraud indicators and lead fraud prevention initiatives.\nEnsure adherence to claims authority frameworks and approval hierarchies\n5. Stakeholder and Customer Management\nPartner with Distribution, Customer Experience, Legal, Operations, Underwriting, Reinsurance, Compliance, and Finance teams.\nManage escalated distributor, customer, and beneficiary concerns.\nRepresent Claims in cross-functional projects and strategic initiatives.\nSupport customer advocacy while ensuring sound risk management and fair claims outcomes.\nJob Requirements\nBachelor's Degree in Nursing, Medicine, Allied Health, Business Administration, Insurance, Finance, Law, or a related field.\nProfessional certifications in insurance, claims management, fraud investigation, medical underwriting, or risk management are an advantage.\nMinimum 8-10 years of insurance industry experience.\nMinimum 3-5 years in claims leadership or supervisory roles.\nDemonstrated experience handling different types of claims.\nProven experience managing teams and operational performance.\nExudes claims expertise, operational excellence and leadership competence\n Privacy Notice\nYour privacy is a priority for FWD. The Company keeps your personal information with us in confidence. To know more about how we process your information, kindly refer to our FWD Recruitment Privacy Notice.\nFWD has partnered with Talocity Instasolutions Private Limited (“Talocity”) to manage the initial filtering of candidate’s profiles through video interviews, social profile mapping, and video analytics using artificial intelligence engine that is offered within the Talocity platform. The platform evaluates the candidate on the five well-known dimensions as per OCEAN Personality Model that influence occupational success and help understand workplace behavior. For more information, please refer to Talocity Privacy Policy.\nWhen you apply, FWD will share your name, phone number and email address to Talocity to contact you and conduct the initial screening and profiling process. Shortlisted candidates will then be contacted by FWD for the face-to-face interview.","description_format":"text","description_chars":6164,"description_truncated":false,"requirements":{"experience_years_min":8,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["Continuous learning","Health insurance","Life insurance"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Financial Services","Wealth Management","Insurance","FinTech"],"lifecycle":[{"event":"open","at":"2026-09-24T09:15:59Z"}],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":0,"expected_fill_days":32,"reasons":["conf:8","win:early","comp:brand"],"computed_at":"2026-09-25T01:20:08Z"},"pay":null,"html_url":"https://alion.io/job/fwd-claims-manager","json_url":"https://alion.io/job/fwd-claims-manager.json","meta":{"generated_at":"2026-09-25T01:20:08Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","usage":{"tier":"crawler","counted_by":"address","units_charged":1,"used_today":1311,"day_limit":5000,"remaining_today":3689,"minute_limit":60,"resets_at":"2026-09-26T00:00:00Z"}}}