Head of Underwriting & Claims
On-siteKuala Lumpur, Kuala Lumpur, Malaysia
Job Summary
Head of Underwriting & Claims accountable for risk management and governance across underwriting and claims for FWDT and FWDI, overseeing policy localization and annual reviews, ensuring alignment with risk appetite, local regulations, and Shariah principles where relevant; establishing risk assessment frameworks, exercising delegated authority, reporting large claims, ensuring Payouts from the PRF, supporting pricing and reserving with actuarial data, monitoring trends, presenting semi-annual reviews to UWCC, serving as a voting member and acting chair in absence of the Country COO, and acting as Data Owner for underwriting and claims data domains with governance compliant with Data Privacy PDPA and AI/Data Governance policies; ensuring operational readiness for new products, cost allocation under the SRAJA framework, compliance with FTC and Plain Language standards, and oversight of TPAs for medical claims, while managing department budget and driving performance against service levels across end-to-end underwriting and claims processes.
Required Qualifications
- Degree in Medicine, Biomedicine and/or relevant sciences
- More than 15 years’ experience in Life Insurance, with 5 years of senior leadership roles in Underwriting and/or Claims
- Life Insurance professional qualification is advantageous, i.e. FMII, LOMA, FALU and etc.
- Strong knowledge of life insurance underwriting principles and products
- Understanding of local regulations and compliance requirements in life insurance
- Ability to leverage technology for operations efficiency
- Strong leadership and team management skills
- Strong analytical and communication skills
- Data governance and privacy policy alignment
- Experience with regulatory and outsourcing standards (e.g., AML/CFT, outsourcing)
- Experience in risk management and claim adjudication processes
- Experience serving on or interacting with a committee such as UWCC
- Experience with product pricing and reserving support
- Experience with handling large claims and ex-gratia processes
- Experience with data quality and access rights management
- Understanding of Shariah principles as applicable to FWDT/ FWD Malaysia
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