Insurance Specialist

This client is a large Southeast Asia–based digital ecosystem company operating across mobility, payments, and financial services, serving a user base of more than 600 million people across the region. It leverages data, technology, and platform integration to deliver consumer and financial solutions at scale.

Within its financial services arm, the organization operates a digital insurance business unit (InsurTech division) focused on designing and delivering embedded, technology-driven insurance products.

1. Core Background Profile

Most suitable candidates typically come from:

• General insurance or reinsurance companies
• Insurance brokers, loss adjusters, or claims service providers
• Banking or financial services operations teams with insurance exposure
• FinTech / InsurTech operational support roles

2. Key Experience Requirements

Strong candidates usually demonstrate:

• Claims handling experienceClaims assessment, validation, settlement, or investigation
• Fraud detection and risk evaluation
• Insurance operations knowledgePolicy understanding and coverage assessment
• Coordination with insurers, brokers, and adjusters
• Process & operational improvementWorkflow optimization
• Reducing turnaround time or improving efficiency
• Claims or service quality enhancements
• Stakeholder managementWorking with internal teams (finance, CX, compliance)
• External partners (insurers, brokers, vendors)

3. Technical & Analytical Skills

Preferred capabilities:

• Microsoft Excel (intermediate to advanced)
• Data handling and reporting experience
• Basic understanding of SQL (preferred but not mandatory)
• Familiarity with insurance systems (e.g., claims management platforms like SAP, EBIX, or similar)
• Strong attention to detail for documentation and compliance

4. Soft Skills Profile

Ideal candidates show:

• Strong communication and coordination skills
• Analytical thinking and structured problem-solving
• Ability to manage high-volume operational tasks
• Customer-centric mindset (especially for claims handling roles)
• Ability to work in fast-paced, regional environments

5. Preferred Industry Exposure

• General Insurance / Reinsurance
• Claims Adjusting / Loss Adjusting
• Banking Insurance Distribution
• FinTech / Digital Insurance platforms

6. Overall Ideal Candidate Persona

A mid-level insurance operations or claims professional (1–7 years experience) who:

• Understands end-to-end claims or insurance workflows
• Has strong operational discipline and documentation accuracy
• Can work with data and cross-functional teams
• Is comfortable in a digital, fast-moving InsurTech environment
• Has exposure to either claims handling or insurance product operations 

Responsibilities – Insurance Specialist, Operations (InsurTech Business Unit)

The Insurance Operations Specialist is responsible for supporting the end-to-end insurance operations lifecycle, ensuring smooth execution of insurance products, claims processes, and cross-functional coordination across the region.

1. Insurance Product Operations & Distribution

• Support the rollout and operational execution of insurance products across multiple markets
• Work closely with insurance partners, underwriters, and internal stakeholders to ensure smooth product distribution
• Assist in onboarding and operational readiness for new insurance offerings
• Ensure accurate execution of product workflows and policy administration processes

2. Claims Processing & Management

• Handle end-to-end claims processing, including validation, documentation review, and settlement support
• Coordinate with claims adjusters, insurers, and relevant stakeholders for case resolution
• Monitor claims progress and ensure timely turnaround within SLA requirements
• Support resolution of complex or escalated claims cases
• Ensure compliance with claims guidelines and internal policies

3. Data Analysis & Operational Reporting

• Use operational data to identify trends, inefficiencies, and root causes of issues
• Prepare reports and dashboards to track claims performance and operational KPIs
• Support data-driven decision-making for process improvements
• Assist in forecasting, claims tracking, and performance monitoring

4. Process Improvement & Optimization

• Identify gaps in existing workflows and propose process improvements
• Support automation and efficiency initiatives to reduce manual work and cost
• Collaborate with cross-functional teams to redesign operational processes
• Improve turnaround time, accuracy, and customer experience in insurance operations

5. Cross-Functional Collaboration

• Work closely with Finance, Payments, and FP&A teams for reconciliation and financial operations support
• Partner with Customer Experience teams for training, issue resolution, and claims-related customer support
• Coordinate with insurance partners, brokers, and external vendors for operational alignment
• Ensure smooth communication between technical, operational, and business teams

6. Customer & Claims Experience Support

• Support customer inquiries related to insurance policies and claims
• Assist in improving customer journey for claims submission and resolution
• Ensure clear communication and service quality across all customer touchpoints

7. Compliance & Documentation

• Ensure all insurance operations comply with regulatory and internal requirements
• Maintain accurate documentation of claims, policies, and operational activities
• Support audit readiness and reporting requirements

If you’re passionate about insurance, operations, and improving customer experience through technology, we’d love to hear from you.

📩 Apply now or send your CV to shyamala.krishnammah@adecco.com