- 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 professional claims team, fostering continuous learning and professional growth through transformation and change.
Qualifications
- 大學以上學歷，保險、法律、醫學或相關科系尤佳。
- 10年以上壽險理賠相關經驗，5年以上管理經驗。
- 熟悉台灣保險法規、理賠流程及市場趨勢。
- 具備卓越的領導力、溝通協調與跨部門合作能力。
- 具備數據分析、風險控管及創新思維。
- Bachelor’s degree or above, preferably in Insurance, Law, Medicine, or related fields.
- 10+ years of life insurance claims experience, with at least 5 years in management roles.
- In-depth knowledge of Taiwan insurance regulations, claims processes, and market trends.
- Strong leadership, communication, and cross-functional collaboration skills.
- Proficient in data analysis, risk management, and innovative thinking.
★招募流程提醒
• Please note that interview coordination for the next stage will be handled by our offshore Service Hub.
• All interview-related communications — including availability confirmation and interview invitations — will be conducted via email only.
• As phone contact is not available at this stage, kindly check your email regularly (including spam or junk folders) to avoid missing important updates.
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