Opportunity Description
This role exists to lead and deliver high‑quality, reliable, and customer‑centric service across Claims, Network, and Customer Service functions. The role is accountable for end‑to‑end service delivery to policyholders and insured members by ensuring effective claims processing, Third Party Administrators (TPAs) performance, and responsive customer support that builds trust and confidence in the organisation. Provide strategic and operational leadership over Claims, TPA, and Customer Service, ensuring consistent, timely, and high quality service delivery to policyholders and insured members. Oversee claims processing operations to ensure accuracy, turnaround time, cost discipline, and compliance with policy terms, medical guidelines, and regulatory requirements. Manage and govern TPA, setting clear service standards, KPIs, controls, and performance management mechanisms to ensure contracted outcomes are met such as service quality, escalation handling, and alignment to cost and utilisa...
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