FWD Group
Finance / FinServ
Manager(ClaimsNetworkManagement),LifeOperations
“Manager (Claims - Network Management), Life Operations at FWD Group. Skills: claims operational impact assessments, provider performance monitoring, claims-related provider operational issues, claims process readiness, governance routines, quality assurance activities, claims assessment independence. Handle claims operational impact assessments for medical network initiatives (e. g. , cashless / pre-authorisation / direct billing), documenting key risks, control requirements, and readiness actio”
What You'll Achieve.
ensure clarity, accountability, and audit trail completeness; ensure timely and accurate responses with complete documentation
Industry & Context.
coordinate root-cause analysis and corrective actions; drive issue resolution
What They're Looking For.
Must Have
7 years of experience above in medical claims, medical operations, provider management/operations, or related roles within insurance or healthcare, understanding of medical claims assessment, cashless / pre-authorisation workflows, and provider billing, able to identify recurring risk patterns and control gaps, Proven stakeholder management, able to coordinate cross-functionally and drive issue resolution without diluting claims authority, Objective, control-minded, and audit-conscious with attention to detail and professionalism, written and spoken English communication, Chinese reading and writing required, Proficient in MS Office (Excel, Word, PowerPoint)
What You'll Do.
Handle claims operational impact assessments for medical network initiatives (e.
, cashless / pre-authorisation / direct billing), documenting key risks, control requirements, and readiness actions, Monitor, analyse, and report provider performance from a claims perspective (e.
, turnaround time, documentation quality, billing patterns, utilisation trends, dispute drivers), and produce regular dashboards with actionable insights, Own and manage claims-related provider operational issues and escalations, including billing disputes and service coordinate root-cause analysis and corrective actions with internal stakeholders and providers, Partner with Health/Medical teams, Operations, and IT to ensure end-to-end claims process readiness for new or enhanced network services (SOPs, training, system changes, governance checkpoints), Maintain governance routines and records (issue logs, escalation trackers, action plans, management updates) to ensure clarity, accountability, and audit trail completeness, Support quality assurance activities, audits, and regulatory requests relating to provider/network-linked claims ensure timely and accurate responses with complete documentation, Ensure claims assessment independence and decision authority remain within Claims in accordance with delegated authorities.
How You'll Work.
Team & Collaboration
coordinate cross-functionally; drive issue resolution with internal stakeholders and providers; Partner with Health/Medical teams, Operations, and IT
Communication Scope
written and spoken English communication; Chinese reading and writing
Process & Methodology
Manage claims-related provider operational issues and escalations, coordinate root-cause analysis and corrective actions, Maintain governance routines and records (issue logs, escalation trackers, action plans, management updates)
Applying for this Manager (Claims - Network Management), Life Operations role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Workday
- Workday has a multi-step form — save your progress after every section.
- "Apply With LinkedIn" can fail or lose data; manual entry is more reliable.
- Watch for the "Submit for Review" final step — hitting "Save" alone does not submit.
- Job requisition numbers are useful when following up with HR by email.
ANONYMOUS · UNFILTERED
What do employees actually say about FWD Group?
Real rants from real employees. Read before you apply.