Claim Manager

Job Description

Workshop Operations

Manage day-to-day operations of the technical claims workshop, ensuring efficient and compliant claim handling
Plan and control workflow for timely inspections, assessments, and repairs
Ensure workshop facilities, tools, and equipment are well-maintained and fully functional
Effectively allocate resources and supervise technicians and assessors

Technical Claims Management

Lead accurate and fair technical assessments of claims, including damage evaluation and repair cost estimation
Review and approve technical reports, estimates, and repair orders
Handle complex, high-value, or specialized claims assessments
Work closely with claims adjusters and internal stakeholders for smooth claim resolution

Team Leadership & Development

Lead, mentor, and coach workshop technicians and assessors
Conduct performance reviews and support continuous skill development
Foster a positive, collaborative, and performance-driven work culture

Quality, Compliance & Cost Control

Ensure compliance with company policies, industry regulations, and health & safety standards
Implement quality assurance processes to improve accuracy and turnaround time
Investigate and resolve customer complaints or technical discrepancies
Manage workshop budgets, control costs, and track key performance indicators (KPIs)

Collaboration & Continuous Improvement

Collaborate with claims, underwriting, and customer service teams
Manage relationships with external vendors and repair partners
Stay updated on industry trends, technologies, and best practices
Drive process improvements and adopt new tools to enhance efficiency

Job Requirements

Bachelor’s degree in any field
Relevant professional qualification is an advantage
At least 2 years of experience in a related field
Good risk assessment and leadership skills
Strong communication and interpersonal skills
Computer literate (MS Office and basic systems)
Good command of English language
Basic data analysis and reporting skills
Able to make sound judgments and decisions
Experience in training or staff development is a plus

Department
Claim
Location
Yangon

Experience Level
Experienced
Job Type
Full Time
Education Level
Bachelor
Positions
1 Post

Department
Claim
Location
Yangon

Experience Level
Experienced
Job Type
Full Time
Education Level
Bachelor
Positions
1 Post

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Choose from the following types of AYA Health Standard Plans to suit your needs!

AYA Health Plus
AYA Health Pro
AYA Health Prestige
AYA Health Prime

We also provide corporate customers with versatile health insurance solutions as Cafeteria Plan, meticulously customized to align perfectly with your unique needs. Regarding the purchase of the Cafeteria Plan, only the rules, regulations, and decisions of AYA SOMPO Insurance Co.,Ltd are considered final.

Table of Benefits (in MMK)	AYA HEALTH
Table of Benefits (in MMK)	PLUS	PRO	PRESTIGE	PRIME
Maximum Benefit PRIME Plan only : Additional Limit of up to 44,000,000 MMK, applies to Thailand Zone	11,000,000	11,000,000	11,000,000	11,000,000
Medical and Hospital Benefits	Benefits up to	Benefits up to	Benefits up to	Benefits up to
Ambulance Services	165,000	165,000	165,000	165,000
Hospitalization Costs Accommodation in a standard single-bedded room and meals: Medical Treatment and services ordered by a Physician, including: Surgeon’s and Anesthetist’s charges Physician, Consultant and Nursing charges Diagnostic Procedures (including CT, MRI and PET scans) Surgical Appliances and Prostheses Medicines, Drugs and Dressings Intensive Care Day-Care	Full Refund	Full Refund	Full Refund	Full Refund
Post-Hospitalization Treatment	Nil	Nil	Nil	Nil
Chronic Conditions
First Onset	11,000,000	11,000,000	11,000,000	11,000,000
Ongoing Management	5,500,000	5,500,000	5,500,000	5,500,000
Maternity Cover (10 Months Waiting Period) Pre-Natal Examinations by a Physician All costs of Normal Childbirth or C-Section (elective or non-elective) Post-Natal Examinations by a Physician	Nil	Nil	Nil	1,100,000
Thailand Zone
Hospitalization Costs	Nil	Nil	Nil	44,000,000
Transportation Costs				2,200,000
Transportation Costs for Treatment not available in the Geographic Area				5,500,000
Additional Deductible for Treatment outside the Geographic Area				55,000
Outpatient Benefits	Benefits up to	Benefits up to	Benefits up to	Benefits up to
Physicians fees, Prescription Drugs and Dressings Specialist and Consultant Fees Diagnostic tests, medical scanning and imagery services	220,000	440,000	660,000	660,000
Optical Care One annual Vision test Glasses Glaucoma Test for Participants over 45 years	Nil	Nil	Nil	220,000
Dental Care Benefits	Benefits up to	Benefits up to	Benefits up to	Benefits up to
Dental Treatment Dental Surgery	Nil	Nil	Nil	220,000
Personal Accident Benefits	Benefits up to	Benefits up to	Benefits up to	Benefits up to
Accidental Death Loss of Sight or Loss of Limb Permanent Total Disablement	11,000,000	11,000,000	11,000,000	11,000,000

Renewal Period	First Year	Second Year Onward
Health Bonus %	10%	5%

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Claim Manager

Claim Manager

Job Description

Workshop Operations

Technical Claims Management

Team Leadership & Development

Quality, Compliance & Cost Control

Collaboration & Continuous Improvement

Job Requirements

Company

Services

Get in touch

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