Solution Architect – Claims Platform (Life & Health)

Purpose 

Own the end-to-end solution architecture for the Claims Platform for large, global insurers

across Life and Health insurance lines. This role is responsible for ensuring the platform is

implemented correctly, integrated effectively within complex insurer ecosystems, and

successfully taken from discovery through production go-live. 

The Solution Architect acts as the single point of architectural ownership across customer

stakeholders, internal product teams, delivery teams, implementation partners, and third-

party vendors. 

This is not a purely advisory or remote architecture role. The expectation is that the

individual has operated on the ground, worked closely with insurers during critical

implementation phases, handled ambiguity, and made real-time decisions during UAT,

cutover, and go-live. 

Core Responsibilities 

1. International On-Site Implementation Ownership (Mandatory) 

Must have prior experience travelling internationally for enterprise insurance platform

implementations. 

Must have led implementations on-site from requirements gathering through solution design,

UAT, cutover, go-live, and hypercare. 

Serve as the primary architectural authority during customer engagements and represent the

product confidently in front of senior stakeholders. 

Work closely with: 

Claims business teams 

Operations teams 

Customer IT, architecture, and security teams 

System integrators 

Third-party vendors and external partners Drive workshops to understand 

understand current-state requirements, gaps, and dependencies.processes, future-

state 

Convert business requirements into practical, scalable solution designs while balancing

product capability versus customer-specific customisation. 

Handle ambiguity during discovery phases and bring structure to incomplete or evolving

requirements. 

Make real-time decisions during testing, cutover, and production support situations. 

Support high-pressure go-live activities, defect triage, business escalations, and hypercare. 

Ensure customer confidence through strong communication, ownership, and decisive

problem-solving.

2. Enterprise Integration Ownership 

Own end-to-end integration architecture between the Claims Platform and the insurer

ecosystem. 

Hands-on experience integrating claims solutions with: 

o Policy Administration Systems 

CRM and omni-channel platforms 

Document Management Systems (DMS) 

Payment and finance systems 

External provider, hospital, TPA, and regulatory ecosystems 

Customer communication platforms such as SMS, email, portals, and 

contact centres 

Define and drive the overall API and integration strategy for customer implementations. 

Design synchronous and asynchronous integration patterns across upstream and

downstream systems. 

Own error handling, retry mechanisms, exception management, reconciliation, and

operational monitoring for integrations. 

Ensure end-to-end data consistency and transaction integrity across multiple systems. 

Work with customer enterprise architects and integration teams to ensure the solution fits

within the broader insurer landscape. 

Support data mapping, interface specifications, payload definitions, and integration testing. 

Provide architectural guidance on performance, dependency management, and system

interoperability.

3. Claims Product & Domain Mastery

Demonstrate deep expertise in Life and Health claims processes and operating models. 

Strong understanding of: 

Pre-authorisation workflows 

Reimbursement and cashless claims 

o Auto-adjudication and manual assessment flows 

Claims intake and registration 

Medical coding and clinical pathways 

Provider and hospital workflows 

Claims payment, settlement, and recovery 

o Fraud, Waste, and Abuse controls 

Claims correspondence and communication processes 

Guide customers on how to use the platform effectively rather than over- customising it. 

Identify where customer requirements can be solved through product configuration versus

custom development. 

Ensure solution designs align with industry best practices and support operational efficiency. 

Understand the broader impact of claims processes on customer experience, operational

teams, provider networks, and downstream finance systems. 

METAMORPHOSYS 

TECHNOLOGIES 

Be able to challenge customer requests when they introduce unnecessary complexity,

operational risk, or deviation from the product roadmap. 

• Act as a trusted advisor to business stakeholders by combining deep claims knowledge

with practical implementation experience. 

Experience Profile 

10-12 years of total experience 

2- 4+ years of experience specifically in Life and Health Claims platforms Proven experience

leading international, on-site insurance implementations Strong exposure to APAC, EMEA,

or other global insurer environments Experience working across complex insurer IT

landscapes and multiple stakeholder groups 

Hands-on involvement in large-scale implementations, production go-lives, and hypercare 

Strong ability to work across business, technology, and delivery teams 

Ability to operate independently and drive outcomes under pressure

What Success Looks Like 

Smooth and predictable go-lives with minimal escalations 

Strong confidence and trust from customer CIOs, Heads of Claims, and business leadership

teams 

Well-designed integrations and stable production systems 

Delivery teams aligned to a product-first implementation approach 

Clear architectural decisions with minimal ambiguity or rework 

Faster implementation cycles with reduced delivery risk 

Reduced dependency on founders and senior leadership for delivery assurance Customers

viewing the individual as a trusted advisor rather than only a technical architect