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
- International On-Site Implementation Ownership (Mandatory)
e Must have prior experience travelling internationally for enterprise insurance
platform implementations.
e Must have led implementations on-site from requirements gathering through
solution design, UAT, cutover, go-live, and hypercare.
e Serve as the primary architectural authority during customer engagements and
represent the product confidently in front of senior stakeholders.
e Work Closely With
- Claims business teams
- Operations teams
- Customer IT, architecture, and security teams
- System integrators
- Third-party vendors and external partners
e Drive workshops to understand current-state processes, future-state
requirements, gaps, and dependencies.
e Convert business requirements into practical, scalable solution designs while
balancing product capability versus customer-specific customisation.
e Handle ambiguity during discovery phases and bring structure to incomplete or
evolving requirements.
e Make real-time decisions during testing, Cutover, and production support
situations.
e Support high-pressure go-live activities, defect triage, business escalations, and
hypercare.
e Ensure customer confidence through strong communication, ownership, and
decisive problem-solving.
- Enterprise Integration Ownership
Own end-to-end integration architecture between the Claims Platform
and the insurer ecosystem.
Hands-on Experience Integrating Claims Solutions With
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.
Demonstrate deep expertise in Life and Health claims processes and operating
models.
Strong Understanding Of
Pre-authorisation workflows
Reimbursement and cashless claims
Auto-adjudication and manual assessment flows
Claims intake and registration
Medical coding and clinical pathways
Provider and hospital workflows
Claims payment, settlement, and recovery
Fraud, Waste, and Abuse controls
- Claims correspondence and communication processes
Guide customers on how to use the platform effectively rather than overcustomising 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
e Be able to challenge customer requests when they introduce
unnecessary complexity, operational risk, or deviation from the product
roadmap.
e Act as a trusted advisor to business stakeholders by combining deep claims
knowledge with practical implementation experience.
Experience Profile
e 10-12 years of total experience
e 2-4+years of experience specifically in Life and Health Claims platforms
e Proven experience leading international, on-site insurance implementations
e Strong exposure to APAC, EMEA, or other global insurer environments
e Experience working across complex insurer IT landscapes and multiple
stakeholder groups
e Hands-on involvement in large-scale implementations, production go-lives, and
hypercare
e Strong ability to work across business, technology, and delivery teams
e Ability to operate independently and drive outcomes under pressure
What Success Looks Like
e Smooth and predictable go-lives with minimal escalations
e Strong confidence and trust from customer ClOs, Heads of Claims, and
business leadership teams
e Well-designed integrations and stable production systems
e Delivery teams aligned to a product-first implementation approach
e Clear architectural decisions with minimal ambiguity or rework
e Faster implementation cycles with reduced delivery risk
e Reduced dependency on founders and senior leadership for delivery assurance
e Customers viewing the individual as a trusted advisor rather than only a
technical architect
Skills: health,integration,architecture,customer
