medical claims manager

Al Serh Al Kabeer Construction

A Construction Claims Manager for Planning (Planning &amp; Claims Manager) oversees project schedules, analyzes delays, and prepares Extension of Time (EOT) or cost claims, primarily using Primavera P6. They bridge planning and commercial teams to minimize financial exposure, manage contract risks (FIDIC), and ensure compliance.Key Responsibilities<ul><li>Delay Analysis: Conduct schedule risk assessments and critical path analyses to identify, quantify, and document delays.</li><li>Claims Preparation: Prepare, submit, and defend Extension of Time (EOT) and cost claims,, ensuring contractual compliance.</li><li>Schedule Management: Review contractor schedules, monitor baseline progress, and ensure timely, accurate forecasting.</li><li>Contract Administration: Review and negotiate claims with clients, subcontractors, and consultants, acting as a liaison with legal teams.</li><li>Documentation: Maintain comprehensive project records, including minutes of meetings, requests for information (RFIs), and change orders.</li></ul>Required Qualifications<ul><li>Education: Bachelor&rsquo;s degree in Engineering, Construction Management, or Law.</li><li>Experience: 5-10+ years in construction, with significant experience in project planning, scheduling (Primavera P6), and contract administration.</li><li>Knowledge: Strong understanding of FIDIC contracts, claims methodology, and construction law.</li><li>Skills: Excellent analytical, communication, and negotiation skills.</li></ul>Key Performance Indicators (KPIs)<ul><li>Successful approval of EOT/cost claims.</li><li>Accurate, up-to-date project schedules and risk logs.</li><li>Timely identification of potential contractual disputes.</li></ul>Job Types: Full-time, PermanentPay: AED10,000.00 - AED15,000.00 per monthExperience:<ul><li>Construction Industry in UAE: 5 years (Required)</li><li>High Rise Building Project in UAE: 5 years (Required)</li></ul>Application Deadline: 20/02/2026

Claims Manager

CBCS

<div>CBCS, a division of Cottingham &amp; Butler, is growing &mdash; and we're looking for driven individuals to join our Workers' Compensation team as Claims Administrators. In this role, you'll be trained to investigate, evaluate, and resolve medical-only claims while delivering the high‑quality service our clients expect.

No insurance experience? No problem. We will teach you the technical side &mdash; what matters most is your ability to think critically, communicate clearly, and take ownership of your work.

Responsibilities 
As a Claims Administrator, you will manage a caseload of medical-only Workers' Compensation claims from start to finish. Your core responsibilities include:
<ul>
<li>Reviewing and evaluating medical-only claims to understand what occurred</li>
<li>Communicating with injured workers, medical providers, and clients</li>
<li>Documenting claim activity accurately and consistently following CBCS Best Practices</li>
<li>Making timely decisions within your assigned authority to resolve claims efficiently</li>
<li>Submitting required state EDI filings and supporting Medicare compliance</li>
<li>Identifying when a claim should be upgraded for further investigation or lost‑time consideration</li>
<li>Evaluating potential subrogation opportunities and escalating when appropriate</li>
<li>Meeting performance benchmarks for contact, reserving, and claim closure</li></ul> 

<div>
<div><div>The ideal candidate will have prior experience in a business setting or prior claims handling experience, a competitive spirit, and thrive in a fast-paced professional business environment. If you come from an insurance background that's great! However, we understand that most people don't which is why we are willing to train you on the technical details. It's more important to us that you embody the right personal characteristics. While we don't expect you to be perfect in every aspect of the job right away, the aforementioned traits are essential for success in the role.</div></div></div> 

Full-Time Benefits - Most benefits start day 1
<ul>
<li>Medical, Dental, Vision Insurance</li>
<li>Flex Spending or HSA</li>
<li>401(k) with company match</li>
<li>Profit-Sharing/Defined Contribution (1-year waiting period)</li>
<li>PTO/Paid Holidays</li>
<li>Company-paid ST and LT Disability</li>
<li>Maternity Leave/Parental Leave</li>
<li>Subsidized Parking</li>
<li>Company-paid Term Life/Accidental Death Insurance</li>
</ul>
About Cottingham &amp; Butler Claims Services

At Cottingham &amp; Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of &quot;better every day&quot; constantly pushing ourselves to be better than yesterday &ndash; that's who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.

Want to learn more? Follow us on www.CBCSclaims.com | LinkedIn</div><div></div>

Claims Administrator - Med Only Claims

Pru Life UK

<div>
 Prudential&rsquo;s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people&rsquo;s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.
 
 
 
 Prudential (UK) in partnership with HCL group
 
 plans to set-up a standalone Indian health insurance company to address the growing healthcare needs of the Indian consumer.
 
 
 This joint venture will combine Prudential's global expertise in insurance and financial services with HCL Group&rsquo;s experience in technology and healthcare solutions.
 
 
 Prudential, with its longstanding presence in India, already operates two leading businesses in life insurance and asset management with the ICICI Group. Prudential was also the proud sponsor of the 1983 Cricket World Cup, India&rsquo;s first World Cup Victory!
 
 
 Prudential Health India is a Zero to One team undertaking a no-legacy, greenfield health insurance deployment in India, building journeys that truly empathize with the customer and offer a differentiated experience.
 
 
 To partner with us in this mission, we are looking for a talented Assistant Manager &ndash; Claims Management to join our Experience team in Mumbai.
 
 
 
 Assistant Manager &ndash; TPA Claims Management
 
 
 
 As an Assistant Manager Claims, your typical week might include the following:
 
 
 <ul>
 <li>
 Guiding TPA processing team by providing medical opinion for Health Insurance Claims
 </li>
 <li>
 Ensure claims of valid settlements are made according to the company practice and procedures.
 </li>
 <li>
 Processing and approving medical claims pertaining to Indemnity, Benefit for both Group and Retail, with sharp FWA and Loss minimization approaches.
 </li>
 <li>
 Thorough on the compliance and regulatory requirements and implementation in the claims process.
 </li>
 <li>
 Case management of potential cases to Network team, maintaining data of referred/saving achieved/impact against cashless outgo.
 </li>
 <li>
 Automation and rule driven decision making with timely update of benefit in TAT / TMS / Transaction
 </li>
 <li>
 Create and reviewing claim simplification guidelines to Improve TAT, Minimize transaction.
 </li>
 <li>
 Medical decisioning and guidance to the team
 </li>
 <li>
 Audit of TPA processed claims and also Inhouse processed claims.
 </li>
 <li>
 Regulatory compliances &ndash; Claim processing guideline as per compliance and timely implementation of any New Circular.
 </li>
 <li>
 Train TPA teams &ndash; Timely Training of TPA for new benefit, process change, Understanding and claim Philosophy as per PHI standard.
 </li>
 <li>
 Benefit claims &ndash; Well versed with processing of Benefit claims, Creating SOP, Pay-out framework to Nominee/Legal heir.
 </li>
 <li>
 Collaborate with FWA Manager to provide inputs from agencies for efficient Fraud restriction and necessary checks and balances in system.
 </li>
 <li>
 Re-UW opinion for non-disclosure cases &ndash; Training to Team for indicated cases for Re-UW referral, tracking and corrective action basis UW decision.
 </li>
 <li>
 Extend support to the sales/distribution &ndash; Separate prioritization que for green channel, Specific Agent, Broker.
 </li>
 <li>
 Set up and create robust governance to manage TPA process with great efficiency.
 </li>
 <li>
 Proficient with medical terms &amp; systems (including ICD/CPT/PCS codes).
 
 
 </li>
 </ul>
 
 You could be the right candidate if you&hellip;
 
 
 
 <ul>
 <li>
 Are a doctor by training (/BAMS/BHMS/BDS)
 </li>
 <li>
 Have 03-05 years&rsquo; experience of health Insurance claim processing management with at least 1-2 years&rsquo; experience as team leader managing and holding responsibility daily claim flow.
 </li>
 <li>
 Understands the TPA ecosystem and has experience of managing TPA model (Preferred)
 </li>
 <li>
 Have startup experience or setting up a team from scratch (Preferred but not mandatory)
 </li>
 <li>
 Should be a decisive &amp; creative individual.
 </li>
 <li>
 Should be able to make quick decisions and have good judgment and analytical skills
 </li>
 <li>
 Have an excellent verbal and written communication skills and strong negotiation skills.
 </li>
 <li>
 Always open to embracing change and be able to manage it
 
 
 </li>
 </ul>
 
 This could be the gig for you if you&hellip;
 
 
 
 <ul>
 <li>
 Are passionate about consumer behaviour and culture; enjoy spending time with customers to understand what they really want. Have an attentive ear listen to new ideas.
 </li>
 <li>
 Like to work in a culture where everyone can see what others are doing
 </li>
 <li>
 Take help from others when stuck and encourage others when there are setbacks
 </li>
 <li>
 Take full responsibility for your own output while thinking wing to wing across the organization; to solve for the customer
 </li>
 <li>
 Have strong clinical knowledge and clinical decision-making skills
 </li>
 <li>
 Have built best in class processes from a scratch.
 </li>
 <li>
 Are passionate about leveraging digital tools to transform customer experience What can make you extra special.
 
 
 </li>
 </ul>
 
 What Can Make You Extra Special
 
 
 
 <ul>
 <li>
 It&rsquo;s a great if you have already read books like Blue Ocean strategy &amp; Zero to One. Before you saw them mentioned here.
 </li>
 <li>
 You have real stories to tell about how your team, and you challenged convention and took the path less travelled.
 </li>
 <li>
 We are keen to listen to your story; doesn&rsquo;t matter if you tell these stories with a sigh or with excitement. We respect both versions. Truly.
 
 
 </li>
 </ul>
 
 Location: Mumbai
 
 
 
 
 Prudential is an equal opportunity employer.
 
 We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.
</div>

PHI - Assistant Manager- Claims Management

Nextcare

<div>
 Location: Cairo, Egypt
 
 
 Role Purpose: The Medical Claims Doctor is responsible for the clinical assessment and adjudication of medical claims, ensuring compliance with medical necessity, policy coverage, and clinical guidelines. This role combines the expertise of a physician with the operational duties of a claims officer to deliver high-quality service and decision-making in a fast-paced environment.
 
 
 
 
 Key Responsibilities
 
 / What You Do
 
 
 
 Conduct clinical assessments of inpatient and outpatient medical claims to ensure accuracy and compliance with policy terms and clinical guidelines.
 
 
 Validate diagnoses, procedures, and services against medical records and policy terms.
 
 
 Identify discrepancies, overutilization, or non-compliance with guidelines.
 
 
 Collaborate with claims teams to support adjudication decisions and ensure alignment with medical policies and regulatory requirements.
 
 
 Utilize AWC&rsquo;s client database accurately to reflect departmental workload and facilitate effective target planning.
 
 
 Respond to customer inquiries professionally and liaise with other departments to ensure efficient and professional responses, achieving customer satisfaction.
 
 
 Participate in departmental medical training to expand knowledge of medical terminology and procedures and develop comprehensive claims processing skills.
 
 
 Contribute to team and departmental productivity targets to achieve agreed SLA and provide high-level customer service.
 
 
 
 Other Ad Hoc Duties As Required.
 
 
 
 At Allianz Partners, AI is revolutionizing customer service and claims management through innovative solutions. These AI-driven tools enhance productivity by streamlining complex claims processes, reducing administrative burdens, and accelerating resolution times. Our AI-powered technology has made claims processing faster, offering quicker resolutions. All while ensuring human oversight for claims to maintain service integrity. By embracing AI and Emerging Technologies, Allianz Partners continues to lead the industry, meeting ever-changing customer needs with innovative solutions. Our commitment to Ethical AI practices safeguards data integrity and trust, ensuring responsible deployment across all operations. This approach not only enhances customer experiences but also supports strategic initiatives like fraud detection and personalized product offerings, solidifying Allianz Partners' position as a leader in the insurance sector.
 
 
 
 Key Requirements / What You Bring
 
 
 
 Medical Degree ( Medicine Graduate only )
 
 
 Minimum 1&ndash;3 years of clinical practice or medical review experience.
 
 
 Familiarity with ICD, CPT, DRG coding, and insurance guidelines.
 
 
 Strong analytical and decision-making skills with high accuracy and attention to detail.
 
 
 Proficiency in medical review systems, documentation tools, and MS Office.
 
 
 Excellent written and verbal communication skills in English.
 
 
 Flexibility to adapt to changing business needs and work under pressure.
 
 
 Legally permitted to work in the country of operations.
 
 
 Hybrid working option available as per business requirements.
 
 
 
 How We Hire
 
 
 
 
 
 Agency Statement
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered
 
 
 
 Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
 
 
 At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.
 
 
 We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 
 
 
 Great to have you on board.
 
 Let's care for tomorrow.
</div>

Medical Claims Doctor - Fluent English

NTT DATA

<div>Company Overview: 
Req ID: 360808 
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. 
 
We are currently seeking a Claims Specialist to join our team and REMOTE. The position is for 6 months and pay rate is $19.25/hour W2 
 
Job Description: 
Claims Specialist 
Job Description 
The claims Specialist will Identify primary vs. secondary coverage when a member has more than one health plan. Reviewing and updating claims to reflect correct COB rules Applying COB primacy rules (subscriber status, effective dates, plan type, Medicare coordination, etc.) Communicating with members, providers, and other insurers to verify coverage details Correcting overpayments, initiating refunds or reprocessing, and maintaining accurate claim records Working within claims systems and following regulatory and compliance requirements (e.g., HIPAA) 
 
Job Duties 
Duties may include the following responsibilities or functions required to support the claims unit.
<ul><li>Reviews, research, and make necessary updates to claims that may include the following: recalculation of benefits to previously processed claims, the processing of claims edits, or initiation of refund requests, according to contractual benefits or provider reimbursement rules, ultimately providing a high degree of customer satisfaction.</li>
<li>Achieves and maintains a clear understanding of all systems, applications, and procedures necessary to identify denial codes, edits, and processing codes pertaining to all claims (including our coordination with additional coverage plans) to process both coordinated and non-coordinated claims correctly. Requesting medical records may be required.</li>
<li>Communicates, both orally and in writing, with internal and external contacts to provide necessary and accurate information for the establishment of sound claims records. This may include, but is not limited to, the coordination of benefits (COB), medical record requests, etc.</li>
<li>Review quality audits for correction or routing within 48 hours of receipt following departmental and corporate guidelines to ensure accuracy of claims processing and customer satisfaction.</li>
<li>Research, investigates, and determines the correct order of benefits for payment to be made by the applicable plans and makes necessary corrections to COB records. Communicates to appropriate department(s) when Medicare has determined primacy incorrectly and ensures a letter is generated to notify Medicare. Failure to report discrepancy could result in a daily fine up to ***</li>
<li>Analyzes, investigates, resolves problem cases (to include COB records, adjusting previously processed claims and requesting refund of overpaid claims). Reviews of all previously processed claims to ensure consistency in payments to maximize recovery of overpayments following corporate and departmental guidelines to ensure financial stability.</li>
<li>Executes procedures to recover funds from providers, subscribers, or beneficiaries where overpayments have occurred to ensure accuracy of claims processing and financial stability.</li>
<li>Steps in and assists in any other capacity as deemed necessary (i.e., training, implementations, and documentation). May complete special projects as assigned by Management due to internal audit findings, multiple provider status changes, and system errors following corporate and departmental guidelines to ensure financial stability and customer satisfaction.</li>
</ul>Required Skills
<ul><li>2 years in medical claims processing required &bull; Coordination of Benefits (COB) processing experience preferred</li>
<li>Strong analytical ability, that includes strong logical, systemic, and investigates thinking.</li>
<li>Strong oral and written communication skills and human relations skills are necessary.</li>
<li>Working knowledge of relevant PC software.</li>
<li>Ability to prioritize multiple streams of work effectively.</li>
</ul>Education
<ul><li>High School Diploma or equivalent required Work Experience</li>
</ul>
 
About NTT DATA: 
 
NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&amp;D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com 
 
NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here. 
 
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $19.25/hour. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. 
This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&amp;D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits. 
#indist 
#li-northamerica</div>

Healthcare Claims Specialist

VISIT Internet Pvt. Ltd.

Job DescriptionAbout Visit: Visit App is a 360&deg; integrated, full stack &amp; highly engaging Health Benefits Platform that holistically covers preventive to curative care ranging across:<ul><li>Comprehensive Employee Assistance Programs (EAPs): Essential mental health support for a balanced life.</li><li>Tailored Health Plans: Customized solutions that align with your team&rsquo;s unique needs.</li><li>Regular Health Check-Ups: Proactive wellness management that keeps small issues at bay.</li><li>Wellness Programs: Initiatives designed to elevate morale and productivity.</li><li>Preventive Care: A forward-thinking approach that stops small issues from becoming big problems.</li><li>Comprehensive OPD Benefits: Seamless access to healthcare when it&rsquo;s needed most.</li></ul>Job Title: Digitization &amp; Claims Consultant (Doctor)Roles Overview:We are seeking clinically strong, detail-oriented doctors to manage medical prescription digitization and OPD claims processing. The role demands sound medical judgment, high accuracy, adherence to compliance standards, and vigilance toward fraud prevention.Key Responsibilities:<ul><li>Digitize handwritten and typed prescriptions into accurate digital records.</li><li>Validate medical appropriateness of prescribed medicines and investigations.</li><li>Process and adjudicate OPD claims as per policy guidelines.</li><li>Create medicine carts and coordinate lab test bookings based on prescriptions.</li><li>Ensure data integrity, confidentiality, and regulatory compliance.</li><li>Identify discrepancies, inappropriate claims, and potential fraud indicators.</li></ul>Qualifications:<ul><li>BDS / M.Pharm / MBBS or equivalent healthcare qualification.</li><li>Strong clinical knowledge and understanding of OPD treatment protocols.</li><li>High attention to detail and accuracy.</li><li>Ability to work independently and in team-based environments.</li><li>Strong communication and documentation skills.</li></ul>Preferred Experience:Candidates with prior experience in health insurance claims adjudication, medical underwriting, or TPA-based claim processing will be strongly preferred - especially from organizations known for structured doctor-led claims operations such as: Care Health Insurance, Aditya Birla Health Insurance, Niva Bupa, Medi Assist, MCHI, Star Health, ICICI Lombard, HDFC Ergo, etc.Job Types: Full-time, PermanentPay: ₹30,000.00 - ₹38,000.00 per monthBenefits:<ul><li>Health insurance</li><li>Paid sick time</li><li>Provident Fund</li></ul>Work Location: In person

Digitization & Claims Consultant

Walmart Global Tech India

<div>
 
 Role - Sr. Manager (Claims Business Support)
 
 
 Location: Chennai
 
 
 Department: Claims Center of Excellence (CoE)
 
 
 Reports To: Location Head
 
 
 
 
 
 
 Role Summary
 
 
 
 Business Support will lead strategic and operational enablement for the Claims Center of Excellence (CoE) in Chennai. This role is responsible for driving operational excellence across claims processing through strong oversight of transition management, training &amp; capability development, quality governance, and AI fluency initiatives.
 
 
 As a key member of the Chennai leadership team, this role partners closely with the Location Manager to manage &amp; stabilize operations, drive transition plus training , define processes , builds strong stakeholder management, build scalable frameworks, enable digital transformation, and enhance workforce capability while ensuring compliance, accuracy, and service excellence.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 
 1. Claims Operations Enablement
 
 
 <ul>
 <li>
 Define operational Metrics, SLA and agree targets
 </li>
 <li>
 Partner with Operations Leaders to ensure claims processing meets SLA, accuracy, productivity, and compliance standards.
 </li>
 <li>
 Develop governance frameworks, dashboards, and reporting mechanisms for performance visibility and ensure quality compliance
 </li>
 <li>
 Identify operational risks and implement mitigation strategies.
 </li>
 <li>
 Drive process standardization and documentation across the CoE.
 </li>
 </ul>
 
 
 
 
 
 
 
 
 2. Transition &amp; Program Management
 
 
 <ul>
 <li>
 Lead end-to-end transitions including process migrations, new scope onboarding, system implementations, and geographic expansions.
 </li>
 <li>
 Establish structured transition methodologies (KT plans, risk registers, stabilization tracking).
 </li>
 <li>
 Ensure smooth handoff to steady-state operations with minimal business disruption.
 </li>
 <li>
 Track transition KPIs including stabilization timelines, quality performance, and productivity ramp-up.
 </li>
 </ul>
 
 
 3. Training &amp; Capability Development
 
 
 <ul>
 <li>
 Build a scalable training framework for new hires and upskilling programs for existing associates.
 </li>
 <li>
 Drive structured training for Associates.
 </li>
 <li>
 Partner with operations leaders to address skill gaps and improve performance.
 </li>
 <li>
 Drive leadership development initiatives within the CoE.
 </li>
 </ul>
 
 
 4. AI Fluency &amp; Digital Transformation
 
 
 <ul>
 <li>
 Champion AI and automation adoption across claims processes.
 </li>
 <li>
 Build AI literacy across teams to enable responsible and effective use of GenAI and workflow automation tools.
 </li>
 <li>
 Identify automation opportunities and partner with technology teams for implementation.
 </li>
 <li>
 Measure and report ROI of AI-driven process improvements.
 </li>
 <li>
 Deliver efficiency and transformation across the process.
 </li>
 </ul>
 
 
 5. Leadership Expectations
 
 
 <ul>
 <li>
 Live our values
 </li>
 <li>
 Embrace Change
 </li>
 <li>
 Deliver for the Customer
 </li>
 <li>
 Focus on our Associates
 </li>
 </ul>
 
 
 
 
 
 
 
 
 Qualifications
 
 
 Education
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree required
 </li>
 <li>
 MBA or equivalent advanced degree preferred
 </li>
 </ul>
 
 
 Experience
 
 
 <ul>
 <li>
 12-15 years of experience in claims processing or insurance operations.
 </li>
 <li>
 5+ years in leadership roles managing large operational or enablement teams.
 </li>
 <li>
 Strong experience in transition management and operational ramp-ups and stakeholder engagement.
 </li>
 <li>
 Demonstrated expertise in quality management and compliance frameworks.
 </li>
 <li>
 Experience leading AI/digital initiatives in operations is highly desirable.
 </li>
 </ul>
 
 
</div>

Senior Manager, Claims Business Support

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