Director of Claims Operations
- Leadership & Development: Build an engaged, inclusive team aligned with strategic goals; coach, mentor, and promote professional growth
- Customer Experience: Capture and act on beneficiary and employee feedback to ensure organizational alignment
- Vendor & Outsourcing Management: Oversee vendor relationships and outsourcing strategies to drive growth and optimize costs
- Unreported Death Program: Ensure compliance through timely processes, reporting, and oversight of onshore/offshore operations; prepare audit reports
- Relationship Management: Maintain cross-functional relationships and serve as SME for Claims operations and vendor best practices
- Claims Committee: Participate as voting member to review and decide on complex or high-value claims
- Business Process Improvement: Lead and support initiatives to streamline processes, enhance efficiency, and improve user experience
- Knowledge of claims operations or the demonstrated ability to come up-to-speed quickly in unfamiliar areas of the business.
- Demonstrated ability to quickly learn unfamiliar business areas and make sound, on-the-spot decisions aligned with corporate goals and values
- Skilled in strategic planning, identifying business opportunities, and implementing procedural and technical solutions to optimize outcomes
- Strong change management leadership; advocates for transformation and leads by example with a positive, collaborative approach
- Proficient in data analysis and problem-solving, simplifying complex issues to drive actionable insights and continuous improvement
- Builds trusted partnerships, maintains confidentiality, and mentors talent while contributing to projects that enhance customer experience
- Bachelor’s degree in Business or equivalent experience, with 5+ years in management (claims management preferred) and financial services, ideally life insurance
- Proven ability to influence stakeholders without formal authority; skilled in adapting to change, ambiguity, and tight deadlines
- Strong communication, presentation, and interpersonal skills with leadership and stakeholders; excellent verbal/written and organizational abilities
- Advanced analytical and problem-solving skills to simplify complex issues; high attention to detail while managing multiple priorities independently
- Knowledge of claims regulatory requirements preferred; committed to compliance and continuous improvement
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