Motivate individuals and teams collectively to achieve agreed work output targets covering productivity, turn-around-time, quality and client & customer satisfaction
Create an environment that encourages and delivers success you must have the ability to inspire your team whilst developing your team members to the next level
Ensure appropriate performance management action, timely recruitment and effective succession planning is in place.
Contribute to change and innovation and be pro-active in identifying opportunities for improvement within the team and within Claims and Admin process.
Use data insights to challenge day-to-day operations, and build a continuous improvement mindset
Manage effective capacity plans, keeping oversight of staff level requirements. Proactively address and escalate any risks.
Produce meaningful, accurate management reports and statistical information in line with formats and timescales agreed with the Management, including trending and enhancement activities with quantification of operational impacts.
Manage the implementation of new contracts with the support of the Subject Matter Experts
Develop/maintain proactive business relationships, both internally and externally to ensure a seamless delivery of service.
Be a focal point towards the Client Management team, as well as the clients
You interact with the senior management to adapt your processes to meet evolving objectives
Use independent judgement and discretion to review and resolve complex issues.
Contribute in achieving departmental and company-wide goals and business plans.
Requirements
Minimum 5 7 years of experience in medical claims processing or insurance operations.
At least 2 3 years in a supervisory or team leadership role, preferably managing cross-border teams.
Experience working with claims systems and data analytics tools.
Bachelor s degree in business administration, Healthcare Management, or a related field.
Professional certifications in claims management or health insurance (e.g., LOMA, AHIP) are an advantage.
Strong leadership and people management skills with the ability to motivate and develop teams.
Excellent communication and interpersonal skills for internal and external stakeholder engagement.
Analytical mindset with the ability to interpret data and drive performance improvements.
Proficiency in Microsoft Excel, PowerPoint, and claims management platforms.
Ability to manage multiple priorities in a fast-paced environment.
Strong problem-solving and decision-making capabilities.
Familiarity with regulatory requirements and compliance standards in claims processing.
High level of integrity and discretion in handling confidential information.
Demonstrated ability to lead change and drive innovation.
