Claims Transformation Manager Job at Admiral Group Plc

Manager, Value & Access Transformation Initiatives

Join Amgen’s Mission of Serving Patients. At Amgen, if you feel like you’re part...

Location

India , Hyderabad

Salary:

Not provided

Amgen

Expiration Date

Until further notice

Requirements

Master’s degree in computer science, statistics or STEM majors with a minimum of 4 years of Information Systems experience
Bachelor’s degree in computer science, statistics or STEM majors with a minimum of 6 years of Information Systems experience
Foundational understanding of US pharmaceutical ecosystem and Patient support services offerings and other standard data sets including claims, prescription, EMR
Experience with one or more analytic software tools or languages like R and Python
Strong foundation in machine learning algorithms and techniques
Experience in statistical techniques and hypothesis testing, experience with regression analysis, clustering and classification

Job Responsibility

Accountable to drive full lifecycle of data science projects delivery and ability to guide data scientists in shaping the developing the solution and act as a subject matter expert in solving development and commercial questions
Assume the role of business owner and manage the Proprietary AI engine built to optimize Copay
Ensure models are trained with the latest data and meet the SLA expectations
Manage AI tool’s road map, working with a global cross functional team
Work in technical teams in development, deployment, and application of applied analytics, predictive analytics, and prescriptive analytics
Utilize technical skills such as hypothesis testing, machine learning and retrieval processes to apply statistical and data mining techniques to identify trends, create figures, and analyze other relevant information
Perform exploratory and targeted data analyses using descriptive statistics and other methods
Model/analytics experiment and development pipeline leveraging MLOps
Oversee efforts of 2-4 associates, including setting performance standards, managing their staffing, and monitoring performance
Collaborate with technical teams to translate the business needs into technical specifications, particularly focusing on AI-driven automation and insights

What we offer

Competitive and comprehensive Total Rewards Plans that are aligned with local industry standards

Project Manager

The Electronic Platforms Project Manager is responsible for efficiently managing...

Location

United Arab Emirates , Dubai

Salary:

Not provided

Allianz

Expiration Date

Until further notice

Requirements

Extensive knowledge of local regulatory e-platforms and their functionalities
Strong communication and project management skills
Bachelor’s degree in Healthcare Management, Business Administration, Project Management or a related field
Certification in Coding (CPC, CCS, CIC, COC, CCA, HCPCS)
3-5 years proven experience in project management, particularly in electronic claims platform and regulatory projects
Proven experience in managing platform transitions and regulatory compliance
In-depth knowledge of electronic claims processes and medical coding systems
Deep understanding of the intricacies and requirements of local regulatory e-platforms
A thorough knowledge of local regulations, e-platforms, and their implications is essential
Strong analytical, problem-solving, and critical-thinking skills

Job Responsibility

Responsible for managing the transition of regulatory platforms, ensuring compliance with local laws, and overseeing the integration and optimization of regulatory systems within the scope of Medical Provider Management
Possesses comprehensive knowledge of local regulations related to e-platforms, and their implications, with responsibility for managing the E-transformation, pricing, and cost impact within the scope of Medical Provider Management (MPM)
Lead and manage regulatory projects related to medical provider management and electronic post office systems (such as DHPO, Shafafiya, Riayati, NPHEIS, Damani, etc.)
Review, analyze, and ensure the alignment of electronic claims processes with business objectives and compliance standards
Attend seminars, workshops, and training sessions organized by local regulatory bodies to stay updated on regulatory changes and ensure proper implementation on the relevant platforms
Collaborate with stakeholders to develop business cases and ensure seamless project execution
The incumbent must be capable of traveling across the GCC and extended regions as required for the assigned E-transformation projects
Support the implementation of objectives and drive the strategy set by the MPM
Work closely with internal teams (PMO, Operations, Claims Edits, Network Operations, Software Development, and Compliance) and relevant regulators to ensure timely and successful project delivery
Oversee the quality of code mapping for price lists to ensure a cost-neutral impact when transitioning from traditional claims to electronic claims

What we offer

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
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer
We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation

Fulltime

Claims Transformation Manager

It’s an exciting time for Admiral as it continues to embark on its diversificati...

Location

United Kingdom , Peterborough; Cardiff

Salary:

Not provided

Admiral Group Plc

Expiration Date

Until further notice

Requirements

Experience within financial services, in an insurance Claims environment
Previous successful delivery of change management at both a tactical and strategic level including E2E identification and delivery of change
A skilled communicator - articulate and compelling with the ability to communicate competently at all levels, across a range of internal and external stakeholders
The ability to appropriately and effectively raise issues, risks and challenges
Highly developed leadership skills and experience of engaging with large teams
The ability to work with a high level of autonomy
Excellent organisational skills and proficient analytical skills
An experienced negotiator, with robust commercial capability to ensure that the change agenda for Admiral Pet Claims is prioritised to generate the most effective outcome for the business
Strong IT skills and competence with using the MS Office suite of products

Job Responsibility

Creating plans and leading end-to-end business and operational change for the Claims department
Collaborating with cross-functional teams (internal and external) to align and deliver agreed changes seamlessly
Leading the claims change team and associated prioritisation process, ensuring ongoing awareness and alignment of the strategic roadmap for the wider Pet business and delivering strong governance controls
Ensuring relevant processes and procedures are in place to facilitate the effective delivery of relevant business change projects
Leading and supporting colleagues and teams to embrace, embed and implement change requirements
Participating in product and service reviews, to propose relevant changes
Conducting and documenting ‘Lessons Learned’ activities
Maintaining an active awareness of industry news, changes and trends and including an established network of industry contacts

What we offer

33 days holiday (including bank holidays) when they join us, increasing the longer you stay with us, up to a maximum of 38 days (including bank holidays)
Option to buy or sell up to an additional five days of annual leave
Eligible for up to £3,600 of free shares each year after one year of service
Financial & Mortgage Advice
24-Hour Ecare
Cycle to Work Scheme
Flexible Working
Simply Health
Private Health Cover
Critical Illness Cover

Fulltime

Director, Claims

Implementing RGA Hong Kong Claims Management strategy; Deliver timely and high l...

Location

Hong Kong , Hong Kong

Salary:

Not provided

Reinsurance Group of America

Expiration Date

Until further notice

Requirements

Bachelor’s degree or above
10+ years of life and health claims experience
At least 5 years in the Hong Kong market
In-depth knowledge of market, products, clients, and regulations
Advanced understanding of medicine, law, accounting, and finance as they relate to life reinsurance risk assessment
Capable of multitasking and prioritization
Balanced technical skills and business sense
Able to deal with pressure
High integrity and personal accountability
Excellent interpersonal, communication, and presentation skills

Job Responsibility

Implement RGA Hong Kong Claims Management strategy
Deliver timely and high level of claims service to our clients
Identify and escalate potential risks
Develop and maintain good client relationships
Facilitate digitization and automation
Review and refine current processes to achieve operational excellence
Conduct day-to-day claims operations, delivering expert case assessments, consultations, training, and audits
Advise on product design, policy provisions, treaty wording, and business proposals to support business development
Build and maintain productive relationships with client claims team and other stakeholders
Conduct analysis, monitor trends and team performance, produce periodic reports

What we offer

Gain valuable knowledge from and experience with diverse, caring colleagues around the world
Enjoy a respectful, welcoming environment that fosters individuality and encourages pioneering thought
Join the bright and creative minds of RGA, and experience vast, endless career potential

Fulltime

SAP Service Management (SM) Consultant

We are seeking an experienced SAP Service Management (SM) Consultant to join our...

Location

United States , Newark

Salary:

75.00 USD / Hour ▼

ValueBase Consulting

Expiration Date

Until further notice

Requirements

12+ years of SAP functional experience with strong expertise in SAP SM/CS
Deep background in the automotive industry (vehicle lifecycle, warranty, claims)
Experience integrating SM with SAP SD, MM, FI-CO, and VMS
Knowledge of SAP S/4HANA Service & Service Contracts (preferred)
Proven success in end-to-end service transformation projects
Strong stakeholder management and communication skills

Job Responsibility

Lead design, configuration, and implementation of SAP Service Management (SM/CS) processes
Configure and support Vehicle Management System (VMS) for vehicle lifecycle management
Develop and optimize warranty and claims workflows, including settlements and finance/logistics integration
Drive service orders, maintenance plans, and customer service processes in SAP
Collaborate with SD, MM, FI, and external warranty platforms to deliver seamless solutions
Provide expertise in service contracts, warranty determination, and claims automation

Fulltime

New

State Transport Operations Manager QLD

Be a high-impact leader who mentors a team and builds powerful, accountable part...

Location

Australia , Brisbane

Salary:

Not provided

Woolworths Supermarkets

Expiration Date

Until further notice

Requirements

Proven Transport Expertise: Demonstrated success in a multi-site transportation operations manager role with a comprehensive understanding of transport logistics
Leadership & Coaching: Solid experience in hands-on team leadership, people management, and developing team members for high-performance outcomes
Financial Acumen: Established track record in service delivery, cost management, and proven experience in managing operational budgets
Change Management: Demonstrated experience in business transformation and change management, including creating and implementing effective strategies
Safety & Compliance Knowledge: Knowledge of relevant Chain of Responsibility (CoR), Work Health & Safety (OH&S), and Return to Work (RTW) legislation is essential

Job Responsibility

Safety & Compliance: Be the champion for a safe work environment, ensuring all state transport operations strictly adhere to legislative and company policy requirements
Service & Cost Delivery: Manage operational flow and coordination with DC and 3PL teams, controlling site finances, resolving transport claims, and ensuring customer expectations are met for all deliveries
3PL Partnership Management: Cultivate positive, high-performance partnerships with 3rd-party carriers, managing daily coordination, monitoring KPIs, and providing accurate operational forecasts
Team Leadership & Development: Lead, coach, and develop a high-performing transport team, managing goals, performance reviews, and active succession planning
Network Optimisation & Transition: Drive key operational improvements to reduce cost and increase network capability, and manage the transition of change projects related to network or carrier changes

What we offer

We offer competitive remuneration and access to a number of employee benefits
A commitment to flexibility through a hybrid working model which combines time spent at a support office or hub and time working from home
A range of programs to help you prioritise and manage your wellbeing, including a competitive leave policy and 24/7 access to the Sonder app

Fulltime

Reverse Logistics Manager

The purpose of this role is to manage strategical and tactical reverse logistics...

Location

Türkiye , İstanbul

Salary:

Not provided

Vodafone

Expiration Date

Until further notice

Requirements

Engineering degree from a reputable university
5+ years of applicable work experience in Logistics operations management (warehousing, inbound outbound distribution, recycling and customs operations)
Experience in vendor/3PL management. Leadership experience in blue colour workforce is preferred
Excellence in internal and external stakeholder management and business partnering
Fluent usage of English
Lives in Istanbul
Process & Performance Analytics
System & Process Transformation
Distribution Operations
Warehousing Operations

Job Responsibility

Manage strategical and tactical reverse logistics operations ensuring that supply chain management is fully integrated with business strategies
Organize the storage and distribution of return goods ensuring that the right products are delivered to the right location on time and at a good cost
Help to develop and implement best fit inventory management processes
Handling and storing of materials through activities such as loading, unloading and moving articles in a warehouse or storage room, tracking products transported on to recycling partner, Vodafone warehouses and individual suppliers
Working according to orders to inspect materials and producing accurate documentation for the handling of items
Partnering with Technology & Central functions to enable the effective mindset and process transition to material-level decommissioning planning
Governance of planning processes to embed the use of returns within the DB, and ensure zero missed opportunity to reuse assets locally
Driving network segmentation to reuse older technology as substitute to evolution products
Benchmarking physical returns to the warehouse vs. forecast and available network data
Optimizing the reverse supply chain considering local reuse and AMP

What we offer

Vflexy: Flexible Benefits Program
Hybrid working kit
Ergonomic kit allowance
Digital meal voucher
Flexible transportation allowance
Employee assistance hotline & counselling
Comprehensive and flexible private health insurance
Discounted price deals for wide range of products & services

Fulltime

New

Partnerships & Controls Director

This role is responsible for designing and executing robust control frameworks, ...

Location

Spain , Madrid

Salary:

Not provided

The Cigna Group

Expiration Date

Until further notice

Requirements

Bachelor’s degree required
advanced degree preferred (healthcare administration, business, or clinical discipline)
Significant experience in the health insurance industry including leadership roles in multi-disciplinary operations
Proven experience designing and monitoring operational and financial controls tied to performance outcomes
Strong understanding of provider contracting, operational process design, and partnership frameworks
Demonstrated accountability with ability to drive execution individually and through teams
International experience and cross cultural fluency is essential
Excellent communication, facilitation, and leadership skills with strong stakeholder management across countries and functions
Strong analytical, decision making, and problem solving skills
Excellent verbal and written skills in English, proficiency in other languages preferred but not essential

Job Responsibility

Design and implement control frameworks that reinforce accountability, sound decision‑making, and operational integrity across functional areas
Lead closed file review (CFR) campaigns and drive continuous process improvements across Provider, Member and Clinical domains
Implement quality assurance initiatives and ensure adherence to internal standards and expectations
Develop and maintain financial and operational control mechanisms to support IH and IHDS annual savings targets
Monitor savings performance, identify delivery risks, and guide corrective actions
Provide senior leadership with clear reporting on control effectiveness, performance trends, and risk exposure
Establish controls and standards for resource allocation, capacity planning, and alignment with strategic priorities
Validate workforce and vendor utilisation relative to approved budgets and operational requirements
Monitor forecasting processes and escalate risks to delivery or quality
Develop health services control structures that promote evidence‑based practices and cost‑effective care delivery across markets

What we offer

High visibility with International Health SLT, CEOs, COO IHDS, IHDS SLT
Opportunity to shape global partnership and control standards across markets
Meaningful influence on operational strategy and performance improvement across international regions

Claims Transformation Manager

Admiral Group Plc

Location:

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 10, 2026

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