Claims Performance Manager Job at Admiral Group Plc (Cardiff)

Technical Medical Claims Manager - Travel

Join Our Team as a Technical Claims Manager! We are thrilled to announce an exci...

Location

United Kingdom , Cardiff

Salary:

Not provided

Admiral Group Plc

Expiration Date

Until further notice

Requirements

A minimum of three years' experience handling medical claims within a travel claims context
Preferably possess CII or equivalent qualifications, demonstrating commitment to continuous learning
Strong experience in travel insurance claims, especially medical assistance
Solid understanding of medical claims validation and policy application
Experience managing external medical suppliers and influencing performance
Excellent analytical skills for assessing complex cases and identifying trends
Ability to use performance data to improve outcomes and control costs
Outstanding communication skills for collaboration with stakeholders
Capable of sharing technical knowledge and mentoring team members
Confident in making technical decisions on complex claims

Job Responsibility

Oversee large-value medical claims beyond supplier authority, reviewing coverage and collaborating with medical providers
Handle emergency calls for claims decisions after hours, ensuring readiness for significant decisions on high-value claims
Conduct audits on supplier claims processes to ensure effective management, providing feedback and challenging as needed
Identify cost-saving opportunities during case management, pursuing innovative approaches to stand out from competitors
Stay updated on travel insurance market developments, attending conferences to identify challenges and competitors
Share market knowledge and expertise with colleagues to support their development
Manage communication with stakeholders on high-value claims for informed decision-making and optimal outcomes

What we offer

Up to £3,600 of free shares each year after one year of service
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

Fulltime

Senior Manager, Claims Workforce Management

We’re building a world of health around every individual — shaping a more connec...

Location

United States

Salary:

67900.00 USD / Year

CVS Health

Expiration Date

July 12, 2026

Requirements

Minimum 7 years of experience in workforce management, operational analytics, or related roles within healthcare, insurance, or complex operational environments
Demonstrated expertise in forecasting, capacity planning, and workforce modeling
Strong analytical and problem-solving skills with the ability to translate data into executive-level insights and recommendations
Proven ability to operate independently with a high level of ownership and accountability
Strong communication skills and experience influencing leaders without direct authority
Advanced proficiency with workforce management tools, reporting platforms, and data analysis techniques
Experience partnering with senior leadership on staffing strategy and operational planning
Experience designing or evolving workforce management operating models
Strong business acumen with the ability to balance service, quality, cost, and compliance considerations
Bachelor’s degree preferred or equivalent combination of relevant experience, training, and professional development

Job Responsibility

Provides strategic ownership of Claims workforce management by leveraging deep analytical expertise to forecast demand, develop capacity and staffing models, and optimize workforce utilization
Serves as the primary subject matter expert for Claims Workforce Management (WFM), partnering closely with senior leadership and cross‑functional stakeholders to support operational decision-making, performance outcomes, and scalability
Leads workforce planning initiatives, drives process improvements, and delivers actionable insights to ensure claims operations are staffed efficiently, consistently, and in alignment with business objectives
Owns end-to-end workforce management for Claims operations, including forecasting, capacity planning, staffing models, and resource optimization across multiple work areas
Analyzes and interprets complex operational, volume, and productivity data to develop actionable workforce strategies that support claims performance, service levels, and financial targets
Develops demand forecasts and staffing models using historical data, trend analysis, and scenario modeling
provides insights and recommendations to senior leadership
Serves as the primary owner of staffing assumptions, workforce modeling, and capacity planning for Claims, ensuring alignment with operational strategy and business priorities
Leverages workforce management tools, statistical models, and analytics to evaluate demand variability, staffing risk, and operational scenarios
Partners closely with Claims leadership, Finance, HR, and Operational Excellence teams to align workforce strategies with hiring plans, training timelines, and productivity assumptions

What we offer

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
bonus, commission or short-term incentive program
equity award program

Fulltime

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Senior Complex Claims Manager

As a Senior Complex Claims Manager, you will play a vital role in safeguarding t...

Location

United States

Salary:

125000.00 - 145000.00 USD / Year

Airbnb

Expiration Date

Until further notice

Requirements

10+ years of Insurance Claims Coverage and Litigation experience with an emphasis on liability and property, including severe losses and strong global exposure
Demonstrated portfolio-level leadership: setting strategy, vision, defining KPIs for immediate team
Strong data acumen: Analytical fluency working with large data sets, comfortable defining metrics and working with Analytics and Data Science
Strong knowledge complex complex resolution: Understand techniques, investigative methodologies, and legal aspects related to complex, severe claims resolution
Strong communication: Strong verbal and written communication skills, with the ability to explain complex topics to diverse audiences. Skilled in presenting complex and sensitive customer issues, with the ability to analyze large data sets and draw reasonable conclusions
Influence Airbnb cross-functional teams globally: Proven ability to collaborate effectively across disciplines, regions, and seniority levels. Strong negotiating skills and experience in communicating recommendations to both internal and external stakeholders
Judgement
Proactively work towards achieving a fair and suitable resolution for claims in a timely manner by employing effective conflict resolution strategies
Evaluate and interpret policy language and relevant case law alongside specific loss details to make informed coverage decisions
Coordinate loss investigations with external experts across various exposures and manage the adjustment process until final resolution

Job Responsibility

Assess how the new policies /products impact the risk and exposure mitigation for high severity claims, and how our operating model should evolve
Builds partnerships and leads Large Loss Claim reviews with our insurers on a monthly / quarterly basis depending upon the insurer/market. Ensure we are managing insurers claim handling and potential coverage/relationship issues as well as material reserve changes that could impact Airbnb and the Captive
Craft a Resolution Plan for Complex and Large Loss Claims driving the Carrier and/or TPA to resolve the claim while meeting the needs of internal stakeholders
Partner with Legal, GCM, Trust and our Brokers, Insurers, Outside Counsel, and TPA’s on complex claims resolution which may also involve coverage issues and settlement authority
Accountable for performance and results Insurance Carrier and Partners worldwide over Complex Claims which may impact policy limits or trigger need of notice to Brokers and Carriers under the insuring policies
Build an executive ready dashboard for the Complex Claims team (Top drivers, cycle time, reserve adequacy)
Develop and execute end to end strategies for handling Complex Claims integrating with Legal Litigation, Safety and Trust teams
Author clear process, policy changes and ensure clear change management across the team
Training and SME for L6, L7, and L8 Host Damage Protection and Host Liability Protection Specialist on claims. Works to upskill partners for growth and development. Supports the team by guiding through complex claims and changes
Complex Claim Lead for training and upskilling of AirCover Specialists on new processes, program changes, and workflows

What we offer

bonus
equity
benefits
Employee Travel Credits

Fulltime

Claims Manager, Accident & Health

Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a ...

Location

Australia , Sydney

Salary:

Not provided

Berkshire Hathaway Specialty Insurance

Expiration Date

Until further notice

Requirements

A minimum 7 years’ experience handling Accident & Health claims
A high level of professionalism and responsibility
Strong customer service and interpersonal skills
Strong business acumen and an understanding of claims as a contributor to an overall insurance operation
Excellent interpersonal communication and leadership skills
Ability and willingness to work collaboratively in a team environment as well as independently to achieve results and provide excellent customer service
Relevant ANZIIF or tertiary qualifications

Job Responsibility

Lead a team of claims professionals managing Accident & Health claims in line with BHSI Claims Service Standards and relevant regulatory requirements
Set expectations, coach and develop teammates
Drive high levels of customer service, technical quality, and claims performance
Collaborate with the broader BHSI Accident & Health lines team including underwriting and actuaries on claims trends, portfolio development, policy wordings and risk issues
Oversee internal and external dispute resolution matters
Meet and participate in meetings with our customers and broker partners to communicate our 'Claims is Our Product' promise
As needed travel to customer / broker meetings, conferences and industry events

What we offer

A competitive package and exciting growth opportunities for career-oriented teammates
A liberating, fast-paced culture, centered on always doing the right thing for our customers, teammates and our business
A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasises individual excellence in a team framework

Fulltime

Data Product Manager - Claims

Are you looking for a new challenge? Fancy helping us shape the future of motor ...

Location

Italy , Milan

Salary:

Not provided

Prima

Expiration Date

Until further notice

Requirements

Proven Experience (2-3 years): You have a background in Data Product Management, or analogous roles
Analytical Mindset: You are "data-native." You think in terms of metrics, data quality, and model performance, and you know how to measure the success of a data product
Strategic Coordination: You excel at managing complex dependencies and demanding Product Stakeholders. You can align with an Infrastructure peer on technical constraints while keeping business stakeholders focused on the value proposition
Technical Fluency: Previous experience in a technical hands-on role such as Data Analysis, Data Scientist, Data Engineer, or Software Developer. You are comfortable discussing APIs, data pipelines, and machine learning workflows with engineers and data scientists without getting lost in translation
Communication & Leadership: You can tell a story with data, persuading others and driving consensus across different departments and seniority levels

Job Responsibility

Bridge Stakeholders & Tech: Act as the primary interface between Data Consumers (Data Scientists, Business Analysts, …), and Engineering to ensure data products are scalable, reliable, and aligned with company goals
Own the Data Lifecycle: Oversee the end-to-end process of Data Product development, from initial discovery and modelling to monitoring performance and impact
Drive Data Product discoverability and self-serving: support self-serving of Data Products, by continuously improving the tools (e.g., data catalog, data dictionary), and the Data Product consumer orientation
Manage data quality + change: define quality checks, monitoring, and alerting, communicate breaking changes proactively
Foster a Data Culture: Translate complex technical concepts into actionable business insights, ensuring that every product decision is backed by solid data evidence

What we offer

Work Your Way: Enjoy full flexibility – work from home, the office or a mix of both. Plus, work from anywhere for up to 30 days a year
Grow with us: We may move fast at Prima, but we move together. Get access to learning resources, mentorship and a growth plan tailored to you
Thrive and perform: Your best work begins when you feel your best. Enjoy private healthcare, gym discounts, wellbeing programs and mental health support

Carrier Partner Performance Manager

We are seeking an individual who will oversee end‑to‑end supplier performance ac...

Location

Egypt , Giza

Salary:

Not provided

Vodafone

Expiration Date

Until further notice

Requirements

ITIL‑certified with strong experience in supplier management
Skilled communicator with negotiation abilities and the capacity to influence partners
Adept at solving problems in complex operational environments
Confident in analysing both quantitative and qualitative data
Experienced in the international telecommunications landscape
Fluent in written and spoken English
Possess a minimum of 5 years of relevant professional experience

Job Responsibility

Monitor and manage performance of international carrier partners to ensure high‑quality service delivery
Analyse obligations in Master Supplier Agreements and assess compliance with service performance standards
Detect and investigate breaches in service‑level agreements and address non‑conformities in operational processes
Validate operational KPIs by reconciling supplier reports with internal performance data
Identify and drive improvement opportunities across internal and external supply chains to enhance customer experience
Maintain effective business‑critical escalation processes and ensure clear communication with internal teams
Develop strong working relationships with supplier counterparts and internal functional teams
Produce supplier performance reports and outline corrective action plans
Act as a subject‑matter expert for designated suppliers and markets
Manage progress of service credit claims and ensure alignment with contractual obligations

What we offer

Opportunities to collaborate with global carrier partners and cross‑functional teams
Exposure to telecom performance management processes at an international scale
Experience in shaping service‑improvement initiatives across multiple regions
Development of leadership, negotiation, and stakeholder‑management capabilities
A dynamic environment where analytical thinking and continuous improvement are highly valued

Manager, Claims Partnerships

As a Manager, Claims Partnerships, you are the primary driver of performance for...

Location

United States , Phoenix; Chicago

Salary:

117000.00 - 145500.00 USD / Year

Uber

Expiration Date

Until further notice

Requirements

5+ years of experience in claims strategy, vendor management, or insurance operations
Experience with SQL, Tableau, or similar data visualization tools to independently validate partner performance data
Demonstrated experience using LLMs (Large Language Models) to accelerate workflows
Proficiency in prompt engineering for complex tasks
Proven ability to manage complex implementations or operational changes across multiple geographic regions (US & Canada)
Specific exposure to litigation trends or regulatory environments in high-risk jurisdictions
Deep understanding of Third Party Administrator (TPA) internal economics and staffing models
Ability to thrive in a "0-to-1" environment
Demonstrated experience interacting with senior leadership
Strong ability to interpret complex claims data and identify operational root causes

Job Responsibility

Strategic Diagnosis & Influence: Move beyond tracking KPIs to diagnosing root causes
Define & Refine Expectations: Collaborate with Claims Leadership to draft and optimize Special Handling Instructions and contractual operational agreements
Partner Operational Health: Anchor performance in measurability
Process Governance: Validate that agreed-upon processes are actually "live" in the partner’s operation
Cross-Functional Bridge: Partner deeply with internal stakeholders—specifically Geo and Severity leads—to address emerging trends
Aligned Prioritization: Maintain strict alignment with the Claims Management Team’s unified vision

What we offer

Eligible to participate in Uber's bonus program
May be offered an equity award & other types of comp
All full-time employees are eligible to participate in a 401(k) plan
Eligible for various benefits

Fulltime

Product Manager, Claims and Enrollment

We are seeking a product manager to own one of Stedi's products end-to-end. You ...

Location

United States

Salary:

Not provided

Stedi

Expiration Date

Until further notice

Requirements

Substantial product management experience at a healthcare B2B software company with a track record of delivering successfully-adopted UI and/or API products
2+ years working in healthcare, specifically revenue cycle management, at a digital health provider strongly preferred
Bachelor’s degree in Computer Science, Software Engineering, or a related technical field strongly preferred
Have an established, demonstrable track record of driving product adoption and managing a product roadmap
You can translate complex customer requirements to a highly technical audience
Highly curious
not satisfied with getting something to work, you want to understand why it works and how to make it high quality
You thrive in an ambiguous environment and lean on automation to eliminate toil

Job Responsibility

Own the product roadmap for substantial portions of our clearinghouse offering
Report directly to the CEO and work closely with the Head of Engineering to develop product direction
Be the primary author of complex, technical product and business documents (e.g. PR/FAQs, BRDs, GitHub tickets)
Work with our healthcare customers to gather feedback and requirements and translate them into actionable product
Work with our design team to develop mockups and wireframes, and our engineering team to prioritize and deliver features
Measure product performance to track adoption and identify areas of investment
Own metrics related to product adoption/engagement
Support and provide expertise on other product initiatives, helping to advance Stedi’s overall product suite

Fulltime

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Claims Performance Manager

Job Description

Job Responsibility

Requirements

What we offer

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