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

Household Head of Large and Complex Claims

Admiral Household (HH) Claims is experiencing significant growth, currently mana...

Location

United Kingdom , Cardiff

Salary:

Not provided

Admiral Group Plc

Expiration Date

Until further notice

Requirements

Extensive knowledge and senior-level experience managing Large & Technical Household Claims functions
Demonstrated success in advising and influencing senior leaders
Proven ability to operate independently and effectively within ambiguous or evolving scopes of work
Strategic thinker and effective problem solver with a persistent drive to achieve change
Strong numeracy skills and the ability to communicate clearly and persuasively at all organizational levels, particularly under pressure
Exceptional listening skills and the ability to interpret critical information in time-sensitive situations
Confidence and professionalism in challenging key stakeholders, always maintaining a forward-looking perspective
Clear and precise articulation of decisions and outcomes

Job Responsibility

Oversee a new function, reporting directly to the Head of Household Claims as part of the HH Claims Leadership Team, including management of a team of over 70 technical claims specialists (including recoveries, liabilities and engineering)
Drive the development of the technical mastery across the function, ensuring team members build deep expertise in large and complex household claims
Lead a comprehensive strategic review of the HH Technical Claims function to enhance current performance metrics
Define a viable program of work to optimize the Technical Claims Target Operating Model through rigorous evaluation and process improvement
Build and nurture a high-performing team equipped to deliver best-in-class large and technical claims management
Maintain a strong focus on claims cost control, indemnity management and value optimisation
Support the future needs of policyholders aligned with growth strategies for the Household product line, ensuring readiness to address inquiries and new claims
Develop robust processes for collecting data and generating insights to provide effective performance oversight for the HH Claims and Core leadership teams
Continuously seek opportunities to improve claim processing accuracy and settlement speed by collaborating with internal and external stakeholders on the implementation of improvements
Ensure that all process enhancements are reflected in improved HH Claims Complaints performance outcomes

What we offer

Everyone receives 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). You also have the 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
Annual Holiday Allowance
Flexible Working
Simply Health
Private Health Cover
Critical Illness Cover

Fulltime

Senior Manager Delivery

The Senior Manager Delivery is a disciplined agile delivery leader accountable f...

Location

United States

Salary:

117431.00 - 187889.00 USD / Year

One Call

Expiration Date

Until further notice

Requirements

Bachelor's degree in a related field (Business, Information Systems, Engineering) or equivalent experience
10+ years of program/ delivery management experience leading complex, cross-functional initiatives
6+ years of leading delivery managers, scrum teams, or cross-functional squads
Proven record of executive-level communication and stakeholder management
Demonstrated experience with Agile, Lean and/or Continuous Delivery methodologies and tools
adherence to SDLC, Change Management, and Risk/Security frameworks
Strongly Preferred: Healthcare, insurance, or other regulated-industry experience
Agile certifications (PgMP, DASSM, SAFe, SPC, or equivalent)
Experience building or transforming agile program management/ delivery management capability
Care coordination or claims management domain knowledge

Job Responsibility

Lead mission-critical delivery teams
Own Disciplined Agile Delivery processes and practices
Teach Disciplined Agile delivery values, patterns, and skills
Strategic Program Delivery (60%): Own end-to-end delivery of Tier-1 strategic initiatives
Establish and maintain the integrated delivery plan
Coordinate stakeholder interactions and ceremonies
Develop and implement program delivery dashboards
Manage risks to value and quality
Apply SDLC/PDLC controls and Change Management practices
Executive Communication (20%): Prepare and present updates for senior leaders

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

Delivery Manager - Supplier Readiness & Transformation Fund

This is a key role within a high-profile regional programme supporting the trans...

Location

United Kingdom , Summer Lane

Salary:

59417.00 - 66614.00 GBP / Year

West Midlands Combined Authority

Expiration Date

April 06, 2026

Requirements

Experience of managing programme delivery from inception through to evaluation
Experience of writing high-quality, evidence-based delivery plans, board papers and performance or impact reports
Line management experience
Experience of budget management and financial planning
Experience of portfolio management across multiple projects, including risk, issue and change control
Knowledge of governance, legal and financial requirements in public programmes
Strong stakeholder engagement and influencing skills
The ability to manage and prioritise multiple workstreams effectively
An understanding of regional economic development and industry engagement, with knowledge of the automotive sector or the ability to develop this quickly
The ability to build trust and work collaboratively with industry partners and sector bodies

Job Responsibility

Lead the mobilisation and delivery of the Supplier Readiness and Transformation Fund pilot, ensuring alignment with organisational priorities and regional economic objectives
Ensure programme aims and outcomes are clearly defined, with a focus on SME growth, supply chain development and innovation
Work proactively with industry and sector groups to develop a pipeline of high-quality opportunities and maximise programme impact
Develop insight-led proposals, reports, briefings and presentations for a range of audiences
Shape and maintain effective governance arrangements, ensuring the Programme Board and Appraisal Panel operate transparently and efficiently
Translate regional and national policy priorities into clear delivery plans which support the automotive sector
Coordinate cross-functional activity to ensure efficient delivery and compliance with governance and funding requirements
Manage the full grant lifecycle, including industry engagement, expressions of interest, application, appraisal, award administration, monitoring and evaluation
Embed continuous improvement and lessons learned into programme delivery and future funding activity
Monitor and report on key performance measures, including investment leveraged, jobs created and SME participation

What we offer

Local Government Pension Scheme (one of the most generous pension schemes in the UK)
Shared Cost Additional Voluntary Contribution scheme where you can build an additional pot of money alongside your pension with contributions exempt from Income Tax and National Insurance contributions (NICs)
28 days paid annual leave (with an option to purchase more) + Statutory days
EV car benefit scheme
Healthcare plans
Discounted gym membership, will writing, and mortgage advice
An option to buy a bicycle, including e-bikes and adapted pedal cycles, at a discounted rate
3 days of paid leave each year to volunteer
Interest-free financing through SmartTech to buy the latest technology
Discounted shopping with over 2,000 big-name retailers, and more. You can now also obtain a Costco membership through the WMCA

Fulltime

New

State Transport Operations Manager

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

Location

Australia , Sydney

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 create a thriving team experience through a culture of belonging that champions safety and wellbeing for our people and partners
We’re a team-first organisation. We’ll equip you with the necessary training for success in your role, and provide continuous career development and learning opportunities
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, supporting both in-person connection and balancing the flexibility that remote working provides for our teams
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

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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