Insurance & Claims Management Lead Expert Job at EDP (Houston)

Ind Manager - Business Service Support

Job Title- IND MANAGER - Business Service support. ARL- 6. Solution Line- WCRG. ...

Location

India , Bengaluru

Salary:

Not provided

Aon

Expiration Date

Until further notice

Requirements

Graduation or Post Graduation
12+ years of relevant experience
12+ years of Operations Leadership Experience, with Insurance
Claims Management Experience
Well versed with MS Excel, MS Word
Expertise in Understanding, managing and handling Claim documents, ensuring accuracy and compliance
Excellent verbal and written communication skills
Excellent organizational skills with the ability to manage multiple priorities simultaneously and to deadlines
The ability to remain calm under pressure and to work flexibly when required
A positive approach and mind-set and excellent attention to detail

Job Responsibility

Responsible for receiving and reviewing new claims notifications from policyholders, brokers, or other channels
Verify claim information and enter details accurately into the claims management system
Experience in team management, and ability to lead team of up to 10 or more subject matter experts, ensuring that theirs and own objectives are aligned with the overall business strategy, that performance is satisfactory, and any necessary action is taken to continually to develop capability as future leaders
Uphold and demonstrate leadership values and a proven track record of building teams, retaining talent and effective people leadership
Building strong relationships with UK colleagues, and other internal stakeholders
Should be able to present team performance using data and analytics to drive successful outcomes as well as feedback to ensure effective service delivery of KPIs
Manage the service provided to Client Service Delivery based in UK by your team of Business Service Support
Monitoring team activity and coordinating workload in line with SLAs by organizing, prioritising, and making effective workload allocation decisions
Increasing the level of processing knowledge and driving continuous improvement in all areas of processing
Monitor customer feedback and address concerns promptly to ensure satisfaction

What we offer

Cab Facility
Comprehensive benefits package
Two “Global Wellbeing Days” each year
Variety of workstyle options through Smart Working model
Continuous learning culture

Fulltime

Commercial Manager

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

Location

United Kingdom , Manchester

Salary:

Not provided

Prima

Expiration Date

Until further notice

Requirements

Proven experience in a Commercial or Strategic Supplier Management role, ideally within the motor repair/automotive sector
Strong background and demonstrable knowledge of motor vehicle claims engineering, repair methodologies, and key industry systems (eg Audatex, Glassmatix/GT Motive)
Expert-level negotiation and contract management skills with a proven track record of delivering measurable commercial value through supplier relationships
Exceptional analytical skills with the ability to interrogate complex data sets, interpret performance trends and translate insights into actionable commercial strategies
Highly effective communicator and influencer with strong influencing skills, capable of building credibility and managing relationships with both internal senior leaders and external partners
Excellent verbal and written communication to effectively represent Prima to external partners (reinsurers and market)
Comfortable working in a growing / scale-up business environment. Strong attention to detail, with a problem-solving attitude

Job Responsibility

Drive Commercial & Financial Performance Management: Take ownership of the commercial elements related to our Third Party Administrator and its repair network/engineering team, driving cost-saving initiatives, fraud monitoring and ensuring optimal indemnity spend without compromising safety or quality
Lead and manage commercial negotiations with future suppliers, including repair network partners and engineering service providers, ensuring mutually beneficial, market-competitive contractual terms
Design, monitor and report on key commercials and claims engineering KPIs (eg repair cost, total loss ratios, parts utilisation, cycle time) to identify trends, opportunities and risks
Contribute to the claims budget process, providing accurate forecasting and analysis relating to repair and claims costs
Strategy & Governance: Design, develop and implement the long-term strategy for our Engineering Department, including engagement of a repair network, ensuring adequate capacity, capability and geographical coverage to meet business and customers' needs
Establish robust governance frameworks, including auditing and performance management protocols to ensure our TPA, our repair network and engineering team and other partners comply with contractual agreements, regulatory requirements and our quality standards
Identify, champion and deliver change initiatives across the repair and engineering claims journey to enhance efficiency, drive digital adoption and improve customer experience
Relationship & Stakeholder Management: Build and maintain high-performing, long-term relationships with our TPA, repair networks, part suppliers and other associated vendors
Act as the primary interface between the Claims, Pricing, Underwriting and Finance Teams, ensuring a clear and consistent commercial view of the repair network’s contribution to overall business performance
Act as a final point of technical and commercial escalation for complex, high-value, or high-profile repair and engineering issues, driving resolutions that protect both the customer and the company

What we offer

Hybrid working, with a mix of home and office days
Access to learning resources, mentorship and a growth plan tailored to you
Private healthcare, gym discounts, wellbeing programs and mental health support

Fulltime

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

Manager, Claims Delivery - Life Insurance

Manager, Claims Delivery | Superannuation | Brisbane Based. Lead with Purpose. I...

Location

Australia , Brisbane

Salary:

165000.00 - 180000.00 AUD / Year

Randstad

Expiration Date

June 14, 2026

Requirements

Minimum 5 year of experience in life insurance claims leadership
Insurance Expert: Extensive experience in Group Life or superannuation-linked insurance
Proven Leader: A history of managing large-scale teams in regulated financial services
Technical Depth: Strong grasp of group life products and complex member servicing
Qualified: Tertiary qualifications or ALUCA accreditation is highly regarded

Job Responsibility

Strategic Direction: Execute operational strategies that simplify insurance for members
Operational Mastery: Own KPIs and service levels, ensuring we exceed regulatory and member expectations
Governance: Navigate APRA, ASIC, and the Life Insurance Code of Practice with precision
Culture & Mentorship: Foster a high-growth environment for your leadership team
Oversee delivery of group life insurance offering
Lead an operational engine of 60+ specialists across claims, underwriting, and member servicing

What we offer

Top-Tier Super: 14% contribution
Up to $180K + Super
True Flexibility: Enjoy a balanced hybrid model

Fulltime

Insurance Manager

We’re recruiting for an Insurance Manager to join our Affordable Homes team. The...

Location

United Kingdom , London

Salary:

Not provided

LegalAndGeneral

Expiration Date

Until further notice

Requirements

The ability to understand, interpret, and present property and business data for securing optimal insurance rates
Experience in effectively managing the insurance claims process
Strong investigative and attention to detail skills with the ability to identify root causes of incidents and recommend prevention measures
Chartered Insurance Institute membership preferred but not essential
Knowledge of the relevant statutory, regulatory and common law applicable to the field of real estate and the provision of regulated social and affordable housing
Ability to work independently to proactively identify, raise and resolve issues
Someone who is self-driven, innovative and embraces change and opportunity
Commercially astute and able to work collaboratively with colleagues and external stakeholders

Job Responsibility

Creating and executing insurance policies and risk management plans to ensure comprehensive coverage across LGAH’s property portfolio and business activities
Acting as the subject matter expert, advising on insurance matters and contributing to strategic projects
Leading insurance renewals and retenders, negotiating with brokers and insurers to secure value-for-money outcomes
Collaborating with brokers, liaising with L&G Group teams, and aligning corporate insurance policies
Incepting new properties into policies and administering end-to-end claims processes, including submissions to providers
Identifying, assessing, and mitigating insurance risks while contributing to LGAH’s broader risk strategy
Monitoring market trends, regulatory requirements, and ensuring compliance with laws, standards, and internal controls
Maintaining accurate records, managing premiums and systems (e.g., Brolly), leveraging technology for reporting, and building strong stakeholder relationships to support operational and strategic objectives

What we offer

The opportunity to participate in our annual, performance -related bonus plan and valuable share schemes
Generous pension contribution
Life assurance
Healthcare Plan (permanent employees only)
At least 25 days holiday, plus public holidays. There’s also the option to buy and sell holiday
Competitive family leave
Participate in our electric car scheme, which offers employees the option to hire a brand-new electric car through tax efficient salary sacrifice (permanent employees only)
There are many discounts we offer – both for our own products and at a range of high street stores and online
We’re creating net‑zero carbon workplaces by 2030 by investing in our sustainable, modern offices across the UK, all designed to bring people together and elevate the in‑person experience

Fulltime

Claims Analyst

As a Claims Analyst, you will serve as a subject matter expert and critical prob...

Location

United States , Austin

Salary:

Not provided

Arrive Logistics

Expiration Date

Until further notice

Requirements

Bachelor's degree in Business Administration, Finance, Accounting, or related field, or 3 years of professional experience in customer service, administrative support, or the insurance industry
5+ years of experience managing claims required
Experience in cargo claims in a 3PL environment preferred
Exceptional organization skills and high attention to detail
Proficient in Google Suite
conduct basic risk analysis and general data reporting
Superior written and verbal communication skills. You understand that proactive communication is key
Ability to work both independently and collaboratively
Strong critical thinking, judgment, and decision-making skills.

Job Responsibility

Advanced Claims Operations & Trend Analytics: Independently manage a portfolio of complex cargo claims from initial filing to final resolution, ensuring efficient, accurate, and timely handling
High-Level External Relations & Advocacy: Lead and manage all high-level external communications and relationships with minimal management assistance
Financial Integrity & Legal Compliance: Comprehensively manage and reconcile all financial aspects of a claims portfolio
Expert Claim Resolution & Mentorship: Master the management of complex and high-value claims, frequently exceeding $100,000
Operational Strategy & Cross-Functional Synergy: Leverage deep business acumen and a comprehensive understanding of the transportation industry to strategically oversee claim operations

What we offer

Medical, dental, vision, life, disability, and supplemental coverage
Matching 401(k) program
Employee Resource Groups
Office wide engagement activities, team events, happy hours and more
Casual dress code
Work in Austin, TX
Free on-site parking
Fully stocked coffee bar, Broker's Brew
Onsite gym
Free counseling sessions through our Employee Assistance Program

Fulltime

System Manager Claims

As our System Manager, Claims, you will be responsible for the investigation, ev...

Location

United States , Rancho Cordova

Salary:

43.10 - 64.11 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Ten (10) years of high exposure medical malpractice and general liability claim management experience
Ten (10) years of insurance, legal, health care operations, and medical experience
Healthcare system claim experience

Job Responsibility

Investigation, evaluation, and disposition of healthcare-related property and/or liability claims and lawsuits that are of a significant and complex nature
Direct facility professionals on claim investigations that produce accurate facts and lead to timely as well as objective analysis of all assignments
Under limited direction, this position will have high levels of authority to negotiate on behalf of the organization with opposing litigants and attorneys to resolve disputes and lawsuits
Assist in the coaching, training, and mentoring of other team members and serve as a subject matter expert on specialty claims or risks
Strategically manage complex healthcare claims and litigation, ensuring thorough investigation, objective analysis, and effective resolution
Demonstrate exceptional expertise in negotiation, risk mitigation, and providing specialized guidance, acting as a pivotal resource for both internal teams and external parties to protect the organization's interests and uphold its reputation
Settlement authority up to $500,000
Utilizes best practice claim management techniques and provides high levels of customer service: investigates, evaluates and resolves complex claims and litigation in accordance with CommonSpirit Health Core Values and ERMG policies and procedures
Conducts full investigations and evaluations on reported claims or suits
Directs MBO professionals and retained legal counsel to develop and implement a focused strategy for timely and cost-effective resolution of complex claims and suits

What we offer

Medical, prescription drug, dental, vision plans
Life insurance
Paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
Tuition reimbursement
Retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

Claims Lead

Are you a seasoned professional eager to elevate your leadership skills in a dyn...

Location

United States , Chicago

Salary:

97000.00 - 108000.00 USD / Year

Uber

Expiration Date

Until further notice

Requirements

Bachelor’s Degree or equivalent professional working experience
2+ years of front-line leadership experience in a result-driven environment
Willingness to work holidays, weekends, and/or mid-shift
2+ years of experience in claims adjusting
6+ months of experience on the First Notice of Loss (FNOL) team at Uber
1 year of experience handling sensitive or safety-related user issues within Uber
Strong understanding of claims policies and procedures, with the ability to apply them effectively
Advanced written and verbal communication skills with a high degree of adaptability to evolving business needs
Proficient in managing multiple tasks across various technology platforms
Experience working with Google Suite (Sheets, Docs, Slides, Forms) and excellent communication skills

Job Responsibility

Lead and manage a team of Claims Advocates, driving performance and operational excellence within the US & Canada Claims operation
Ensure high-quality claims management and exceptional customer service through day-to-day oversight and leadership
Align the team with organizational goals, ensuring strategic initiatives are executed effectively
Provide performance feedback, manage development plans, and collaborate with HR to address performance gaps and foster professional growth
Identify opportunities for team development and leverage individual strengths to build a high-performing team
Partner with cross-functional teams to influence key metrics and continuously improve claims processes
Serve as a technical functional expert for direct reports and responsible for real time support

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

Select Country

Insurance & Claims Management Lead Expert

Job Description

Job Responsibility

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