Associate Director, Claims Technical Excellence

FIND YOUR 'BETTER' AT AIAIf you believe in better, we'd love to hear from you.About the RoleEstablish Claims Technical Excellence across the Group to increase competitive advantage by strengthen claim control and risk management. Responsible for the execution & governance of Group's integrated health strategy for healthcare claims administration. Build the FWA prevention and control framework and targets and reduce FWA in all entitiesJoin Us!Roles and Responsibilities ?Drive the achievement of Group business goals in Claim control and risk management to prevent, detect the potential Fraud, Wastage and Abuse across all BUsCollaborate with key partners to deliver new innovative Claims capabilities to support the delivery of Group business goals on Claim control and risk management (AI based FWA and auto adjudication, OCR)Collaborate with team members in support the delivery of other Claim Excellence goals (E2E STP, Unit Cost, CSAT, FWA Saving)Collaborate with key parties to deliver health claim administration strategyDefine and govern Group-wide Claims Standards, procedures and guidance notesSet professional development standards for the Claims Community of Practice across the GroupSet and shape development opportunities for the Claims COP (e.g., workshops and forums)Support the development of Claim operation model for growing marketsPerform operational Due Diligence to support potential M&AMinimum Job Requirements:Claims SME with at least 15 years Insurance operations management experience and at least 10 years Claims Management experienceExperience in driving end to end Claims automation and STP for Life and Health ClaimsExperience of leading transformation in a within a Group / Regional Office where delivery is through influence rather than direct controlStrong organisational and leadership skills to lead multi-functional teamsStrong influencing skills to engage partners and team members in the delivery of key goalsEffective communication and relationship skills to engage Group and Business Unit Exco level membersAbility to demonstrate independent leadership, judgment, and decision makingAbility to adjust to multiple and changing priorities, remaining flexible, open, and collaborative