30 jul
|
AMG Human
|
Madrid
We are partnering with a leading international insurer undergoing a significant transformation journey and looking to strengthen its Claims Operations team with a Claims Provider & Process Excellence Specialist.
This role sits at the intersection of claims operations, third-party provider management, process improvement and technology-driven transformation. The successful candidate will play a key role in optimizing the claims value chain, improving operational performance and driving innovation initiatives, including the adoption of AI and automation solutions.
Key Responsibilities
Claims Provider & Partner Management
- Manage and optimize relationships with third-party claims providers, including repair networks, assessors, legal partners and other service providers.
- Monitor provider performance through KPIs, SLAs, customer satisfaction and cost control metrics.
- Conduct provider reviews, audits and performance assessments.
- Support onboarding and governance of new partners across the claims ecosystem.
- Collaborate with internal and international stakeholders to share best practices and improve service delivery.
Process Excellence & Continuous Improvement
- Identify operational inefficiencies and improvement opportunities across the claims journey.
- Lead process optimization initiatives focused on customer experience, operational efficiency and claims cost control.
- Apply structured methodologies to redesign and improve end-to-end processes.
- Translate operational data and customer insights into actionable improvement initiatives.
Technology & Innovation
- Drive the adoption of automation, AI and digital solutions within claims operations.
- Identify opportunities to improve provider performance, fraud detection, segmentation and operational effectiveness through technology.
- Support digital transformation initiatives aimed at creating more efficient and customer-centric claims processes.
Requisitos
Candidate Profile
- 5+ years of experience within
📌 Claims Operations (Madrid)
🏢 AMG Human
📍 Madrid