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 P&C; Claims.
Strong understanding of the claims value chain and third-party provider ecosystem.
Experience managing external suppliers, networks or claims partners.
Proven track record in process improvement, operational excellence or transformation initiatives.
Exposure to digital transformation, automation, AI or data-driven decision making is highly valued.
Strong analytical and problem-solving capabilities.
Excellent stakeholder management and communication skills.
Comfortable working in agile and international environments.
Languages
Native or near-native Spanish.
Business fluent English.
What’s on Offer
Opportunity to join a highly innovative international insurance environment.
Exposure to large-scale transformation and operational excellence initiatives.
Significant visibility across local and international teams.
Strong focus on technology, automation and AI-driven innovation.
Dynamic, collaborative and fast-evolving environment. #Li-onsite
#Li-hybrid
📌 Claims Operations & Process Excellence Manager | Insurance Transformation | Madrid
🏢 AMG Human
📍 Madrid
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