Claims Operations Manager
Core
Lead the operational delivery engine for the Claims function, optimizing processes, systems, data, and vendor partnerships to ensure effective, consistent, and compliant operations.
Role type
Senior operational leader (Claims Operations)
Builds
Operational processes, reporting frameworks, and governance controls for the Claims function
Domain
Insurance (General & Specialty) / Claims Operations
Required skills
Operational leadership, process improvement, workflow optimization, data quality management, stakeholder management, project management, regulatory compliance, vendor management
Preferred skills
Claims operations experience, knowledge of AFSL/APRA frameworks, experience with third-party administrators, global operational initiatives
Technologies
Claims systems, reporting platforms, digital workflows, automation tools
Responsibilities
Own and optimize end-to-end operational processes, improve workflow efficiency and throughput, partner with Claims Managers to resolve bottlenecks, lead projects spanning vendor management and automation, ensure accuracy of claims management information, oversee complaints handling framework, lead root-cause analysis, implement operational controls and remediate governance findings, coordinate across stakeholders to drive projects to completion
Seniority
Senior, hands-on IC