Head of Claims Operations

2 days ago

Karachi, Sindh, Pakistan beBee Careers Full time

**Job Title:** Head of Claims Operations

Salary: Competitive salary package

Job Description:
We are seeking a proactive and detail-oriented professional to join our operations team as the Head of Claims. This role will oversee the end-to-end user experience and claims processes, ensuring exceptional service delivery and operational efficiency.

Responsibilities:

  • Design, monitor, and improve customer journeys across all touchpoints.
  • Collaborate with various departments (Sales, Operations, QA) to ensure a consistent and high-quality customer experience.
  • Monitor customer feedback and satisfaction metrics, identifying areas for improvement and implementing corrective actions.
  • Utilize customer data to analyze pain points and optimize the customer experience.
  • Manage the claims team, providing guidance and support to ensure efficient claims handling.
  • Develop policies and procedures to streamline claims processing and reduce turnaround times.
  • Analyze claims data to identify trends, reduce risks, and improve efficiency.
  • Leverage data analytics tools to track performance metrics for both CX and Claims functions.
  • Work closely with the QA team to ensure customer feedback is integrated into quality improvement initiatives.
  • Collaborate with the CX team to align claims processes with broader customer experience goals.
  • Lead the CX and Claims teams, fostering a customer-centric culture.
  • Set clear goals and KPIs for both functions, regularly reviewing and adjusting strategies to meet organizational objectives.
  • Serve as a key point of contact for escalated customer issues, ensuring high-level concerns are addressed promptly.

Required Skills and Qualifications:
A user-centric mindset and a strong background in claims management, process optimization, and customer experience are essential.

Benefits:

  • Strong analytical skills with the ability to interpret data and drive strategic decisions.
  • Proficiency in data analysis tools (e.g., Excel, SQL, Tableau) to analyze complex datasets.
  • Excellent communication and interpersonal skills to effectively manage teams and collaborate across departments.
  • Problem-solving skills to handle escalations and improve processes.
  • Leadership experience with a track record of managing cross-functional teams.
  • Familiarity with customer experience best practices, claims management processes, and data analytics methodologies.
  • Understanding of relevant industry regulations and compliance requirements.
  • Customer-focused mindset with a commitment to continuous improvement.
  • Ability to motivate and develop team members, fostering a positive and productive work environment.

Others:
A Bachelor's or Master's degree in Business or a relevant field is required.

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