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Senior Manager Claim Service Excellence

7-10 Years
  • Posted 6 hours ago
  • Be among the first 10 applicants

Job Description

Highlights

  • Fixed bonus and performance bonus
  • Hybrid Working and remote teaming
  • Work from Anywhere
  • Equality Welfare & Benefit (LGBTQA+)
  • Global online training modules to personalized learning journey
  • International Opportunities for Career Growth
  • Community Support with Employee well-being resource groups

Senior Manager – Claim Service Excellence

Reports to: Vice President, Claim & Healthcare Services

JOB SUMMARY

The Senior Manager / Assistant Vice President, Claim Service Excellence is responsible for driving customer and partner experience transformation through strategic partnership management, service governance, data-driven insights, and technology-enabled innovation.

This role serves as a strategic connector between customers, brokers, operations, and digital teams to identify service improvement opportunities, develop sustainable solutions, and strengthen the overall healthcare and claims ecosystem.

The position focuses on long-term service quality enhancement, preventive issue management, and customer-centric innovation rather than day-to-day claim operations.

KEY RESPONSIBILITIES

1. Partnership Management & Ecosystem Development (25%)

  • Develop and maintain strategic relationships with brokers, corporate clients, and key external partners.
  • Lead regular business reviews and service performance discussions with partners.
  • Identify opportunities to strengthen collaboration and improve service delivery across the ecosystem.
  • Drive joint improvement initiatives that enhance customer and partner experience.

2. Customer Experience & Service Development (25%)

  • Lead customer experience enhancement initiatives across partners and claim service journeys.
  • Identify customer pain points and service gaps through feedback, complaints, operational insights, and market best practices.
  • Design and implement service improvement programs that increase customer satisfaction and loyalty.
  • Champion customer-centric thinking across all claim service touchpoints.

3. Data Analytics & Insight-Driven Improvement (15%)

  • Analyze customer, partner, and operational data to identify trends, risks, and improvement opportunities.
  • Develop dashboards and management reporting to support decision-making.
  • Translate data and customer insights into actionable initiatives and business recommendations.
  • Promote evidence-based decision making within the organization.

4. Service Governance & Quality Management (20%)

  • Establish and strengthen service governance frameworks across customer and partner service channels.
  • Monitor service quality, customer feedback, SLA performance, audit observations, and regulatory requirements.
  • Drive root-cause analysis and preventive action planning for recurring service issues.
  • Partner with operational leaders to ensure sustainable improvements and continuous compliance.

5. Service Innovation & Digital Transformation (15%)

  • Identify opportunities to leverage technology, automation, AI, and digital capabilities to improve service effectiveness and efficiency.
  • Collaborate with business and technology teams to implement innovative customer solutions.
  • Lead transformation projects related to service excellence.
  • Monitor industry trends and emerging technologies to support future service strategies.

QUALIFICATIONS

  • Education

Bachelor's Degree or higher in: Business Administration, Marketing or related fields.

  • Experience Required

7-10 years of experience in one or more of the following areas: Partnership Management, Customer Experience (CX), Customer Service Management, Service Excellence, Business Transformation, Strategic Planning, Marketing, Business Development or Insurance Operation.

  • Preferred

Experience working in healthcare, insurance, financial services, hospitality, telecommunications, or service-oriented industries.

Experience in managing external stakeholders and driving cross-functional initiatives.

Insurance or claims experience is advantageous but not required.

More Info

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About Company

Job ID: 152617863

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