Claims Manager

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About the Role

The Model Office Lead will be responsible for the operationalization of the target operating model for the Claims Function as part of the organization’s Claims Transformation Program. This leadership role will establish a new operational unit that integrates adjudication, automation, validation, audit, and fraud investigation capabilities. The position requires expertise in Claims Managemrent , should demonstrate understanding in Fraud, Waste, and Abuse (FWA) management, and a strong background in business process transformation. The role calls for a proven leader capable of building a high-performing and scalable operation, ideally with experience in managing shared services or outsourced environments. The Model Office Lead will shape the foundation of the organization’s next generation operating model, ensuring alignment with strategic objectives, qual...

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