Floor Leader Restoran – Pimpin Tim & Operasional

Pt Pesta Pora Abadi (Mie Gacoan); Jayapura; Remote; IDR 300,000,000 - 600,000,000; Full time

Job summary

Pt Pesta Pora Abadi (Mie Gacoan) is seeking a seasoned Remote Claims Operations Manager to lead and optimize our claims handling. This fully remote role focuses on efficiency, accuracy, and exceptional service, guiding a distributed team of claims professionals from anywhere.

You will implement best practices, monitor KPIs, ensure regulatory compliance, manage vendor relationships, and drive continuous improvement in claims processing and systems adoption.

Qualifications

• Bachelor's degree in Business Administration, Management, or related field; Master's preferred.
• 7+ years in insurance claims management, with at least 3 years in a leadership role.
• Proven track record of improving claims operations.
• Strong knowledge of claims processes, regulations, and best practices.

Responsibilities

• Lead and mentor a remote claims team.
• Oversee daily claims operations and SLA adherence.
• Improve processing efficiency and reduce cycle times.
• Monitor KPIs and analyze data for improvements.
• Ensure regulatory compliance and manage vendor relationships.
• Implement and optimize claims management systems.
• Provide training on new procedures and systems.
• Handle escalated claims and provide expert guidance.
• Collaborate with underwriting and finance.

Skills

Leadership

Claims management

Data analysis

Process improvement

Vendor management

Remote leadership

Education

Bachelor's degree

Master's degree

Tools

Claims software

Job description

About the RoleOur client is seeking a seasoned and results-driven Remote Claims Operations Manager to lead and optimize their claims handling processes. This position is entirely remote, allowing you to leverage your leadership skills from anywhere. The successful candidate will oversee the day-to-day operations of the claims department, focusing on efficiency, accuracy, and exceptional customer service. You will be responsible for managing a team of claims professionals, implementing best practices, and driving continuous improvement initiatives. This role demands strong leadership, strategic thinking, and a deep understanding of claims management systems and workflows. As a remote leader, you must excel at motivating and managing a distributed team, fostering a culture of high performance and collaboration. Your expertise in operational efficiency and claims resolution will be critical to achieving our client's strategic goals and maintaining their reputation for excellence in the insurance sector. Key Responsibilities

• Lead, manage, and mentor a remote team of claims adjusters and support staff.
• Oversee daily claims operations, ensuring adherence to policies, procedures, and service level agreements.
• Develop and implement strategies to improve claims processing efficiency, reduce cycle times, and control costs.
• Monitor key performance indicators (KPIs) and analyze data to identify areas for improvement.
• Ensure compliance with all relevant insurance regulations and legal requirements.
• Manage vendor relationships and performance related to claims handling services.
• Implement and optimize claims management systems and technologies.
• Foster a culture of continuous improvement, innovation, and exceptional customer service within the claims team.
• Develop and deliver training programs for claims staff on new procedures, systems, and best practices.
• Handle escalated claims issues and provide expert guidance on complex cases.
• Collaborate with other departments, such as underwriting and finance, to ensure seamless operations.

Requirements

• Bachelor's degree in Business Administration, Management, or a related field; Master's degree preferred.
• Minimum of 7 years of progressive experience in insurance claims management, with at least 3 years in a leadership role.
• Proven track record of successfully managing and improving claims operations.
• Strong understanding of claims handling processes, regulations, and best practices across various lines of business.
• Demonstrated ability to