Claims Transformation & Process Improvement Lead

Caraffi; United States; Remote; USD 120,000 - 180,000; Full time

Job summary

Caraffi is seeking a Claims Transformation & Process Improvement Lead for aPermanent, 100% remote role in the USA. The role balances claims operations support with transformation, training and enablement to embed new systems, improve workflows and working methods across the Claims function.

The ideal candidate will drive rollout and adoption of new claims technology, improve processes, and collaborate with Compliance and Quality Assurance to achieve operational excellence.

Qualifications

• Commercial Insurance Claims operations experience.
• Experience with claims systems and workflows.
• Background in process improvement or transformation.
• Experience with technology adoption in claims.
• Experience in training and operational enablement.
• Ability to work across Claims, Compliance and Quality Assurance.

Responsibilities

• Support the rollout and adoption of new claims technology and tools
• Improve claims processes, workflows and ways of working
• Support operational improvement initiatives across the Claims function
• Help embed technology and process changes
• Work closely with Claims, Quality Assurance and Compliance stakeholders
• Deliver training on claims systems, technology and processes
• Support new employee onboarding
• Develop training materials, process guides and learning content
• Maintain accurate operational and training documentation
• Support training reporting and content management
• Foster cross-functional collaboration to drive transformation across Claims and Quality Assurance

Skills

Process improvement

Training delivery

Technology adoption

Claims operations

Cross-functional collaboration

Job description

Claims Transformation & Process Improvement Lead

Permanent | 100% Remote – USA

A leading insurer is looking for a Claims Transformation & Process Improvement Lead to support operational improvement across its Claims function.

This role combines claims operations, technology adoption, training and process improvement, helping teams adopt new systems, improve workflows and embed more effective ways of working.

The position is approximately 50% Claims operational support and 50% transformation, training and operational enablement.

Key Responsibilities

Claims Transformation & Process Improvement

• Support the rollout and adoption of new claims technology and tools
• Improve claims processes, workflows and ways of working
• Support operational improvement initiatives across the Claims function
• Help embed technology and process changes
• Work closely with Claims, Quality Assurance and Compliance stakeholders

Training & Operational Enablement

• Deliver training on claims systems, technology and processes
• Support new employee onboarding
• Develop training materials, process guides and learning content
• Maintain accurate operational and training documentation
• Support training reporting and content management

You’ll ideally have experience across:

• Commercial Insurance Claims operations
• Claims systems and workflows
• Process improvement or transformation
• Technology and systems adoption
• Training and operational enablement
• Working across Claims, Compliance and Quality Assurance