Remote Claims Operations & Data Transformation Lead

Eames Consulting Group; United States; Remote; GBP 70,000 - 100,000; Full time

Benefits offered by this job

Remote work

Flexible hours

Job summary

Eames Consulting Group is assisting a fast-growing specialty insurer to hire a Senior Claims Operations professional into its global claims function. The role is highly data- and transformation-focused with a broad remit spanning Claims, Data, Technology, Reinsurance and Finance, and offers flexible remote working.

You will lead data-improvement initiatives, own end-to-end data flows with internal teams, insurers, TPAs and external partners, and partner with Technology to boost workflows,

Qualifications

• Significant experience in claims operations and data handling.
• Strong Excel capability for data processing and analytics.
• Experience working with TPAs and senior stakeholders is essential.

Responsibilities

• Lead claims operations and data improvement initiatives from problem to implementation.
• Own end-to-end flow of claims data across internal teams, insurers, TPAs and external partners.
• Ensure claims information is accurate, complete and received within timelines.
• Manage data queries, reconciliations and loss fund processes.
• Collaborate with Technology to improve workflows, automation and systems.
• Act as senior escalation point for operational claims issues.
• Support onboarding of new data sources and ensure data governance.
• Identify opportunities to improve scalability, governance and efficiency.

Skills

Claims operations

Excel

Stakeholder management

TPA coordination

Data transformation

Automation awareness

Tools

Excel

Job description

Eames Consulting Group is assisting a fast-growing specialty insurer to hire a Senior Claims Operations professional into its global claims function. The role is highly data- and transformation-focused with a broad remit spanning Claims, Data, Technology, Reinsurance and Finance, and offers flexible remote working.

You will lead data-improvement initiatives, own end-to-end data flows with internal teams, insurers, TPAs and external partners, and partner with Technology to boost workflows,