Claims, Principal

In this role, you will support the Head of Claims, Corporate Solutions in matters of Governance, Fraud/Waste/Abuse, Intermediary/client communications and transformation projects.

System Projects & Innovation

Governance

• Lead in matters of internal auditing and governance of claims operations.
• Work with the Claims internal auditing team to ensure all Dashboards and reports are timely review.
• Implement, Direct and Monitor any corrective/mitigation actions that arise from these reviews pertaining to Claims operations.
• Support team to check on alignment with committed regulatory commitments and actions. Active management of resources required to support claims functions

Fraud Waste Abuse

• Co-Lead on FWA matters and the SIU Team based in OSS.
• Plan and strategise to ensure KPIs are met in this area.
• Responsible for cases handled by CS Claims SIU team. This includes timely ...