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Tech Stack
Tools & technologiesGuidewireRPATableau
About the role
Key responsibilities & impact- Participates in and oversees several teams involved in the evaluation of system requirements and the maintenance, testing, and documentation of systems.
- Leads, mentors, and develops the claims “product”, ensuring high-quality deliverables and adherence to best practices.
- Determines requirements, plans projects, establishes priorities, and monitors progress.
- Evaluates project status and resource utilization and implements changes to improve the team's effectiveness.
- Partners with business units and shared service organizations to understand workflows to identify opportunities to drive efficiencies.
- Identifies, prioritizes, and sponsors AI and automation use cases across the claims value chain (e.g., intake and triage, document understanding, workflow orchestration, subrogation, and analytics), translating business outcomes into delivery-ready requirements.
- Partners with IT, Data/Analytics, Security, and business leaders to define an AI/automation roadmap, including target-state architecture, integration patterns, and a pipeline of experiments-to-production initiatives.
- Establishes AI governance and controls in partnership with Risk/Compliance (e.g., model approval processes, human-in-the-loop decisioning, auditability, data privacy, bias testing, and vendor/model risk management) appropriate for insurance claims.
- Leads delivery and adoption of automation solutions (workflow, rules, and RPA where appropriate), defining success metrics (cycle time, touchless rate, leakage, and customer/adjuster experience), monitoring model/process performance, and driving continuous improvement.
- Help establish and communicate the Corporate Claims vision, strategy, and roadmap.
- Influences key stakeholders to create solutions that enable productivity improvements.
- Responsible for performance and coaching of staff and decisions regarding talent selection, development, and performance management.
- Coordinates efforts to guarantee that the team achieves budgetary and performance objectives.
- Ensures that department or functional area meets policies and procedures.
- Aligns business unit with business objectives.
- Performs other duties as assigned.
Requirements
What you’ll need- Proven track record of leading and delivering successful IT and business projects, from ideation to launch and evaluation.
- Well versed in the lifecycle of an insurance claim with a preference for candidates with claim handling experience.
- Excellent communication, presentation, and leadership skills, with the ability to influence and inspire cross-functional teams and stakeholders.
- Exceptional problem-solving, critical thinking, and analytical skills, with the ability to handle complex and ambiguous situations.
- Insurance domain expertise, a deep knowledge of various insurance functions across the value chain.
- Passionate about innovation, creativity, and customer satisfaction.
- Experience with data mining and analytics tools and techniques.
- Demonstrated experience delivering AI and/or automation capabilities into production (e.g., intelligent document processing/OCR, NLP, predictive models, generative AI copilots, workflow orchestration, or RPA), including change management and user adoption.
- Working knowledge of responsible AI practices and model governance (privacy, security, bias/fairness considerations, explainability, audit trails, and third-party/vendor risk) in regulated environments.
- Strong process engineering mindset (Lean/Six Sigma a plus): ability to map workflows, identify control points, quantify benefits, and build business cases for automation investments.
- Experience with leading claim handling platforms and supporting tools, such as Guidewire, FileNet, Tableau, Snowflake and others.
- Experience working within the Agile development framework.
- Ability to work in a matrix environment with a buy-in culture.
- Bachelor’s degree or above is required.
Benefits
Comp & perks- We offer competitive benefits packages for full-time and part-time employees*
- Full-time employees have access to medical, dental, and vision coverage
- wellness plans
- parental leave
- adoption assistance
- tuition reimbursement
- Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays
- a 401(k) plan with company match
- an employee stock purchase plan
- commuter benefits
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
AI capabilitiesautomation solutionsdata mininganalyticsintelligent document processingOCRNLPworkflow orchestrationRPALean/Six Sigma
Soft Skills
communication skillspresentation skillsleadership skillsproblem-solvingcritical thinkinganalytical skillsinfluencing skillscoachingteam developmentstakeholder management
Certifications
Bachelor’s degreeLean/Six Sigma certification