Head of Claims

Cigna healthcare is a global health service company with roots in the US serving more than 180 million customers and patients throughout the world. We deliver quality health care through choice predictability affordability and through integrated capabilities and connected personalized solutions that advance whole person health.

Cignas mission is to help our customers improve their health well-being and sense of security by providing access to care. With our whole health approach were focused on addressing health concerns improving resilience reducing stress levels and emotional health issues. Our employer promise is to remain steadfast in our commitment to fostering growth and improving lives by offering meaningful work within a positive inclusive culture that prioritizes our colleagues. We champion teamwork and collaboration and empower our people with cutting-edge technology to drive efficiency and amplify their impact in everything we do. Together we strive to create an environment where every individual thrives and contributes to meaningful change.

The Head of Claims Middle East will ensure the delivery of operational financial and service objectives of the claims department. Oversees the processing of insurance claims with emphasis on financial and operational targets effective monitoring and control over expenses investment performance product profitability headcount budget variances through the achievement of high-level productivity and efficiencies.

Key Accountabilities:

STRATEGIC:
Develop adjust and coordinate claims operations strategy and corresponding business plans/budgets/initiatives (ME Countries - UAE Oman Qatar Bahrain & Kuwait) and ensure they are realistic attainable and innovative.
Lead major transformational projects and initiatives as needed with the aim to deliver a differentiated customer experience simplify operations with global consistency strengthen the foundation with an engaged workforce focused on operational risk and professional operating practices and leverage the scale through better knowledge.
Ensures customer centricity strategic decisions are implemented; allocates resources and implements projects to sustain the entire companys strategy.
Assist Head of Ops and COO in planning and executing policy decisions especially for operational excellence and sourcing

OPERATIONAL:
Oversee the claims department ensuring they achieve a high degree of productivity and provide high quality service to internal and external customers.
Monitor evaluate and sponsors the enhancement of IT systems in partnership and coordination with the respective stakeholders.
Ensure that appropriate authorizations for approval operational and financial controls are in place and the set standards meet compliance legal and regulatory requirements.
Maintain Operating Expense ratios within budget. Report on Operating Expense variances. Review and approve Business Travel plans budgets and expenses.
Ensure the appropriate systems and procedures support effectively the reporting system of the Company to provide accurate and timely management information. Prepare Business Progress Reports Monthly & Quarterly Reports including narratives.
Establish and use analytical programs tools and dashboards to identify trends outliers areas of improvement that will lead to informed decision making and management actions.
Ensure compliance with all regulatory and company standards.

Essential Business Experience and Technical Skills:

Successful record in a senior claims position for at least 10 years and experience in financial services industry specifically in healthcare
Demonstrated ability to lead multiple complex initiatives and organizational transformation projects and program development.
Well organized and able to lead others in a team environment involving multiple departments countries and organization levels.
Deep understanding of insurance environment and internal insurance company procedures
Knowledge of legal and regulatory framework competitor landscape distribution channels insurance products and external regulatory bodies requirements
Capability to organize and manage complex flows interdepartmental activities sales environment know how customer orientation risk management product audit & compliance know how.
Ability to analyse and solve problems in the complex environment with multiple internal and external (legal and regulatory) constrains considering business and customer centricity objectives.
Excellent communicator with good interpersonal and people management skills

Leadership Competencies:
Thinks Strategically Sets direction aligned to the companys strategy applying external and global perspective to meet local and global needs.
Creates Partnerships Authentically builds trusted relationships and collaborates across global diverse and multi-functional teams to successfully drive business objectives.
Grows Talent Inclusively and pro-actively develops talent empowers individuals and manages diverse teams to drive engagement and performance.
Drives Results Sets aggressive goals and is accountable for continuously driving improved performance leading change and ensuring ambitious standards.

What we are looking for

We are seeking individuals who thrive in collaborative environments are passionate about driving meaningful change and are excited to grow in a company that prioritizes its people.

Join us and be part of a company where your growth ideas and contributions are valued. Lets create something extraordinary together. Its time to look to your future and apply to work for Cigna today!

About Cigna Healthcare

Cigna Healthcare a division of The Cigna Group is an advocate for better health through every stage of life. We guide our customers through the health care system empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race color age disability sex childbirth (including pregnancy) or related medical conditions including but not limited to lactation sexual orientation gender identity or expression veteran or military status religion national origin ancestry marital or familial status genetic information status with regard to public assistance citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

Required Experience:

Director