If you're passionate about data-driven decision-making, process improvement, and making a tangible impact in the insurance industry, the role of Claims Governance &
Performance Excellence (CGPE) Specialist is for you!
About the Role
As a Claims Governance & Performance Excellence (CGPE) Specialist, you will be integral to the success of the Claims team by supporting key functions such as Claims Governance, Quality Assurance, Vendor Management, Subrogation, and Counter Fraud. This position demands strong organizational skills, attention to detail, and a commitment to maintaining high levels of efficiency and performance.
Reporting directly to the Head of CGPE, you will work closely with team members to ensure timely, accurate, and efficient operations across multiple focus areas. Additionally, you will collaborate with other claims teams to ensure alignment with CGPE initiatives and governance standards. Your success will be measured by your ability to manage tasks with precision, foster team collaboration, and drive continuous improvements across CGPE functions.
Key Responsibilities:
• Vendor Management: Oversee the claims vendor workflow, ensuring service providers are properly managed and tracked. Provide regular management information (MI) reporting and analysis.
• Counter Fraud: Assist in fraud prevention by conducting data quality analysis, reporting on trends, and supporting audit reviews.
• Subrogation: Support subrogation activities through accurate data analysis and reporting.
• Claims Governance: Administer manual controls, manage document groups, track training compliance, and prepare ad hoc reports.
• Quality Assurance (QA): Monitor and analyze QA activities, manage quality reviews, and report on performance metrics.
Additionally, you will contribute to the development and implementation of policies, procedures, and best practices across all CGPE functions. You will also be responsible for preparing and presenting regular, data-driven reports that provide valuable insights to Claims, Compliance, and Risk Management teams, utilizing relevant tools and software.
About the Team
Our Claims Governance & Performance Excellence team provides global support to Claim Handlers, empowering them to excel in their roles and deliver superior results. We foster a collaborative environment that values diverse perspectives and inclusivity, allowing us to develop smart, business-driven solutions. By taking ownership and delivering consistent results, we contribute to enhancing customer service and driving continuous improvement across the organization.