Performance Specialist, Claims

Lead end-to-end claims performance and transformation initiatives from problem identification through execution. Drive change through transformation, reinforcing new behaviors and ensuring improvements stick in everyday practice. Leverage Kaizen based LEAN principles to drive continuous process improvements and enhance operational efficiency. Organize and strengthen claims operations, aligning ownership across teams, and improving how policies, procedures, and standards are applied consistently. Create and use data, audits, and analysis to drive performance, developing KPIs and dashboards, reviewing claim files, and translating trends into clear, outcome-focused recommendations. Enable and expand the use of digital tools and AI within claims workflows and into core claims operations to reduce manual effort, accelerate cycle time, improve documentation quality, and deliver a more transparent, responsive member journey. Partner cross-functionally, including with Learning & Development, to create policies, job aids, coaching tools, and solutions that reflect frontline realities and support change adoption.