Claims Containment Senior Expert
il y a 4 jours
Référence de l'offre
12088
Type de contrat
CDI
Niveau d'expérience
Expérimentés
Société du groupeGIE AXA
Famille métierAssurance
Localisation
PARIS, Paris
Why AXA? Every day, we work together for human progress by protecting what matters. A mission that puts a smile on your face and makes you want to get up in the morning
One of the world's leading insurers in the protection of property, people and assets, AXA is 145,000 employees and contributors who are committed to our customers on a daily basis, 51 countries in which we distribute our products and services and more than 90 million customers who place their trust in us worldwide. As a responsible corporate citizen, AXA is committed to social and environmental causes on a daily basis. We are committed to an inclusive policy that recognizes and values individual differences. Do these ambitions speak to you? Then come and change the world with us
YOUR WORK ENVIRONMENTThe headquarters of the AXA Group (GIE AXA) brings together our corporate activities. It provides guidance and support to subsidiaries around the world, to ensure the coordination and monitoring of the Group's global strategy, the application of its standards, the consistency of commercial approaches and the sharing of best practices. The headquarters gathers approximately 1000 employees and is distinguished by its strong international culture (45 nationalities), which makes it a rich and stimulating place to work.
Within the Group, you will join the Group Underwriting Office (GUO) in the Claims department. The GUO was created in 2023 to steer the performance of our insurance portfolio and support our reinforced focus on technical excellence. The platform also contributes to define our global ambition and approach to new emerging risks related to the energy transition and cyber in the coming years.
Within this Department, you will be part of the team as Claims Containment Senior Expert.
YOUR ROLE AND RESPONSABILITIES:The role is pivotal in defining and ensuring adherence to AXA group standards and guidelines for claims cost containment across AXA Health Entities. It focuses on promoting technical excellence, consistency, and governance in areas such as provider management, medical cost control and fraud, waste and abuse prevention. Acting as a global reference point for best practices, the person drives alignment, capability building, and strengthens overall effectiveness of health cost containment across AXA's markets.
Key Missions:
- Define, maintain and ensure adherence to AXA's global standards, and guidelines for claims cost containment.
- Collaborating with entities from across Europe, Asia and LATM to drive and accelerate technical excellence and to contribute to AXA's overall strategy.
- Capability & Knowledge Development: Support the development of technical capabilities and best practices within local teams through training, guidance, and knowledge sharing initiatives.
- Lead on in-depth reviews for claims cost containment topics, ensuring adherence to group standards as well as:
- Identifying areas of improvement
- Collaborating with the local teams to create an impactful and measurable action plan for improvement
- Leading on the follow-up of these actions to ensure they have been successfully implemented.
- At least 8 years of international experience in health insurance, with a focus on claims management, provider relations, third-party administrator (TPA) companies oversight, and network development.
- Proven track record in leading third-party administrator (TPA) strategies, network negotiations, and claims cost containment initiatives across multiple regions.
- Strong experience in claims transformation, and operational process improvement.
- Excellent stakeholder management, negotiation skills, and cross-cultural collaboration capabilities.
- Fluent in English; additional languages are advantageous.
You will join:
- A responsible company, towards people, including its employees and customers, and towards the planet
- A company with strong values
- A company promoting internal mobility and the training of its employees
- A company offering many benefits (learn more here: Reward & Benefits | AXA Group)
- A flexible company, allowing hybrid work, in the office and from home.
In line with our commitments, we celebrate each new hire by taking action for global reforestation: we plant a tree for every recruitment. So, are you ready to apply?
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