Overview
Join AXA Global Healthcare as our Head of Claims Technical Excellence and lead the charge in setting the highest standards of technical expertise, governance, and innovation within our claims function. You will shape and embed a culture of operational excellence, ensuring claims are managed with precision, compliance, and a customer-centric approach. Your expertise will drive continuous improvement, active fraud mitigation, and cost containment strategies that impact loss ratio, positioning AXA as a market leader in health insurance claims management. As a member of the International Leadership Committee, you will influence and execute the strategic direction of AXA Global Healthcare’s claims cost management initiatives. You will oversee complex claims, guide policy development, and collaborate across senior levels, including the Executive Committee. By championing clinically appropriate, cost-effective pathways, you will enhance member outcomes and deliver value to corporate clients, while upholding AXA’s reputation for operational excellence and innovative claims solutions on a global stage.
AXA supports flexible working arrangements. You’ll work at least two days a week (40%) away from home, moving to three days a week (60%) in the future. Away from home means attendance at offices, visiting clients, or attending industry events. Further flexible working arrangements can be discussed with Talent Acquisition.
Responsibilities
* Provide expert leadership in claims technical excellence, including policy interpretation, complex case review, governance, quality, and regulatory standards.
* Lead the global network management activity to optimise and enhance the international health insurance network via AXA Health International (AHI).
* Drive initiatives to improve network efficiency, reduce costs, and enhance customer experience through strategic network development and partnerships.
* Develop and implement a strategic vision for Claims Operations, incorporating innovative technologies and continuous process improvements to improve accuracy and efficiency.
* Lead the claims cost management strategy, reducing leakage, managing spend, and improving financial performance while maintaining high customer experience.
* Oversee claims performance reporting and insights; use data analytics to identify trends, risks, and opportunities and foster a data-driven culture.
* Design and execute a comprehensive FWA strategy using AI and predictive analytics to detect, prevent, and remediate fraud, waste, and abuse.
* Foster technical capability across the claims team through structured training, mentoring, and continuous professional development.
* Ensure risk management compliance through audits, root cause analysis, and controls, supporting external regulatory reviews and internal frameworks.
* Collaborate with stakeholders across functions and external partners, represent claims in industry forums, and align claims practices with broader business strategies.
Qualifications
* Extensive leadership experience in strategic operations management, driving key metrics and fostering a high-performance culture.
* Deep technical expertise in health insurance claims, including complex case management, policy interpretation, and clinical pathways.
* Proven success in leading digital transformation, AI initiatives, and fostering cultural change to enhance service delivery.
* Strong track record in optimising claims indemnity spend, reducing leakage, and implementing disciplined cost management practices.
* Expertise in developing and managing frameworks for fraud, waste, and abuse (FWA), along with cost-containment strategies.
* Experience in governance, audit, and compliance within regulated environments, ensuring adherence to standards and best practices.
* Skilled in data analysis, trend identification, and translating insights into actionable operational improvements.
* Excellent stakeholder management and collaboration skills, with experience working across global teams to promote innovation and build future capabilities.
* Precondition: eligible and authorised to work in the United Kingdom.
Benefits and Equal Opportunities
Proud to be part of the AXA Group, AXA Global Healthcare supports globally mobile citizens with healthcare needs. We are an Equal Opportunities Employer and are dedicated to promoting diversity and inclusion. We encourage applications from all backgrounds. We are committed to fair and inclusive recruitment.
As part of our rewards, you can expect: competitive salary, annual bonus, pension scheme, life assurance, private medical cover, 28 days annual leave plus Bank Holidays, and other wellbeing resources and employee discounts.
Screening and Conduct: As a regulated financial services company, all successful candidates will be subject to pre-employment checks. Adherence to PRA Insurance Conduct Standards and FCA Conduct Rules will be required.
#J-18808-Ljbffr