VP, Claims Data Solutions and Insights

About the Role

Key Responsibilities

• Lead a team of 6-8 onshore and offshore resources at different experience levels. Effectively set and track priorities, delegate, and review assignments, create efficient workflows, and ensure on-time and quality deliverables.
• Bring a distinct data consumer prospective to ensure that business intelligence, operational metrics, modeling, analytics, and reporting requirements are effectively fulfilled. This encompasses a comprehensive understanding of how claims data flow into, within, and outside claims systems, along with the intended use, dependencies, and impacts as well as a strong understanding of business processes and their association with source system and/or vendor data.
• Collaborate with corporate data delivery teams to create data strategy and develop meaningful claims data products for broader business user community.
• Provide end-to-end data & analytics solutions to Claims Transformation initiatives.
• Work closely with global analytics team in developing and implementing AI/ML solutions into claims workflow, tracking success and identifying opportunity areas.
• Identify and propose essential data elements necessary to support strategic initiatives and ensure they are captured with precision, completeness, consistency.
• Define and develop use cases based on business priorities and anticipate potential impact. Document business requirements and clearly articulate business benefits.
• Work in close partnership with Claims Actuarial Insights and Claims Business Intelligence teams to provide actionable insights and creative solutions holistically to Claims, Underwriting, and Actuarial stakeholders.

Requirements

• Demonstrated experience leading a team of data professionals, managing priorities, and ensuring quality deliverables.
• Strong understanding of claims data flow, business processes, and how data supports claims systems and operations.
• Experience collaborating with data delivery teams to develop data strategies and data products.
• Proficiency in providing end-to-end data and analytics solutions for strategic initiatives.
• Experience working with AI/ML solutions within a claims or insurance context.
• Ability to identify key data elements and ensure their accurate and consistent capture.
• Excellent communication skills to define use cases, document requirements, and articulate business benefits.
• Strong partnership skills to work with cross-functional teams including Claims Actuarial Insights and Business Intelligence.

Nice to Have

• Experience with developing and implementing AI/ML solutions in a claims environment.
• Knowledge of global analytics teams and international claims operations.