AXA seeks to establish Health as a cornerstone of its equity story and global business positioning. To deliver this ambition, AXA Health was created in 2023 as a new global business unit, with a comprehensive strategy structured around three pillars.
The first pillar Specialize aims to transform our business and upskill technical expertise in Claims, Underwriting, and Pricing, achieving the same level of mastery as specialized monoliners by leveraging data and AI. Within this context, claims operations are a critical moment of truth in the customer journey.
The Health Claims Transformation Manager supports the execution of AXA Health’s global transformation agenda by coordinating cross-country initiatives to modernize and streamline the end-to-end health claims process.
Key accountabilities:
1. Drive and coordinate delivery of claims automation programs
- Lead planning, coordination, and follow-up of the global Health Claims automation program activities across pilot and rollout countries.
- Track dependencies, anticipate bottlenecks, proactive engagement of stakeholders at group and local lvel.
- Support local teams in defining and monitoring practical implementation steps.
- Expected contribution: Clear program visibility, on-time delivery, and improved alignment between global and local roadmaps.
2. Lead and project manage cross-country initiative to deploy of automation and AI in Health Claims
- Identify and partner with relevant external insurtech or internal data science teams to deploy use cases in relevant use cases, such has OCR and NLP, medical coding, triage, rules automation.
- Support the design of requirements, ROI cases, governance for AI and tech adoption.
- Design experimentation (PoCs) to enable fast transformation, and continuous improvement.
- Translate complex technical capabilities (AI, ML) into practical value for claims function.
- Expected contribution: successful lead and align stakeholders to deliver concrete assets resulting in increase in efficiency, reduction in leakage, and better customer experience.
3. Develop health claims process knowledge to support transformation and simplification initiatives
- Develop and maintain a view of claims process (notably with automation index) across diverse healthcare markets from intake to payment.
- Gather insights on existing claims processes to identify bottlenecks and opportunities.
- Facilitate workshops to review and align on key pain points and simplification levers.
- Expected contribution: shared understanding of current processes and opportunities for improvement. Define operating models and frameworks applicable across entities.
4. Facilitate governance and stakeholder engagement
- Plan and prepare governance routines involving leadership at global or entity-level.
- Faciliate decision-making and ensure consistent communication of progress, risks, and achievements.
- Help maintain alignment between global Health priorities and local entity plans.
- Expected contribution: reliable and transparent information flow supporting decision-making and alignment.