Head of Accident & Health Claims / US - Corporate Solutions

About the role

Join Swiss Re Corporate Solutions as the Head of Accident & Health Claims, where you will lead a transformative stop loss and health claims organization focused on operational excellence, innovation, and superior client service.

Key Responsibilities

• Lead and develop a high-performing Accident & Health claims organization focused on transformative innovation, efficiency, accountability, collaboration, and service excellence.
• Drive innovative and transformational initiatives focused on scalable claims process improvements, automation and digital workflows.
• Evaluate and implement emerging technologies and AI-enabled capabilities that enhance claims handling, communication, and operational insights.
• Reshape and oversee the end-to-end claims lifecycle including intake, adjudication, reimbursement, escalation management, appeals, and complex claim resolution.
• Leverage data analytics and reporting to identify trends, improve decision-making, mitigate risk exposure, and enhance client outcomes.
• Develop and implement strategies that improve turnaround times, claims accuracy, operational efficiency, and client satisfaction.
• Champion a culture of innovation by encouraging creative problem-solving and introducing novel approaches to claims management and customer service.
• Serve as the senior escalation point for complex, high-dollar, and sensitive employer stop loss claims.
• Partner closely with underwriting, actuarial, legal, operations, and client management teams to align claims strategies with broader business objectives.
• Serve as a key advocate for innovation and operational excellence, helping shape the future of Accident & Health claims within Corporate Solutions while ensuring exceptional service delivery for our customers and partners.

About the Team

In this role, you will be part of the Swiss Re Corporate Solutions US Claims Leadership Team and work closely with leaders across underwriting, operations, and client management functions. You will lead a specialized team of Accident & Health claims professionals across multiple locations and collaborate with global and regional stakeholders to advance strategic claims initiatives. You will serve as a key advocate for innovation and operational excellence, helping shape the future of Accident & Health claims within Corporate Solutions while ensuring exceptional service delivery for our customers and partners.

About You

You are a forward-thinking claims leader with a strong transformational mindset and a passion for innovation, client service, and organizational effectiveness. You are energized by building high-performing teams, creating efficient processes, and leveraging technology to improve outcomes for customers and business partners. You are motivated by challenging traditional approaches and introducing creative solutions that elevate the claims experience.

Skills That May Be Helpful in This Role

• Knowledge of stop loss claims administration, reimbursement methodologies, plan interpretation, and policy language.
• Background in reinsurance, self-funded health plans, or corporate Accident & Health insurance.
• Experience with ERISA, HIPAA, cost-containment vendors, TPAs/Networks and applicable insurance regulations and compliance requirements.
• Experience leveraging automation, workflow technologies, and analytics to optimize claims operations and customer service delivery.
• Experience with digital claims platforms, predictive analytics, or AI-enabled claims technologies.
• Experience building scalable claims operations in a growth-oriented environment.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Exceptional communication, relationship management, and executive presence.
• Customer-centric mindset with a passion for delivering superior service experiences.

Our Company

We are looking for candidates who meet these requirements:

• Minimum 10 years of people leadership experience managing and transforming high-performing claims teams.
• Proven track record implementing claims transformation initiatives, operational efficiencies, and process improvements and mapping.
• Experience with ERISA, HIPAA, cost-containment vendors, TPAs/Networks and applicable insurance regulations and compliance requirements.
• Experience leveraging automation, workflow technologies, and analytics to optimize claims operations and customer service delivery.
• Experience with digital claims platforms, predictive analytics, or AI-enabled claims technologies.
• Experience building scalable claims operations in a growth-oriented environment.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.
• Experience managing TPAs and vendor relationships.
• Strong analytical, strategic thinking, and problem-solving capabilities.
• Demonstrated ability to lead through change and influence cross-functional stakeholders in a matrixed organization.