Automation Process lead

Job Overview

The Automation Process Lead owns the strategic automation agenda within Health Operations, driving scalable process transformation, governance control, and measurable value creation through digital enablement and AI integration.

• Automation Rate (STP %)
• Manual touch reduction
• Turnaround Time (TAT) improvement
• Cost per transaction optimization
• Compliance & Quality adherence
• Lead end to end automation strategy across Health Operations.
• Drive process optimization, efficiency, and compliance.
• Enhance automation rate, reduce manual touchpoints, and improve KPIs.
• Act as the bridge between Operations, IT, and Digital teams.
• Provide clear feedback on queries from Operation.
• Provide clients an understanding of any declined medical claims.
• Coordinate workflow & meet deadlines.
• Decision Making Responsibility
• Provide Gap analysis and Mapping qualification
• Assist the new juniors for the training and provide the feedback
• Maintain the updated guidelines for the workflow
• Define automation roadmap aligned with business KPIs.
• Identify high impact automation opportunities across Claims & Approvals.
• Establish automation governance and control framework.
• Ensure regulatory compliance (DHA, DOH, CBUAE where applicable).
• Lead process re engineering prior to automation deployment.
• Collaborate with IT on Rules Engine & AI based adjudication.
• Oversee UAT, validation, and accuracy monitoring.
• Drive continuous improvement initiatives.

Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.

• 5-8+ years in Health Insurance / TPA Operations.
• Experience with automation tools, RPA, Rules Engines.
• Strong analytical & dash boarding capabilities (Excel / Power BI).
• Coding Certificate
• Fluency in Power BI, Altrex with experience in building Dashboard
• 5 + years Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).
• Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills
• Advanced Communication Skills

Allianz Partners does not accept unsolicited CV’s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.