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.

What you Do:

•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.
•Provides clients an understanding of any declined medical claims.
•Coordinates 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.

AI READINESS 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.

What you Bring:

•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

How we hire

Agency Statement 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.

What we offerAllianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners’ businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care.

At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation. By leveraging Business Intelligence and Data Analytics, we enhance strategic decision-making and customer experiences. Our commitment to Ethical AI ensures responsible deployment, maintaining data integrity and trust. Conversational AI improves communication, while Emerging Technologies and Generative AI drive industry leadership and new opportunities. With robust Information Security Management, we protect sensitive information, ensuring compliance and security. Embrace the future of AI with Allianz Partners, where possibilities become realities.

1 Job for Medical Claims in Bahrain

Automation Process lead