Join AXA Global Healthcare as our Head of Claims Technical Excellence and lead the charge in setting the highest standards of technical expertise, governance, and innovation within our claims function. You’ll be responsible for shaping and embedding a culture of operational excellence, ensuring claims are managed with precision, compliance, and a customer-centric approach. Your expertise will drive continuous improvement initiatives, active fraud mitigation, and cost containment strategies that directly impact our loss ratio, positioning AXA as a market leader in health insurance claims management.

As a key member of the International Leadership Committee, you’ll influence and execute the strategic direction of AXA Global Healthcare’s claims cost management initiatives. Your leadership will oversee complex claims, guide policy development, and foster collaboration across senior levels, including the Executive Committee. By championing clinically appropriate, cost-effective pathways, you’ll enhance member outcomes, deliver exceptional value to corporate clients, and uphold AXA’s reputation for operational excellence and innovative claims solutions on a global stage.

At AXA we work smart, empowering our people to balance their time between home and the office in a way that works best for them, their team and our customers. You'll work at least two days a week (40%) away from home, moving to three days a week (60%) in the future. Away from home means either attendance at one of our office locations, visiting clients or attending industry events. We’re also happy to consider flexible working arrangements, which you can discuss with Talent Acquisition.

What you’ll be doing:

Provide expert leadership in claims technical excellence, including policy interpretation, complex case review, and ensuring adherence to governance, quality, and regulatory standards.
Lead the global network management activity, focusing on optimising and enhancing the international health insurance network by leveraging the newly formed AHI (AXA Health International).
Drive initiatives to improve network efficiency, reduce costs, and deliver an improved customer experience through strategic network development and partnerships.
Develop and implement a strategic vision for Claims Operations, incorporating innovative technologies and continuous process improvements to enhance accuracy and efficiency.
Lead the claims cost management strategy, driving initiatives to reduce leakage, manage claims spend, and improve financial performance while maintaining a high level of customer experience.
Oversee claims performance reporting and insights, using data analytics to identify trends, risks, and opportunities, and support a data-driven culture within the organisation.
Design and execute a comprehensive FWA strategy, leveraging AI and predictive analytics to detect, prevent, and remediate fraud, waste, and abuse.
Foster technical capability across the claims team through structured training, mentoring, and continuous professional development, building a culture of accountability and excellence.
Ensure risk management compliance through audits, root cause analysis, and controls, supporting external regulatory reviews and internal risk frameworks.
Collaborate with key stakeholders across functions and external partners, representing claims in industry forums, and aligning claims practices with broader business strategies.

Due to the number of applications we expect to receive for this role, we reserve the right to close this advert earlier than the listed closing date to ensure we’re able to effectively manage interest. Therefore, if you’re interested in joining us at AXA, please don’t hesitate to apply.

What you’ll bring:

Extensive leadership experience in strategic operations management, driving key metrics and fostering a high-performance culture.
Deep technical expertise in health insurance claims, including complex case management, policy interpretation, and clinical pathways.
Proven success in leading digital transformation, AI initiatives, and fostering cultural change to enhance service delivery.
Strong track record in optimising claims indemnity spend, reducing leakage, and implementing disciplined cost management practices.
Expertise in developing and managing frameworks for fraud, waste, and abuse (FWA), along with cost-containment strategies.
Experience in governance, audit, and compliance within regulated environments, ensuring adherence to standards and best practices.
Skilled in data analysis, trend identification, and translating insights into actionable operational improvements.
Excellent stakeholder management and collaboration skills, with experience working across global teams to promote innovation and build future capabilities.

As a precondition of employment for this role, you must be eligible and authorised to work in the United Kingdom.

What we offer:

At AXA – Global Healthcare, we’re appreciative of the people who work for us and our rewards package is reviewed regularly to reflect that. You can expect to receive:

Competitive annual salary of up to £150,000
Annual company & performance-based bonus
Contributory pension scheme (up to 12% employer contributions)
Life Assurance (up to 10 x annual salary)
Private medical cover
28 days annual leave plus Bank Holidays
Opportunity to buy up to 5 extra days leave or sell up to 5 days leave
Wellbeing services & resources
AXA employee discounts

To apply, click on the ‘apply for this job’ button, you’ll then need to log in or create a profile to submit your CV. We’re proud to be an Equal Opportunities Employer and don’t discriminate against employees or potential employees based on protected characteristics. If you have a long-term condition or disability and require adjustments during the application or interview process, we’re proud to offer access to the AXA Accessibility Concierge. For our support, please send an email to ruth.tennant@axa-uk.co.uk.

#LI-Hybrid

Who we are:

Proud to be part of the AXA Group, AXA – Global Healthcare specialise in supporting the healthcare needs of globally mobile citizens, around the world. From a routine medical check up to a lengthy hospital stay, individuals and businesses have relied on the global support and protection we offer, for more than 55 years. Today, we support members living in more than 200 countries from our global hubs in the UK, Europe, Asia, India, USA and Middle East.

Health Insurance Claims jobs

Head of Claim Technical Excellence