Expert Qualité et Performance Technique des Sinistres / Claims Quality Control & Leakage Expert

Job Responsibilities

• Lead and continuously improve the Group Claims Quality Control and Leakage Management framework
• Coordinate Closed File Reviews (CFR) and Open File Reviews (OFR) across entities
• Support the deployment and formalization of Open File Reviews (OFR) and risk‑based monitoring approaches
• Assess claims handling quality and compliance with Group standards
• Identify leakage drivers and root causes
• Support the implementation of remediation plans

Expert Responsibilities

• Analyse quality review results
• Develop relevant KPIs and reporting for entities, the group and boards
• Promote best claims management practices
• Contribute to the deployment of risk‑based controls, automation and data‑driven solutions aimed at reducing avoidable claims costs
• Improve technical performance
• Strengthen overall claims governance across the group

Technical Claims Expertise & Governance

• Act as a subject‑matter expert on claims handling best practices
• Participate in Claims Governance Committees and Technical Excellence reviews
• Support claims transformation initiatives and the implementation of Group standards including Generali standards
• Contribute to the review and update of Claims Guidelines
• Support internal audits, IDR reviews and technical assessments
• Conduct claims file analysis and contribute to recommendations issued to entities

Fraud Program Support

• Support the Group Fraud Manager in the coordination of organized fraud cases involving several entities
• Follow‑up actions resulting from fraud investigations
• Support monitoring of fraud alerts generated by claims systems
• Contribute to fraud prevention and fraud detection initiatives
• Assist with operational reporting and governance related to fraud matters
• Coordinate exchanges between entities involved in international fraud schemes

Profile

• Master’s degree in Insurance or equivalent
• 5 to 10 years of experience in claims management
• International and multi‑entity experience
• Fluent in English and French (English is the group’s working language)
• Strong analytical mindset and ability to synthesize complex data for executive stakeholders
• Proven ability to manage multicultural projects and work agilely between strategic vision and operational execution
• Strong experience in claims handling, supervision, quality control or claims auditing and fraud prevention, leakage management or operational excellence
• Experience in travel, assistance, motor, health or property claims is an advantage
• Experience working in an international environment is highly desirable
• Advanced Excel and PowerPoint skills
• Project management skills
• Data analysis and reporting capabilities
• Strong affinity for automation, digitalization and AI‑based solutions

Recruitment Process

1. Manager interview (N+1)
2. HR interview
3. Optional: technical test, second manager interview (N+2), or culture fit interview

Additional Information

• Contract type: Permanent (CDI)
• Location: Saint‑Denis
• Remote work: up to 50%

EEO Statement

Redion is committed to inclusion and non‑discrimination. We recruit based on skills and personality above all. Diversity within our teams is essential and drives innovation and performance.