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Citizens

Head of Claims Accounting & Settlement - Fraud Operations Sr Manager

Posted 3 Days Ago
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In-Office or Remote
Hiring Remotely in United States
Senior level
In-Office or Remote
Hiring Remotely in United States
Senior level
The Head of Claims Accounting & Settlement manages reconciliation, accounting, and settlement for claims operations, ensuring financial integrity and efficient process automation.
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The Head of Claims Accounting & Settlement - Fraud Operations Sr Manager role, is responsible for the daily reconciliation, accounting, and settlement activities across multiple general ledgers supporting Citizens Claims Operations. This role owns end‑to‑end financial integrity for claims activity, including onshore and offshore execution models, and ensures strong controls, timely break resolution, and accurate financial reporting. The role will lead efforts to simplify and standardize processes while partnering with Technology to automate manual activities and position the function for AI‑enabled capabilities.

Key Responsibilities
• Own daily reconciliation, settlement, and accounting activities across multiple Claims Operations GLs, including suspense and product‑specific ledgers
• Ensure accuracy, completeness, and timely resolution of reconciling items, aging, and open breaks across all claims channels
• Oversee onshore and offshore resources supporting daily accounting and reconciliation activities, ensuring clear ownership, quality standards, and escalation paths
• Establish standardized reconciliation frameworks, controls, and documentation across all GLs to reduce variation and operational risk
• Lead process reviews to identify inefficiencies, manual touchpoints, and control gaps, with a focus on simplification and scalability
• Partner with Technology, Finance, and Claims Operations to design and implement automation solutions, enabling straight‑through processing and AI alignment
• Manage and develop a team, setting priorities, monitoring performance against deliverables, and supporting professional development
• Serve as a primary point of contact for audit, risk, and compliance inquiries related to claims accounting, settlement, and GL activity
• Support system enhancements, data integrity initiatives, and reporting improvements within Oracle and related financial platforms

Leadership and Collaboration
• Act as a strategic partner to Claims Operations leadership, translating high‑volume operational activity into accurate financial outcomes
• Collaborate closely with Corporate Accounting and Finance to ensure consistency with enterprise accounting standards and reporting requirements
• Work with Technology teams to modernize data flows, reconciliation logic, and exception handling across onshore and offshore models

Required Qualifications
• Strong background in finance or accounting, with experience supporting complex, high‑volume transactional environments
• Demonstrated experience managing multiple GLs, reconciliations, and settlement processes
• Proven ability to streamline processes and lead automation initiatives
• Experience managing both onshore and offshore teams or vendor‑supported models
• Working knowledge of Oracle or comparable financial systems

Preferred / Nice to Have
• Operations experience within claims, fraud, payments, or financial services environments
• Exposure to automation, data transformation, or AI‑adjacent initiatives
• Experience partnering with technology teams on system modernization or platform migrations


Hours & Work Schedule M-F - 4 days in office, 1 day remote

Hours per Week: 40

Work Schedule: 8:30-5pm 

About Us

Equal Employment Opportunity

Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression, genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague’s or a dependent’s reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism. Employment decisions are based solely on merit, qualifications, performance and capability.

Equal Employment and Opportunity Employer

Job Applicant Data Privacy Policy

Background Check

Any offer of employment is conditioned upon the candidate successfully passing a background check, which may include initial credit, motor vehicle record, public record, prior employment verification, and criminal background checks. Results of the background check are individually reviewed based upon legal requirements imposed by our regulators and with consideration of the nature and gravity of the background history and the job offered. Any offer of employment will include further information.


Top Skills

Oracle

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