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Claims Manager – TPA Oversight
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remote, united states
$85,000 to $105,000
About the role:
ABOUT THE ROLE
Our client is a rapidly growing insurtech program administrator, where cutting-edge technology meets innovative insurance solutions. After a record-breaking year in sales, they seek experienced Claims professional to oversee and optimize the claims process. As the Claims Manager, you will be working directly with the TPA adjusters, insurance carrier representatives, agents, and internal teams to achieve the best possible claims outcomes. Your expertise in claims management and dispute resolution will help ensure that claims are handled efficiently and fairly, and in compliance with regulatory requirements.
Duties and responsibilities:
DUTIES & RESPONSIBILITIES Oversee all aspects of claims handling, from intake to resolution, ensuring fair and timely outcomes.
Manage expectations and performance of TPA adjusters to drive optimal claims outcomes.
Identify opportunities to streamline processes through technology and workflow improvements.
Investigate and resolve complex claims disputes with fairness and transparency.
Track claims data, identify trends, and provide insights to improve underwriting and risk management.
Help refine claims strategies and best practices to support company expansion.
Experience:
SKILLS & EXPERIENCE
5+ years of experience in property & casualty claims management.
Demonstrated commercial multi-line claims expertise.
Experience handling claims for restaurant risks ideal.
Experience overseeing TPA claims handling.
Strong knowledge of insurance regulations, claims handling best practices, and dispute resolution.
Experience with high-volume claims processing and a track record of optimizing workflows.
Compensation:
COMPENSATION, BENEFITS & PERKS
$85,000 to $105,000 + bonus + equity