3 дня назад
Claims Program Manager – Spinnaker
120 000 - 150 250$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Claims Program Manager – Spinnaker (Claims Program Oversight): Overseeing claims handling and third-party administrator performance across assigned insurance programs with an accent on regulatory compliance, claims quality, and partner operations. Focus on analyzing claims KPIs, conducting file reviews and audits, supporting program onboarding, and coordinating corrective actions, reporting, and complex claims work.
Location: Austin, Texas; Dallas, Texas; Morristown, New Jersey; or San Jose, California, United States
Salary: $120,000–$150,250 per year for the Morristown, NJ location; compensation may vary based on qualifications, experience, education, location, business needs, and market conditions.
Company
Hippo is a technology-driven insurance carrier platform that uses data and technology to simplify homeownership and partners with MGAs to deliver tailored insurance program solutions.
What you will do
- Oversee claims handling for assigned programs in line with claims guidelines, coverage intent, regulatory requirements, and service expectations.
- Monitor TPA performance, including timeliness, reserving accuracy, claim quality, and corrective action plans.
- Conduct file reviews and quality audits, analyze claims data and KPIs, and identify trends and improvement opportunities.
- Support claims guideline maintenance, new program onboarding, TPA setup, workflows, and reporting requirements.
- Prepare stewardship, performance, reinsurance, and regulatory reports and documentation.
- Act as a routine point of contact for TPAs and collaborate with underwriting, actuarial, finance, legal, and program stakeholders.
Requirements
- 5–8 years of claims handling or program oversight experience.
- Strong understanding of claims fundamentals and familiarity with multi-state regulatory environments.
- Strong analytical, organizational, and communication skills.
- Proficiency in Microsoft Excel and claims systems.
- Ability to support coverage analysis, reserving, litigation management, regulatory compliance, audits, and complex claims work.
Nice to have
- Experience working with TPAs, MGAs, delegated authority programs, program business, or a fronting carrier environment.
- Exposure to reinsurance reporting.
- Industry designations such as AIC, CPCU, or ARM.
Culture & Benefits
- Medical plans plus employer-covered dental and vision coverage for employees and families.
- 401(k), short- and long-term disability, employer-paid life insurance, FSA, and EAP benefits.
- Equity compensation eligibility for this position.
- Training, internal career growth opportunities, flexible time off, and 12 weeks of parental leave for primary and secondary caregivers.
- Snacks and drinks are available for onsite employees.
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