Claims Manager

Were looking for a Claims Manager to join our Claims team to lead the claims team and serve as the subject-matter expert for our commercial insurance portfolio. You will be accountable for end-to-end claims operations ensuring every claim is filed and adjusted in strict accordance with policy terms limits deductibles and exclusionswhile driving timely accurate resolution. You will also advise on coverage strategy (e.g. adding new locations adjusting limits) and leverage data to set appropriate values for buildings and other assets maintaining strong relationships with underwriters. Additionally the Claims Manager will contribute to claims forecasting to inform budgeting.

Youll report to the Senior Director Customer Relations and work onsite from our Santa Ana CA corporate office headquarters.

What Youll Do:

• Lead daytoday operations of the Claims team; set standards for training quality cost control staffing and continuous improvement

• Continue to develop a highperforming team: recruit hire onboard motivate coach mentor and manage performance

• Run monthly 1:1s and formal feedback sessions; create development plans and hold the team accountable to goals

• Own annual and quarterly claims volume severity and expense forecasting; update outlooks based on trends and drivers

• Utilize data to inform workforce planning and site coverage aligning schedules and staffing to meet service levels across facilities

• Define track and report KPIs (e.g. cycle time accuracy SLAs); deliver actionable trend analyses to leadership

• Maintain compliance with carrier guidelines internal policies and applicable laws/regulations; promptly remediate any issues that arise

• Adjudicate claims within delegated authority (approve/deny) and escalate exceptions with a clear rationale

• Partner with Underwriters to communicate claim developments and insights that inform pricing policy language and risk selection

• Champion process improvement (Lean/Six Sigma mindset); streamline workflows eliminate defects and improve employee engagement and customer experience

• Lead and support claims initiatives and crossfunctional projects from scoping through implementation and change management

• Drive productive negotiations with internal and external stakeholders to advance policy process and system improvements

Who You Are:

• 5 years of handson technical claims experience with strong insurance coverage liability and adjudication fundamentals required

• 4 years of people management experience leading a claims operations team to meet internal and external stakeholder requirements required

• Proven ability to prioritize and manage multiple workflows; strong problemsolving and organizational skills

• Excellent written and verbal communication; professional interpersonal skills with the presence to lead change

• Strong negotiation and interpersonal influence skills; adept at relationship building and driving alignment with internal and external stakeholders

• Demonstrated ability to plan delegate and execute projects to completion aligned to company OKRs

• Proficient with Microsoft Office and Google Workspace (Docs Sheets Slides); comfortable working with metrics and dashboards

• Sound judgment within delegated authority limits; escalates exceptions with clear rationale

• Able to perform the essential functions of the role with or without reasonable accommodation

• Bachelors degree in Business Risk Management or a related field preferred (or equivalent experience)

• CPCU AU or similar professional designation (completed or in progress) is an asset

Salary Range:

The salary range for this position is $102k-$138k. Actual compensation on this range varies based on a variety of non-discriminatory factors including location job level experience and skill set. This role may be eligible for bonuses commissions or other forms of compensation please ask your recruiter for details.

Reasons To Join Us:

• Health Insurance: All full-time employees are eligible to enroll in Medical Dental and Vision

• Additional Benefits: Full-time employees are eligible for fertility commuter and educational assistance benefits

• 401(K) Matching Plan: We are proud to offer a competitive 401k matching plan to our employees to support their future financial goals

• Vacation: All salaried employees are eligible for flexible time-off

• Holiday Pay: All regular full-time employees are eligible for ten company paid holidays

• Employee Discounts: Employees receive discounts on select grading services for approved submissions

• Flexible Hours: Many of our teams offer flexible schedules with varying shifts and will work with you to accommodate your needs

• Fun Working Environment: Our team members are invited to participate in celebrations holiday events and team building activities

Candidates must be authorized to work in the United States.