Claims Program Manager – Spinnaker
Hippo Insurance•Austin, TX
•Hybrid
About The Position
The Claims Manager – Partner Programs is responsible for the day-to-day oversight and performance management of assigned programs and Third-Party Administrators (TPAs). This role ensures claims are handled in accordance with established guidelines, regulatory requirements, and service expectations while supporting strong claim outcomes and partner relationships.
Requirements
- 5–8 years of claims handling or program oversight experience
- Strong understanding of claims fundamentals
- Familiarity with multi-state regulatory environments
- Strong analytical, organizational, and communication skills
- Proficiency in Microsoft Excel and claims systems
Nice To Haves
- Experience working with TPAs, MGAs, or delegated authority programs
- Experience in program business or fronting carrier environment
- Exposure to reinsurance reporting
- Industry designations such as AIC, CPCU, or ARM preferred
Responsibilities
- Oversee claims handling for assigned programs to ensure compliance with claims guidelines, coverage intent, and regulatory requirements
- Monitor TPA performance including timeliness, reserving accuracy, and overall claim quality
- Conduct file reviews and QA audits to identify trends and improvement opportunities
- Assist in implementation and maintenance of claims guidelines and best practices
- Support onboarding of new programs including TPA setup, workflows, and reporting requirements
- Analyze claims data and KPIs to identify emerging trends and performance issues
- Prepare stewardship and performance reports for internal stakeholders and program partners
- Track and follow up on corrective action plans
- Support reinsurance reporting and documentation requirements
- Assist with regulatory audits, data calls, and compliance reviews
- Serve as a primary point of contact for TPAs on routine matters
- Partner with underwriting, actuarial, finance, and legal teams
- Participate in program-level meetings and continuous improvement initiatives
- Build expertise in coverage analysis, reserving, litigation management, and regulatory compliance
- Support senior team members on complex claims
- Participate in training and development opportunities
Benefits
- Multiple medical plans to choose from
- 100% employer covered dental & vision plans for our team members and their families
- 401(k)-retirement plan
- Short & long-term disability
- Employer-paid life insurance
- Flexible Spending Accounts (FSA) for health and dependent care
- Employee Assistance Program (EAP)
- Equity compensation
- Training and internal career growth opportunities
- Flexible Time Off
- 12 weeks of parental leave for primary and secondary caregivers
- Snacks and drinks available for onsite employees
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
