Commercial Claims Programs Consultant - Remote

CSAA Insurance Group, a AAA Insurer•Washington, DC

2d•$129,825 - $173,150•Remote

About The Position

This role is responsible for helping drive consistent, scalable, and data-informed oversight of internal and external claims programs supporting commercial operations. Operating as a senior individual contributor, the position manages key TPA and client relationships, supports strategic program initiatives, and helps ensure operational alignment, transparency, and strong partner experiences across multiple stakeholders and programs. The role plays a critical part in evaluating claims performance, analyzing KPI and SLA results, identifying operational trends and risks, and delivering actionable insights that support continuous improvement and operational effectiveness. In addition, the position partners cross-functionally with leadership, claims operations, analytics, finance, technology, and external partners to support onboarding activities, governance efforts, reporting initiatives, and ongoing program execution. The ideal candidate will possess strong knowledge of property and casualty claims operations, experience with claims performance reporting and analytics, and the ability to influence and collaborate effectively in a fast-paced, evolving environment. Strong relationship management, operational problem-solving, and strategic thinking skills are essential to success in this role.

Requirements

High School diploma or equivalent certification or 4-year customer service experience in a virtual environment.
8+ years of property & casualty insurance experience, preferably in auto and liability claims.

Nice To Haves

Bachelor’s Degree in related subject (Business) or equivalent combination of education and experience.
Commercial property and casualty experience or TPA governance experience.
Experience working with TPAs or vendors and/or understanding of TPA oversight practices.
Program management background.

Responsibilities

Monitor and ensure TPA compliance with operational standards, SLAs, and contractual requirements
Facilitate onboarding new clients and TPA partners
Build relationships with client and partners to ensure clear communication, expectation and align on performance standards.
Lead quarterly and ad-hoc TPA due diligence reviews.
Drive strategic and operational initiatives across internal and external partnerships.
Manage multiple priorities across TPAs and programs.
Collaborate cross-functionally with internal teams.
Serve as escalation point for operational issues with internal partners, vendors and 3rd party providers.
Prepare reports, dashboards, and presentations for review by multiple parties up to and including executive leadership.
Monitor claim funding accounts and reconciliation practices.
Analyze indemnity and expense trends for leakage.
Analyze existing claims data and identify trends or performance gaps (severity, cycle time, litigation rates).
Deliver insights to leadership and external TPA partners.
Facilitate client meeting preparation, reporting, and follow-up actions.