Director, TPA Claims

Hippo InsuranceAustin, TX
Hybrid

About The Position

The Director, TPA Claims owns claims strategy and execution for Hippo’s Claims TPA function. This role has full accountability for direct, in-house claims handling for our third-party MGA partners. As the accountable claims leader for a new and rapidly scaling business line, this Director builds the claims organization from the ground up, sets the claims operating model for a net-new external customer base, and represents claims in executive-level planning for the platform's commercial strategy. The ideal candidate is a claims leader who wants to build the team, the operating model, the technology, and the P&L that comes with a business line finding its shape. They have led adjusters and supervisors before and are ready to hire their own bench, set the standard, and grow the layers underneath them as the book scales. They believe claims technology should make good handling faster rather than just tracking it, and want a seat in the product conversation to ensure it does.

Requirements

  • Bachelor's degree or equivalent experience
  • 5+ years of general liability (GL) claims experience, with deep knowledge of GL coverage, liability and claims handling across premises, products, and other GL exposures
  • 10+ years of claims handling experience with five or more years leading a team of adjusters and supervisors
  • Demonstrated experience managing litigated claims, including working directly with defense counsel and overseeing litigation strategy and budgets
  • Active adjuster license(s), or demonstrated ability to obtain multi-state licensing
  • Experience building and scaling a high-performance team
  • Strong cross-functional collaboration skills and clear written and verbal communication

Nice To Haves

  • Experience in an MGA, program business, or Insurtech environment strongly preferred
  • Experience with sports and fitness claims handling is a plus
  • Experience in Snapsheet claims system a plus

Responsibilities

  • Own claims performance reporting (loss ratios, cycle time, litigation rate, customer satisfaction) and lead the annual operating plan and forecast for the Claims TPA business line from a claims cost and staffing perspective, reporting results directly to the Chief Claims Officer
  • Direct the claims technology requirements roadmap for the TPA offering—serving as the accountable claims voice in platform product decisions and prioritization with the product management function
  • Own the claims service-level framework that underpins customer retention and satisfaction, and leads claims capacity and service-level scoping with the client success function for new business customer onboarding
  • Represent Claims TPA in enterprise claims governance, standard-setting, and escalation with Hippo's core claims organization
  • Build and lead the Claims TPA organization: hire, train, and develop adjusters, and establish supervisory layers as the team and book of business scale alongside new external TPA customers
  • Set caseload standards, workflows, and quality benchmarks for an in-house claims handling model, distinct from traditional TPA models.
  • Own adjuster licensing compliance and claims handling practices consistent with state regulatory requirements across all jurisdictions and product lines in which B2B customers operate, in partnership with enterprise Operations
  • Own quality assurance, file audits, and reserving accuracy for the TPA claims book, including full accountability for litigation strategy, defense counsel management, and litigation budget

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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