Fractional Customer Service (Claims) Manager

Silva-Lining HRRemote, NY
Remote

About The Position

Silva-Lining HR is seeking a Fractional Customer Service (Claims) Manager for a client to oversee and optimize the end-to-end claims process, ensuring timely resolution, operational efficiency, and exceptional customer experience. This role requires a highly organized and proactive individual with experience in claims management, client communication, ticket pipeline management, and cross-functional project coordination. The ideal candidate is proactive, highly responsive, solutions-oriented, communicates with professionalism and empathy, and thrives in an environment that requires strong ownership, accountability, and follow-through.

Requirements

  • Bachelor’s degree and/or equivalent related field experience
  • 3–5 years of experience in claims management, customer service, or a related operational support role
  • 2+ years of experience using HubSpot or similar CRM/ticketing platforms
  • 2+ years of experience using a project management software
  • Strong project coordination skills with the ability to manage multiple moving parts simultaneously
  • Excellent communication and interpersonal skills, particularly in client-facing situations
  • Proficiency in claims management software and customer support systems
  • Strong analytical skills with the ability to interpret data and generate actionable reports
  • Highly detail-oriented with excellent organizational and time management skills
  • Strong leadership skills with the ability to motivate, guide, and support team members
  • Comfortable working independently in a fully remote environment
  • Ability to manage sensitive customer situations with professionalism, urgency, and empathy

Responsibilities

  • Oversee and manage the claims process to ensure timely and accurate resolution of customer issues
  • Manage and maintain the ticket pipeline in HubSpot for order-related concerns, claims, and follow-ups
  • Serve as the primary point of contact for all claim-related client communications, including phone and email support
  • Handle escalated or complex claims and provide effective resolution strategies
  • Lead project management efforts for claims resolution, including task delegation and coordination with internal team members, vendor partners, shipping providers, and repair services
  • Monitor claims workflows to ensure deadlines and service expectations are consistently met
  • Measure and analyze claim-related KPIs, including response times, resolution timelines, customer satisfaction, and operational efficiency
  • Collaborate cross-functionally to improve claims handling procedures and customer service processes
  • Analyze claims data to identify trends, recurring issues, and opportunities for process improvement
  • Ensure compliance with company policies, procedures, and industry regulations
  • Provide guidance, coaching, and support to customer service representatives as needed
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