Program Claims Specialist (Madison, WI - Hybrid)

TruStage•Madison, WI

13d•Hybrid

About The Position

At TruStage, we’re on a mission to make a brighter financial future accessible to everyone. We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what’s possible. We need you to help us shape what’s next. You’ll be encouraged to share your experiences, ideas and skills to help others take control of their financial future. Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition This position is responsible for oversight of assigned Program Third Party Administrators (TPA’s) and handling new and existing litigation claims. Ensure timely and effective application of policies and processes. Accountable for team goals related to customer service and compliance with best practices. Provide claim file direction and assistance with complex claim issue resolution. Maintain effective communication with internal and external business partners. Participate in quality assurance reviews and work on special projects to best meet the needs of the department. Contribute to the development of functional/team strategy. The position will also oversee complex professional and general liability litigated claims.

Requirements

Bachelor’s Degree in Business Administration, Insurance, Finance, Economics, or related field of study is strongly preferred.
7+ years of P&C Insurance claims experience.
Adjuster license and continuing education as needed.
Proven ability to clearly and effectively communicate information to internal/external clients remotely or in person.
Strong critical thinking and analytical skills.
Demonstrated experience in progressively senior claim roles with strong technical skills.
Experience in a range of Property and Casualty lines of business and products including Property, General Liability, Automobile Liability and Physical Damage Liability, and Professional Liability.
Strong interpersonal and consultative skills.
Creativity, flexibility, emotional intelligence, adaptability, and problem-solving skills.
Ability to manage and develop existing and new industry relationships with Program Managers, Brokers, and Reinsurance partners.
Ability to travel ~10%.

Nice To Haves

CPCU, AIC, ASLI, or other industry designations or certifications are highly desirable.

Responsibilities

Serve as the primary point of contact and relationship manager for program claims.
Oversee proactive litigation management on assigned claims including investigating, evaluating, and negotiating to resolution.
Coordinate operational and leadership responsibilities to ensure consistent claim results, quality, and customer service.
Develop protocols to aid in the establishment and maintenance of claim strategies and appropriate claim handling authority providing education and training as required.
Collaborate with business partners vetting and onboarding new Programs and TPA’s.
Develop/maintain tools to monitor and improve the communication of essential claim information to ensure that monthly data collection and information sharing practices support TruStage Corporate standards.
Work in close collaboration with cross-functional teams including Underwriting, Actuarial, Product, Finance, and Treasury to analyze and structure existing and new Program Business.
Conduct in-person or remote claim file reviews and audits on multiple TPA claim systems.
Identifies emerging claim trends as warranted.
Monitor and document claim processes/guidelines for effectiveness and efficiency, identifying and implementing process improvements.
Participate in Claim organization strategy initiatives and projects in collaboration with the Claim Operations team.
Collaborate with Claim Operations leaders regarding the selection and ongoing management of TPA’s and other outside vendors.