Claims Manager Jobs

About The Position

Requirements

• Bachelor's degree in Business, Finance, Insurance, or a related field, or equivalent combination of education and experience.
• 8+ years of progressive experience in Life & Annuities insurance operations, including significant experience in claims administration.
• 3+ years of leadership experience managing claims operations, including managers, supervisors, or large operational teams.
• Demonstrated expertise in Life & Annuities claims processing, claims adjudication, policy administration, and operational controls.
• Experience managing client-facing operations within a Business Process Services (BPS), shared services, or outsourced operations environment preferred.
• Proven ability to lead operational transformation and continuous improvement initiatives.
• Strong analytical and problem-solving skills with experience using operational metrics and KPIs to drive performance.
• Excellent communication, leadership, stakeholder management, and organizational skills.
• Experience managing multiple priorities in a fast-paced, service delivery environment.

Nice To Haves

• Advanced degree (MBA or related field) preferred.
• Lean Six Sigma Green Belt or Black Belt, PMP, or other process improvement certifications preferred.
• Experience with Life & Annuities claims administration platforms and workflow management systems.
• Knowledge of digital claims transformation, automation, AI-assisted claims processing, and business process optimization.
• Experience leading geographically dispersed or global operations teams.

Responsibilities

• Lead day-to-day operations for Life & Annuities claims processing, ensuring timely, accurate, and compliant adjudication of claims.
• Manage and develop a team of managers, supervisors, claims analysts, and claims processors, fostering a culture of accountability, collaboration, and continuous improvement.
• Drive operational performance by monitoring service level agreements (SLAs), productivity, quality, turnaround times, and customer satisfaction metrics.
• Partner with client stakeholders to ensure contractual obligations, operational goals, and business priorities are consistently achieved.
• Identify opportunities to streamline claims processes through automation, workflow optimization, and best practices to improve efficiency and reduce operational risk.
• Ensure compliance with regulatory requirements, client policies, internal controls, and audit standards.
• Lead root cause analysis and corrective action planning for operational issues, quality findings, and client escalations.
• Analyze operational data and key performance indicators to identify trends, recommend improvements, and provide executive-level reporting.
• Collaborate with technology, quality, training, and transformation teams to implement process enhancements and support digital initiatives.
• Support workforce planning, resource allocation, budgeting, and capacity management to meet evolving business demands.
• Champion continuous improvement initiatives using Lean, Six Sigma, or other operational excellence methodologies.
• Build strong relationships with internal and external stakeholders to ensure successful service delivery and client satisfaction.

Benefits

• Our work model prioritizes in-person collaboration while offering flexibility to support wellbeing, productivity, individual work styles, and life circumstances.
• We’re committed to fostering an inclusive environment where everyone can thrive.