Claims Operations Lead - Data Quality & Governance

Jobtailor; Chicago (IL); On-site; USD 90,000 - 120,000; Full time

Job summary

Jobtailor in Chicago seeks an experienced Claims Operations Manager to oversee the US Region Claims team, including offshore partners and TPAs. You will drive governance, data quality, and lifecycle improvements across claims processes.

Lead onboarding of delegated claims administrators, manage loss funds, audits, and reporting, and coordinate with Finance and external auditors to ensure regulatory compliance and strong internal controls.

Qualifications

• Experience leading claims operations and governance for risk and regulatory alignment.
• Strong data analysis and QA practices to ensure data integrity across the lifecycle.
• Proven ability to manage third-party providers and TPAs in a regulated environment.

Responsibilities

• Oversee technical and administrative support to the claims team.
• Govern offshore partners and service providers for the US Region Claims team.
• Manage onboarding of delegated claims administrators and administer contracts.

Skills

Operational Claims Management

Data Analysis

Regulatory Compliance

Quality Assurance

Third-Party Management

Tools

Origami Risk

Job description

Jobtailor in Chicago seeks an experienced Claims Operations Manager to oversee the US Region Claims team, including offshore partners and TPAs. You will drive governance, data quality, and lifecycle improvements across claims processes.

Lead onboarding of delegated claims administrators, manage loss funds, audits, and reporting, and coordinate with Finance and external auditors to ensure regulatory compliance and strong internal controls.