Claims Operations Practice Consultant

Xceedance; United States; Hybrid; USD 180,000 - 260,000; Full time

Job summary

Xceedance seeks a Practice Lead, Claims Operations, to shape and drive the claims practice across client engagements, solutions, and delivery. The role bridges domain expertise with revenue-generating outcomes in collaboration with carriers, MGAs, TPAs, and E&S stakeholders.

The senior expert will re-imagine FNOL, adjudication, and settlement workflows, ensuring scalable, data-driven solutions while aligning with regulatory requirements and business goals in a hybrid work environment.

Qualifications

• 10+ years of experience in P&C claims operations including FNOL, coverage analysis, adjudication, reserving, subrogation, and litigation management.
• Ability to translate business needs into process, data, and agentic design decisions.
• Working familiarity with claims regulatory requirements (unfair claims settlement practices, state prompt-pay rules, adjuster licensing) and claims leakage, SIU/fraud, and quality audit practices.
• Proven operator experience with direct P&L accountability for an insurance business unit, practice, or service line, including owning revenue, margin, budget, and headcount decisions.
• Ability to decompose business outcomes into agent tasks, data dependencies, decision points, and control mechanisms.
• Experience redesigning FNOL, triage and assignment, and claims settlement workflows to reduce cycle time and leakage.
• Proven experience in solution architecture, RFP responses, and proposal development for transformation deals.
• Strong presentation and storytelling skills for client orals, executive briefings, and demos.
• Ability to design scalable, reusable, and value-driven solutions.

Skills

P&C claims ops

Business process design

Regulatory knowledge

P&L accountability

Solution architecture

Client storytelling

Cross-functional collaboration

Job description

Xceedance is hiring experience industry professionals to help shape our domain practices, strengthen delivery capabilities, and bring functional expertise to the evolution of our business.

The Practice Lead, Claims Operations is a senior subject-matter expert responsible for shaping and driving Xceedance's claims practice across client engagements, solutions, and delivery. This role serves as the expert on claims business processes, regulatory landscape, and industry trends, partnering closely with client engagement, delivery, and business development teams to design and scale differentiated solutions. The ideal candidate brings deep, cross-functional experience across multiple claims functions and a proven ability to translate industry expertise into practical, revenue-generating client outcomes in close collaboration with carriers, MGAs, TPAs, and E&S stakeholders.

The role demands a hybrid specialist who can re-imagine claims intake, adjudication, and settlement processes through the lens of agentic frameworks and orchestration, while remaining commercially grounded. In a world where information is becoming abundant and AI can summarize, compare, and explain faster than ever, judgment is the differentiator. The Practice Lead must be able to zoom in like a specialist (to the FNOL field, coverage provision, agent behavior, and integration contract) and zoom out like a generalist (to the operating model, strategic intent, and business outcomes) — and translate between the two.

What You Bring

• 10+ years of experience in P&C claims operations, including FNOL, coverage analysis, adjudication, reserving, subrogation, and litigation management across Property, Casualty, Auto, and Specialty lines.
• Demonstrated ability to translate business needs into process, data, and agentic design decisions.
• Working familiarity with claims regulatory requirements (unfair claims settlement practices, state prompt-pay rules, adjuster licensing) and claims leakage, SIU/fraud, and quality audit practices.
• Proven operator experience with direct P&L accountability for an insurance business unit, practice, or service line, including owning revenue, margin, budget, and headcount decisions and delivering against financial targets.
• Ability to decompose business outcomes into agent tasks, data dependencies, decision points, and control mechanisms.
• Experience redesigning FNOL, triage and assignment, and claims settlement workflows to reduce cycle time and leakage.
• Proven experience in solution architecture, RFP responses, and proposal development for transformation deals.
• Strong presentation and storytelling skills for client orals, executive briefings, and demos.
• Ability to design scalable, reusable, and value-driven solutions.

Who We Are

Xceedance provides strategic operations support, technology, and data services to drive efficiencies for insurance organizations worldwide. We collaborate with insurers, reinsurers, MGAs, brokers, and captives to launch products, implement intelligent technology, deploy advanced analytics, and achieve business process optimization. We are committed to adding direct value in the business of insurance and help our clients to embrace change, accelerate innovation, and achieve meaningful business outcomes.

At Xceedance, you will discover the possibility to exceed yourself and grow persistently with us. We offer career development opportunities to our members for a well-rounded development throughout their journey with us. Xceedance is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, sexual orientation, gender expression, gender identity or any other characteristic protected by law.