Claims Program Manager – Spinnaker

Hippo Insurance

Morristown (NJ)

On-site

USD 120,000 - 150,000

Full time

11 days ago
Application generator

Don’t send a generic resume — generate a resume and cover letter tailored to this exact role.

Get past ATS filters

Benefits offered by this job

Healthy benefits
Equity
Career growth
Flexible time off
Parental leave (12 weeks)
Onsite snacks

Job summary

Hippo Insurance in Morristown, NJ, is looking for a Claims Manager – Partner Programs to oversee program and TPA activities, ensuring compliant claims handling and strong outcomes. You will manage performance, run audits, and support onboarding and reporting for multiple programs.

The role partners with underwriting, actuarial, finance, and legal teams to drive continuous improvement. Excellent analytical and communication skills are essential, with 5–8 years of claims experience and fluency in

Qualifications

  • 5–8 years of claims handling or program oversight experience.
  • Experience working with TPAs, MGAs, or delegated authority programs preferred.
  • Strong understanding of claims fundamentals.
  • Familiarity with multi-state regulatory environments.
  • Strong analytical, organizational, and communication skills.
  • Proficiency in Microsoft Excel and claims systems.

Responsibilities

  • Oversee claims handling for assigned programs to ensure compliance with claims guidelines, coverage intent, and regulatory requirements.
  • Monitor TPA performance including timeliness, reserving accuracy, and overall claim quality.
  • Conduct file reviews and QA audits to identify trends and improvement opportunities.
  • Assist in implementation and maintenance of claims guidelines and best practices.
  • Support onboarding of new programs including TPA setup, workflows, and reporting requirements.
  • Analyze claims data and KPIs to identify emerging trends and performance issues.
  • Prepare stewardship and performance reports for internal stakeholders and program partners.
  • Track and follow up on corrective action plans.
  • Support reinsurance reporting and documentation requirements.
  • Assist with regulatory audits, data calls, and compliance reviews.
  • Serve as a primary point of contact for TPAs on routine matters.
  • Partner with underwriting, actuarial, finance, and legal teams.
  • Participate in program-level meetings and continuous improvement initiatives.
  • Build expertise in coverage analysis, reserving, litigation management, and regulatory compliance.
  • Support senior team members on complex claims.
  • Participate in training and development opportunities.

Skills

Claims experience
TPA experience
Regulatory knowledge
Multistate environment
Analytical skills
Communication skills
Excel
Claims systems

Tools

Microsoft Excel

Job description

Austin, Texas, United States; Dallas, Texas, United States; Morristown, New Jersey, United States; San Jose, California, United States

Job Title: Claims Manager – Partner Programs

Location: Austin, TX / Dallas, TX / San Jose, CA / Morristown, NJ

Reports To: Senior Claims Program Manager / Head of Claims, Spinnaker (Director, Claims-Partner Programs)

About Hippo:

Hippo was built on a promise: make homeownership effortless. Nearly a decade later, that mission still drives us. We use technology and data to help our customers stay ahead of problems and protect what matters most.

Today, that same tech-native approach powers our work beyond homeowners. Hippo operates as a diversified carrier platform, partnering with MGAs to deliver tailored program solutions that help them grow and deliver better customer experiences. Behind that work is a team that values ownership, curiosity, collaboration, and continuous improvement.

If you're energized by building what's next, we'd love to meet you.

About You:

The Claims Manager – Partner Programs is responsible for the day-to-day oversight and performance management of assigned programs and Third-Party Administrators (TPAs). This role ensures claims are handled in accordance with established guidelines, regulatory requirements, and service expectations while supporting strong claim outcomes and partner relationships.

What You’ll Do:

Program Oversight & Execution

  • Oversee claims handling for assigned programs to ensure compliance with claims guidelines, coverage intent, and regulatory requirements
  • Monitor TPA performance including timeliness, reserving accuracy, and overall claim quality
  • Conduct file reviews and QA audits to identify trends and improvement opportunities
  • Assist in implementation and maintenance of claims guidelines and best practices
  • Support onboarding of new programs including TPA setup, workflows, and reporting requirements

Operational Support & Reporting

  • Analyze claims data and KPIs to identify emerging trends and performance issues
  • Prepare stewardship and performance reports for internal stakeholders and program partners
  • Track and follow up on corrective action plans
  • Support reinsurance reporting and documentation requirements
  • Assist with regulatory audits, data calls, and compliance reviews

Stakeholder Collaboration

  • Serve as a primary point of contact for TPAs on routine matters
  • Partner with underwriting, actuarial, finance, and legal teams
  • Participate in program-level meetings and continuous improvement initiatives

Professional Development

  • Build expertise in coverage analysis, reserving, litigation management, and regulatory compliance
  • Support senior team members on complex claims
  • Participate in training and development opportunities
Must Haves:
  • 5–8 years of claims handling or program oversight experience
  • Experience working with TPAs, MGAs, or delegated authority programs preferred
  • Strong understanding of claims fundamentals
  • Familiarity with multi-state regulatory environments
  • Strong analytical, organizational, and communication skills
  • Proficiency in Microsoft Excel and claims systems
Nice to Have:
  • Experience in program business or fronting carrier environment
  • Exposure to reinsurance reporting
  • Industry designations such as AIC, CPCU, or ARM preferred
Benefits and Perks

Hippo treats its team members with the same level of dedication and care as we do our customers, which is why we’re fortunate to provide all of our Hippos with:

  • Healthy Hippos Benefits- Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. We also offer a 401(k)-retirement plan, short & long-term disability, employer-paid life insurance, Flexible Spending Accounts (FSA) for health and dependent care, and an Employee Assistance Program (EAP)
  • Equity-This position is eligible for equity compensation
  • Training and Career Growth- Training and internal career growth opportunities
  • Flexible Time Off- You know when and how you should recharge
  • Little Hippo Program- We offer 12 weeks of parental leave for primary and secondary caregivers
  • Hippo Habitat- Snacks and drinks available for onsite employees

The Morristown, NJ base pay range for this role is $120,000 - $150,250. Exact compensation may vary based on several job-related factors that are unique to each candidate, including but not limited to: skill set, experience, education/training, location, business needs and market demands.

Hippo is an equal opportunity employer, and we are committed to building a team culture that celebrates diversity and inclusion.

Hippo’s applicants are considered solely based on their qualifications, without regard to an applicant’s disability or need for accommodation. Any Hippo applicant who requires reasonable accommodations during the application process should contact the Hippo’s People Team to make the need for an accommodation known.

Get your free, confidential resume review.
or drag and drop your file here.
Similar jobs

Similar jobs worth comparing

Claims Program Manager – Spinnaker
Claims Program Manager – Spinnaker

Hippo • Austin (TX), Dallas (TX), Morristown (NJ), San Jose (CA)

On-site
USD 120,000 - 150,000
Health benefits
Equity
Career growth
+3
Claims Program Manager - Spinnaker
Claims Program Manager - Spinnaker

Hippo Insurance • California (MO)

On-site
USD 120,000 - 150,000
Healthy Hippos Benefits
Equity
Training and Career Growth
+3
Claims Program Manager – Spinnaker
Claims Program Manager – Spinnaker

Hippo Insurance • San Jose (CA)

On-site
USD 120,000 - 150,000
Healthy Hippos Benefits
Equity
Training and Career Growth
+3
Claims Examiner – Spinnaker
Claims Examiner – Spinnaker

Hippo Insurance • Morristown (TN)

On-site
USD 85,000 - 120,000
Health benefits
Equity
Career growth
+3
Claims Examiner - Spinnaker
Claims Examiner - Spinnaker

Hippo Insurance • Town of Texas (WI)

On-site
USD 85,000 - 120,000
Healthy Hippos Benefits
Equity
Training and Career Growth
+3
Claims Examiner – Spinnaker
Claims Examiner – Spinnaker

Hippo • Austin (TX), Dallas (TX), Morristown (NJ)

On-site
USD 85,000 - 120,000
Healthy Benefits
Equity
Training & Growth
+3
Associate Program Manager
Associate Program Manager

Hippo • Austin (TX), Dallas (TX), Morristown (NJ)

On-site
USD 85,000 - 140,000
Healthy Hippos Benefits
Equity
Training and Career Growth
+3
Associate Program Manager
Associate Program Manager

Socket.dev • Austin (TX)

On-site
USD 85,000 - 140,000
Healthy Hippos Benefits
Equity
Training and Career Growth
+3
Associate Program Manager
Associate Program Manager

Hippo Insurance • Town of Texas (WI)

On-site
USD 85,000 - 140,000
Equity compensation
Training & career growth
Flexible time off
+2
Director, Program Business
Director, Program Business

Hippo Insurance • New Jersey

On-site
USD 150,000 - 250,000
Multiple medical plans
401(k) retirement plan
Equity compensation
+2