Hybrid TPA Claims Oversight Specialist

Zurich North America; Addison (TX); Hybrid; USD 60,000 - 98,000; Full time

Job summary

Zurich North America is seeking a Claims Operations Manager to oversee third party administrator relationships and ensure compliant, high-quality claim handling across our Travel Guard partners. This role requires collaboration with internal and external stakeholders, driving improvements in service levels and cost efficiency.

You will report into North American Claims and work in a hybrid model with in-person collaboration at Addison, TX, Maitland, FL, Schaumburg, IL, or Parsippany, NJ while

Qualifications

• Bachelor’s Degree and 5+ years in Insurance operations.
• High School Diploma with 7+ years in Insurance operations.
• Experience in insurance industry operations and systems.
• Experience with Microsoft Office.
• Travel claims experience.
• Strong verbal and written communication skills.

Responsibilities

• Manages resolution of service issues between customers, brokers, business units and support service areas.
• Drives the due diligence, technical guidance and contract development on new Third Party Administrators.
• Ensures Business Unit Third Party Administrators policies and practices are aligned with the Global Claims Policy and tracks and manages audit improvement actions assigned.
• Manages Third Party Administrators performance issues.
• Drives continuous improvement in customer experience and cost savings.
• Manages Third Party Administrators audit and oversight processes and procedures in partnership with Business Unit Claims function.
• Partners with the Business Unit to provide corporate governance, assistance and control and mitigate regulatory matter
• Provides required support to Business Unit Claims operation to ensure compliance with Third Party Administrators policy and processes.

Skills

Verbal communication

Written communication

Cross-functional collaboration

Education

Bachelor's degree in a related field

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Zurich North America is seeking a Claims Operations Manager to oversee third party administrator relationships and ensure compliant, high-quality claim handling across our Travel Guard partners. This role requires collaboration with internal and external stakeholders, driving improvements in service levels and cost efficiency.

You will report into North American Claims and work in a hybrid model with in-person collaboration at Addison, TX, Maitland, FL, Schaumburg, IL, or Parsippany, NJ while