Senior Claims Operations Practice Lead: Strategy & Delivery

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 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.