Senior Program Claims Lead - Remote

CMFG Life Insurance Company; United States; A distancia; USD 93.000 - 140.000; Jornada completa

Descripción de la vacante

TruStage seeks a senior claims professional to oversee program TPA relationships and handle complex liability litigation. You will guide claim strategy, ensure timely processing, and collaborate with underwriting, actuarial, product, finance, and treasury to optimize program business. Travel ~10% is required.

A strong background in P&C claims and professional designations is preferred. The role emphasizes leadership in claim operations, QA reviews, and process improvements to meet corporate

Formación

• Bachelor's Degree in Business Administration, Insurance, Finance, Economics, or related field strongly preferred.
• 7+ years of P&C Insurance claims experience.
• Adjuster license and continuing education as needed.
• Proven ability to clearly and effectively communicate information to internal/external clients remotely or in person.
• Experience in Property and Casualty lines including Property, General Liability, Auto Liability and Physical Damage Liability, and Professional Liability.
• Ability to travel ~10%.
• CPCU, AIC, ASLI, or other industry designations are highly desirable.

Responsabilidades

• Serve as the primary point of contact and relationship manager for program claims.
• Proactive litigation management on assigned claims including investigating, evaluating, and negotiating to resolution.
• Coordinate operational and leadership responsibilities to ensure consistent claim results, quality, and customer service.
• Develop protocols to aid in the establishment and maintenance of claim strategies and appropriate claim handling authority providing education and training as required.
• Collaborate with business partners vetting and onboarding new Programs and TPAs.
• Monitor and improve the communication of essential claim information to ensure that monthly data collection and information sharing practices support TruStage Corporate standards.
• Work in close collaboration with cross-functional teams including Underwriting, Actuarial, Product, Finance, and Treasury to analyze and structure existing and new Program Business.
• Conduct in-person or remote claim file reviews and audits on multiple TPA claim systems.
• Travel as required to participate with Program Managers, Brokers, Reinsurance Intermediaries, Claim TPAs, and other clients, including traveling to Industry association meetings and conferences.
• Identifies emerging claim trends as warranted.
• Monitor and document claim processes/guidelines for effectiveness and efficiency, identifying and implementing process improvements.
• Participate in Claim organization strategy initiatives and projects in collaboration with the Claim Operations team.
• Collaborate with Claim Operations leaders regarding the selection and ongoing management of TPAs and other outside vendors.

Conocimientos

P&C claims experience

Analytical skills

Communication skills

Industry designations (CPCU/AIC/ASLI)

Travel readiness

Educación

Bachelor's degree in Business Administration/Insurance/Finance/Economics

Descripción del empleo

TruStage seeks a senior claims professional to oversee program TPA relationships and handle complex liability litigation. You will guide claim strategy, ensure timely processing, and collaborate with underwriting, actuarial, product, finance, and treasury to optimize program business. Travel ~10% is required.

A strong background in P&C claims and professional designations is preferred. The role emphasizes leadership in claim operations, QA reviews, and process improvements to meet corporate