Program Manager, Claims Optimization - Remote

Overview

If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we’re hiring. SageSure, a leader in catastrophe-exposed property insurance, is seeking a Program Manager, Claims Optimization. This role is responsible for overseeing and improving the processes within our catastrophe property claims organization. The focus is on optimizing claims management procedures for efficiency, accuracy, compliance, and scalability during high-volume catastrophe (CAT) events. This role involves collaboration with various teams and stakeholders to ensure that the catastrophe claims process meets organizational goals and standards while maintaining agility and responsiveness in catastrophe scenarios.

In Short

• Identify and document business requirements for the claims management process, with a specialized focus on catastrophe response.
• Collaborate with cross-functional teams to ensure alignment between catastrophe claims operations, broader organizational objectives, and industry best practices.
• Continuously evaluate and optimize the performance of the claims management process.
• Develop, implement, and refine catastrophe response protocols to ensure rapid, efficient claim handling during large-scale events.
• Establish and enforce quality standards for claims management, ensuring compliance with industry regulations and organizational policies.
• Collaborate with claims adjusters, evaluators, and other stakeholders to streamline and improve the claim segmentation workflow.
• Develop and implement key performance indicators (KPIs) to monitor catastrophe claims performance, adjuster response times, and overall cycle times during CAT events.
• Generate regular reports for senior management, highlighting achievements, challenges, and areas for improvement.
• Develop and implement key performance indicators (KPIs) to monitor the performance of the claims management process.
• Partner with external vendors, independent adjusters, and technology providers to ensure seamless integration of catastrophe response tools and resources.
• Assist in the creation of catastrophe-specific training materials to ensure claims adjusters and stakeholders are prepared for deployment and execution of CAT response strategies.

Requirements

• Bachelor's degree in a relevant field; advanced degree or certifications (e.g., AIC, CPCU) a plus.
• 7 – 10 years of experience in program management and claims adjusting, with a strong background in handling catastrophe property claims.
• Experience in catastrophe response strategies, including adjuster deployment, surge staffing models, and scalability of claims processes.
• Excellent communication and interpersonal skills with the ability to collaborate effectively with cross-functional teams.
• Demonstrated ability to analyze and optimize processes for increased efficiency and accuracy.
• Experience working with catastrophe modeling, event response planning, and operational execution during major weather events.
• Ability to work independently in high-pressure, fast-paced catastrophe scenarios, while effectively prioritizing tasks and making strategic decisions under tight deadlines.

Benefits

• Generous health benefits and perks, including tuition reimbursement, wellness allowance, paid volunteer time off, a matching 401K plan, and more.