Evaluate end-to-end claims workflows to identify bottlenecks, redundancies, and improvement opportunities.
Lead process mapping, root-cause analysis, and continuous improvement initiatives using methodologies such as Lean, Six Sigma, or similar frameworks.
Develop standardized operating procedures (SOPs) and ensure consistent adoption across teams and markets.
Measure process performance using KPIs and ensure processes support regulatory and compliance standards.
Partner with Claims leadership to define operational strategies that support business goals and customer experience objectives.
Lead cross-functional projects related to claims transformation, automation, vendor integration, and workflow modernization.
Monitor industry trends and emerging technologies to recommend, vet, and innovate solutions that enhance claims performance.
Facilitate communication between cross-functional partners including IT, Compliance, Legal, Product, and Customer Experience.
Provide training, documentation, and support to ensure successful implementation and adoption of process changes.
Ensure processes align with regulatory requirements, company policies, and best‑practice standards.
May supervise a direct report(s), such as a Process Strategy Consultant or Analyst, in alignment with organizational growth.
Provide coaching, development, and performance feedback to support team member success.
Foster a culture of continuous improvement, accountability, and collaboration.

Requirements

Bachelor’s degree (or equivalent experience)
5+ years of experience in insurance claims operations, process management, or business strategy.
3–5 years of experience in the Claim’s organization as a leader of people.
Strong analytical and problem-solving skills; proficiency with data analysis tools (Excel, Power BI, etc.).
Demonstrated experience leading process improvement or operational transformation initiatives.
Excellent communication, presentation, and stakeholder‑management skills.
Experience with claims system platforms (e.g., Guidewire, SmartComm, CCC).

Benefits

Health coverage for medical, dental, vision
401(K) saving plans with company match AND Pension
Tuition assistance
Floating holidays and PTO for community volunteer programs
Paid parental leave
Wellness programs
Employee discounts (membership, insurance, travel, entertainment, services and more!)

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

process mappingroot-cause analysiscontinuous improvementLeanSix SigmaKPI measurementdata analysisoperational transformationclaims operationsstandardized operating procedures

Soft Skills

analytical skillsproblem-solving skillscommunication skillspresentation skillsstakeholder managementcoachingdevelopmentperformance feedbackcollaborationaccountability