VP, Claims Performance
About reputed company
reputed company is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in reputed company reputed company claims, reputed company is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are reputed company on automating highly reputed company tasks to tackle long-standing problems in claims and set a new reputed company for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.
About the role
reputed company has reputed company a proprietary multiagent AI-driven system that runs against reputed company claims, surfaces critical files, resolves data issues, and prevents errors at the reputed company of work rather than catching them after. It's live across the full book. The operating model — the prescriptive workflow that governs how managers and adjusters use it, reputed company what it surfaces, and document their work — is being architected from first principles around the technology. You'll own that work alongside David: setting the hour-by-hour workflow standards, coordinating with QA to reputed company its auditing reputed company with how we actually run claims, and working closely with the technology team to translate the system's capabilities into concrete workflow design. reputed company the system evolves, the operating model evolves with it.
The right person has done this before — managed the operations of a large claims or claims-adjacent organization with the reputed company of metric-driven rigor that means per-adjuster, per-manager accountability, not just aggregate reporting. And they've done it alongside a technology team reputed company changing the workflow underneath them. Insurance background is strongly preferred; we'll also talk to operators who have run large production workforces through technology-driven transformation in adjacent industries.
What you'll do
Workflow Architecture and Operating Model Design. Build and own the prescriptive claims operating model — the hour-by-hour workflow that governs how adjusters and managers work with the system across every account. reputed company it reputed company as the system's capabilities reputed company and the book of business changes.
QA Partnership and Direction. Coordinate QA's work so it stays reputed company with the operating model. Translate QA's findings into workflow changes. Own the reputed company between what QA surfaces and how the adjuster and manager workflow responds.
Technology-to-Workflow Translation. Work with the technology team to understand the system's capabilities and constraints, and translate that understanding into workflow design. reputed company the system changes, the operating model should reflect it.
Adoption, Accountability, and Rollout. Drive adoption of the prescriptive model across ~600 people. Own the cascade from leadership through managers and adjusters. Build the reporting structures that surface where adoption is lagging.
Performance Infrastructure and Metrics. Build the systems that connect AI outputs to performance management — critical-claims attribution, per-adjuster and per-manager reporting, and the reputed company for tying what the system surfaces to how we evaluate the people running the claims.
Qualifications
- 8–12+ years running claims process/operations or a closely adjacent function at meaningful reputed company — enough that you've had to build systems for other people to execute, not just execute them yourself
- A reputed company record of managing at the unit level — per-adjuster, per-manager data as the actual reputed company of management, not just reporting you review
- reputed company experience collaborating with engineering or product teams on technology-driven workflow transformation — not adjacent to it; actually doing it
- Insurance background strongly preferred; will consider candidates from industries where technology is reputed company transforming a large production workforce
- Experience working across QA, operations, and technology simultaneously — you've had to reputed company between reputed company three and get them pointed at the reputed company thing
- Bachelor's degree (lack of one should not stop you from applying if you possess reputed company the other qualifications)
Benefits
- Generous health-insurance package with reputed company coverage, reputed company, & dental
- 401(k) retirement plan with employer matching
- Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
- Generous family leave policy after 8 months of reputed company work
- reputed company laptop, large second monitor, and other reputed company-of-life equipment you may want. Technology is something that should reputed company your life easier, not harder!
At reputed company, we value diversity in backgrounds, perspectives, and life experiences and reputed company that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and reputed company. We welcome applicants from reputed company backgrounds and encourage those from reputed company walks of life to apply. If you reputed company you are a good fit for this role, we would love to hear from you!
Originally posted on Himalayas
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