asset protection specialist

case manager

case manager, denials and appeals, 40 hours (days) Jobs in Boston

claims adjuster trainee

claims representative - personal lines auto Jobs in Boston

claims adjuster

Safety Insurance Company

Safety Insurance is proud to be one of the leading property and casualty insurance providers in Massachusetts. We are committed to supporting independent agents and their customers through our unwavering dedication to excellence. Our success is built on a simple philosophy: deliver the highest quality insurance products at competitive rates while providing exceptional service at every step. At Safety Insurance, we don&rsquo;t just offer jobs &ndash; we offer careers that are challenging, fulfilling, and designed to grow with you. Our people are our greatest asset. A diverse workforce makes us stronger, more innovative, and better equipped to serve our customers. At Safety, we empower our employees to be their best by fostering an inclusive environment and offering resources that support their careers, education, and families. We also understand the importance of work-life balance. That&rsquo;s why we offer hybrid work options, flexible schedules, and a 37.5-hour workweek. Conveniently located in the heart of Boston&rsquo;s financial district, our downtown office is a positive space where employees can stay connected to both each other and the pulse of the city. Safety&rsquo;s benefits go beyond the basics. In addition to competitive salaries, our comprehensive benefits package includes: 3 weeks accrued paid time off + paid holidays each year Health insurance (medical, dental, vision) Annual 401(k) Employer Contribution (up to 8% of your base salary) 100% tuition reimbursement Free on-site fitness center Complimentary coffee and breakfast service Hybrid work schedules Working Advantage Discount Program Employee Assistance Program &hellip;and much more! The Claims Adjuster Trainee position in the Claims Department is designed to provide a foundational understanding of both first-party and third-party insurance claims handling. The role focuses on developing essential skills for advancing within Safety&rsquo;s adjusting career paths. Responsibilities include managing customer service interactions with insured individuals, third parties, and agents, beginning with the initial claim filing and extending through to the claim&rsquo;s final resolution. This role has the potential for a hybrid work schedule, contingent upon job performance. Responsibilities Initiates the first notice of loss using Safety&rsquo;s proprietary software programs. Investigates, analyzes, and assesses liability and damages by collecting information from insureds, claimants, and witnesses. Interprets and applies policy coverages under Safety&rsquo;s various insurance policies. Utilizes multiple software programs and databases to process and adjust claims. Implements appropriate surcharges according to Massachusetts General Laws. Identifies opportunities for subrogation. Cultivates and maintains relationships with Safety&rsquo;s agents through clear communication and strong customer service skills. Establishes timely and adequate claims reserves in line with Safety&rsquo;s guidelines. Evaluates, negotiates, and secures equitable settlements for claims submitted. Detects, investigates, and refers potential fraudulent claims to the Special Investigations Unit (SIU). Delivers excellent customer service by responding promptly to inquiries and resolving issues within established authority levels. Performs additional activities as required. Qualifications A college degree or insurance-related coursework/experience is required. Superior organizational skills and attention to detail are necessary. Excellent communication skills are essential. Ability to cooperate and work effectively within a team environment.

Claims Adjuster Trainee

Altman Nussbaum Shunnarah Trial Attorneys

<div><div><h1 class="jobSectionHeader">Why Work For Us</h1>

Altman Nussbaum Shunnarah Trial Attorneys is a rapidly growing personal injury law firm based in Boston with offices across the nation. We handle complex cases and provide each attorney and staff with the support they need enabling us to best serve our clients. Our attorneys and staff pride themselves on their skill set, experience, compassion, and commitment. We are dedicated to giving our clients the utmost attention and care while fighting for them to get what they deserve.

At Altman Nussbaum Shunnarah Trial Attorneys, we take a real approach. We are innovative, always finding ways to be better, and have a go-getter mentality across the board. Each team member plays a critical role in our mission. We know our people are what makes us great. If you're looking for a career where you can help make a difference in the lives of others alongside a supportive team, we encourage you to apply!
<h1 class="jobSectionHeader">
What We Value</h1>
<ul><li>Client Commitment</li>
<li>Integrity</li>
<li>A Will to Win</li>
<li>Teamwork</li>
<li>Personal Accountability</li>
<li>Passion</li>
</ul></div>
Are you ready to make a significant impact in personal injury cases? We're on the lookout for a dedicated and detail-oriented Case Manager to join our team and support our attorneys through all phases of pre-litigation and some litigation. If you're passionate about client advocacy and have experience as a Claims Adjuster or Personal Injury Case Manager/Legal Assistant, this role is perfect for you! 
 
This is a 100% onsite position for us at our Downtown Boston, MA office. We believe this work is done best together!
<h1 class="jobSectionHeader">
What You'll Do:</h1>
<ul><li>Own the docket: Handle a full slate of pre-litigation injury files&mdash;plus the early stages of litigation&mdash;taking each case from intake through signed release with minimal attorney touchpoints.</li>
<li>Drive negotiations: Analyze coverage, build demands, and negotiate directly with adjusters to hit or beat firm-set settlement and cycle-time targets.</li>
<li>Guide the client experience: Serve as the primary contact for clients and medical providers, giving timely updates, gathering records, and coaching clients on treatment and recovery milestones.</li>
<li>Control the paperwork: Order, audit, and summarize medical bills and liens, track all deadlines, and maintain immaculate digital files in Filevine (or similar) so attorneys can drop in and see instant status.</li>
<li>Clear the finish line: Finalize lien resolutions, draft closing statements, and coordinate disbursements to wrap cases cleanly and keep referrals flowing.</li>
</ul><h1 class="jobSectionHeader">What You Need</h1>
<ul><li>At least two years of bodily-injury insurance claims&ndash;adjusting experience handling full liability evaluation and settlement authority of fifty thousand dollars or more</li>
<li>Or at least five years of plaintiff-side personal-injury case management in a high-volume firm where you personally negotiated settlements with insurance agents.</li>
<li>Currently located in the state of Massachusetts.</li>
<li>Demonstrated record of independently moving a docket of sixty or more pre-litigation injury files from intake through signed release, including demand drafting, policy limits analysis, lien resolution, and final disbursement.</li>
<li>Solid grasp of medical terminology and the ability to read, summarize, and value treatment records and bills without attorney guidance.</li>
<li>Proven negotiation results that meet or exceed firm-set settlement targets and cycle-time expectations.</li>
<li>Working knowledge of state-specific personal-injury statutes, comparative-fault rules, lien subrogation, and coverage triggers.</li>
<li>Proficiency in Microsoft 365 plus at least one cloud case-management platform such as Filevine, Litify, or Clio, including custom-report generation.</li>
<li>Exceptional client-facing communication skills and the confidence to coordinate directly with adjusters, providers, and opposing counsel.</li>
<li>Bachelor's degree, paralegal certificate, claims-adjuster license, or any combination that shows formal training in claims, law, or healthcare documentation.</li>
<li>Availability to be in office most days during onboarding, then operate with minimal supervision while meeting/exceeding weekly productivity metrics agreed upon with the managing attorney.</li>
</ul><h1 class="jobSectionHeader">What You Get:</h1>
<ul><li>A Great Role: Full-time position with opportunities to grow and contribute to impactful cases.</li>
<li>Comprehensive Benefits: Dental, vision, and health insurance, plus supplemental insurance and paid time off.</li>
<li>A Supportive Environment: Join a team that values collaboration, innovation, and your professional development.</li>
<li>A Competitive Salary: $70,000-80,000/year + Commission</li>
</ul>
Ready to advance your career and make a real difference? Apply now and become a vital part of our dedicated team.</div>

Intake Specialist

American Family Insurance

<div>You'll investigate and maintain highly complex property/casualty claims including commercial general liability, bodily injury and property damage across all 50 states. Determines liability, secures information, reviews coverages, arranges appraisals, and settles claims. Demonstrates experience to perform all areas of claim adjustment activities with the highest degree of competency and independence. 
 
In this primarily home-based role, you will spend 4+ days per week working from home. Candidates must reside near of one of the following locations: Madison, WI 53783; Boston, MA 02110; Denver, CO 80112; Hopkins, MN 55343; Keene, NH 03431; St. Joseph, MO 64507; Phoenix, AZ 85034 metro areas.
Position Compensation Range:
$88,000.00 - $145,000.00
Pay Rate Type:
Salary
Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates.
Primary Accountabilities<ul><li>
Investigates origin and cause of high exposure claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. Checks for prior claims and recognizes environmental exposures.</li><li>
Participates in High Damage Reviews (HDR) to address coverage issues and exposure. Handles claims on a good faith basis.</li><li>
Handles 3rd party claims under multiple policy types and numerous endorsements.</li><li>
Evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters.</li><li>
Responds to customer inquiries, makes appropriate decisions, and closes file as needed.</li><li>
Interprets and determines policies, leases, by-laws, declarations, articles, and contract coverages and applies to all parties for assigned losses. Interprets claim history coverages.</li><li>
Makes independent decisions but recognizes when assistance is needed.</li><li>
Proactively provides all parties with claim process and status as appropriate; answers questions or redirects to other areas.</li><li>
Serves as a mentor and subject matter expert for less experienced adjusters.</li><li>
May be required to complete other assignments, job duties, or participate in projects based upon skills, achievements, or experience.</li></ul> 
Specialized Knowledge &amp; Skills Requirements<ul><li>
Demonstrated ability to handle 3rd party, multi-line claims across our operating territories.</li><li>
Demonstrated experience providing customer-driven solutions, support or service.</li><li>
Demonstrated ability to efficiently and effectively handle complex claims.</li><li>
Extensive knowledge of policies and endorsements coverages.</li><li>
Successfully applied knowledge of each phase of the claim handling process.</li><li>
Commercial general liability claims handling experience is required.</li></ul> 
Licenses<ul><li>
Obtain state specific claims licensing as required.</li></ul> 
Travel Requirements<ul><li>
Up to 10%.</li></ul> 
Physical Requirements<ul><li>
Work that primarily involves sitting/standing.</li></ul><h3 class="jobSectionHeader">
Additional Information</h3><ul><li>
Offer to selected candidate will be made contingent on the results of applicable background checks</li><li>
Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions</li><li>
Sponsorship will not be considered for this position unless specified in the posting</li></ul>
We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.
We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.
American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email AskHR@AmFam.com to request a reasonable accommodation.
#LI-JA2</div>

Lead Complex Desk Adjuster, Third-Party General Liability (Primarily Home)

<div>In this senior level role, you'll investigate and maintain complex or highly complex claims general liability claims. You'll determine liability, secure information, review coverages, arrange appraisals, and settle claims. Complex casualty/GL claim across BOP, Commercial General Liability, and Farm/Ranch lines, including bodily injury and high-severity/complex coverage evaluations. 
 
You'll handle contractor-related losses and premises liability (work-product allegations, slip-and-fall injuries, and third-party property damage), with claim mix averaging 60% property damage and 40% bodily injury, primarily for the midwestern states. 
 
In this primarily home-based role, you will spend 4+ days per week working from home. Candidates must reside near of one of the following locations: Madison, WI 53783; Boston, MA 02110; Denver, CO 80112; Hopkins, MN 55343; Keene, NH 03431; St. Joseph, MO 64507; Phoenix, AZ 85034 metro areas.
Position Compensation Range:
$69,000.00 - $115,000.00
Pay Rate Type:
Salary
Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates.
Primary Accountabilities<ul><li>
Investigate origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc.</li><li>
Identify complex issues and seeks assistance as needed. Handles claims on a good faith basis.</li><li>
Handle 3rd party claims under multiple policy types and numerous endorsements.</li><li>
Evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters.</li><li>
Responds to customer inquiries, makes appropriate decisions, and closes file as needed.</li><li>
Interprets and determines policies, leases, by-laws, declarations, articles, and contract coverages and applies to all parties for assigned losses.</li><li>
Makes independent decisions and self-supervises most files and recognizes when assistance is needed.</li><li>
Proactively provides all parties with claim process and status as appropriate; answers questions or redirects to other areas.</li><li>
Serves as a mentor and subject matter expert for less experienced adjusters.</li><li>
May be required to complete other assignments, job duties, or participate in projects based upon skills, achievements, or experience.</li></ul> 
Specialized Knowledge &amp; Skills Requirements<ul><li>
Demonstrated experience providing customer-driven solutions, support or service.</li><li>
Demonstrated experience handling 3rd party, multi-line claims.</li><li>
Demonstrated experience handling simple to moderately complex.</li><li>
Extensive knowledge and understanding of policies and endorsements.</li><li>
Extensive knowledge of each phase of the claim handling process.</li><li>
General liability claims experience required.</li></ul> 
Licenses<ul><li>
State specific claims licensing as required.</li></ul> 
Travel Requirements<ul><li>
Up to 10%.</li></ul> 
Physical Requirements<ul><li>
Work that primarily involves sitting/standing.</li></ul><h3 class="jobSectionHeader">
Additional Information</h3><ul><li>
Offer to selected candidate will be made contingent on the results of applicable background checks</li><li>
Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions</li><li>
Sponsorship will not be considered for this position unless specified in the posting</li></ul>
We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.
We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.
American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email AskHR@AmFam.com to request a reasonable accommodation.
#LI-JA2</div>

Senior Complex Desk Adjuster, Third-Party General Liability (Primarily Home)

Ryder System

<div>Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) .
Job Description :
Job Description Summary
Experienced with handling Auto Liability claims to include under Ryder's self-insured, self-administered liability program. Familiar with coverage / contracts. Customer focused and self-motivated. Experience with Commercial Auto claims is a plus.
SUMMARY
The Liability Claim Representative II handles low to mid-range bodily injury claims and property damage claims.
ESSENTIAL FUNCTIONS
<ul><li>Investigates and adjusts claims, as well as directs independent adjusters, experts, and other vendors in the claim handling processes</li>
<li>Interacts, on an on-going basis, with field and operations management, legal counsel, safety managers, customers, insurance carriers, and third party claimants</li>
<li>Manages litigation to ensure claims are handled appropriately, according to the applicable jurisdiction</li>
<li>Assists Claim Manager in the identification of exposures and recommends solutions</li>
<li>Manages indemnity and expense costs properly</li>
<li>Interacts with primary and excess insurance carriers, and re-insurers on files meeting reporting thresholds</li>
<li>Alerts Claim Manager to changes and proposed changes in laws that could impact Ryder's liability program</li>
<li>Updates field operations personnel on claim status when requested</li>
<li>Supervises outside vendors and experts retained to assist in the investigation</li>
<li>Recommends and sets reserves to ensure the reserves represent the probable ultimate payout based on documented file developments</li>
</ul>ADDITIONAL RESPONSIBILITIES
Performs other duties as assigned
EDUCATION
Preferred Bachelor's degree and/or a minimum of two (2) years&rsquo; experience in casualty claims
EXPERIENCE
Two (2) years or more experience in casualty claims
Licenses are a plus
SKILLS
<ul><li>Demonstrated ability to handle and resolve low-to-mid range liability exposures</li>
<li>Requires strong claim technical skills</li>
<li>Strong commitment to the principles of customer focus</li>
<li>Effective interpersonal skills and ability to communicate clearly in verbal and written communications</li>
<li>Strong negotiation skills and ability to deal effectively with insurers</li>
</ul>KNOWLEDGE
<ul><li>Understanding of relevant laws and regulations governing liability claims in the U.S.; beginner level.</li>
<li>Understanding of insurance coverage; beginner level.</li>
<li>Comprehensive understanding of relevant laws and regulations; beginner level.</li>
<li>Will need to obtain specific licenses if needed</li>
</ul>TRAVEL
1-10%
Job Category: Risk Management
Compensation Information :
The compensation offered to a candidate may be influenced by a variety of factors, including the candidate&rsquo;s relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. The position may also be eligible to receive an annual bonus, commission, and/or long-term incentive plan based on the level and/or type. Compensation ranges for the position are below:
Pay Type :
Salaried
Minimum Pay Range:
$70,900.00
Maximum Pay Range:
$76,900.00
Benefits Information :
For all Full-time positions only : Ryder offers comprehensive health and welfare benefits, to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off for vacation, illness, bereavement, family and parental leave, and a tax-advantaged 401(k) retirement savings plan.
For more information about benefits, click here (https://ryder.icims.com/icims2/servlet/icims2?module=AppInert&amp;action=download&amp;id=4022345&amp;hashed=256118533) to download the comprehensive benefits summary.
Ryder is proud to be an Equal Opportunity Employer and Drug Free workplace.
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Important Note :
Some positions require additional screening that may include employment and education verification; motor vehicle records check and a road test; and/or badging or background requirements of the customer to which you are assigned.
Security Notice for Applicants:
Ryder will only communicate with an applicant directly from a [@ryder.com] email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire. During an interview, Ryder will never ask for any form of payment or banking details and will never solicit personal information outside of the formal submitted application through www.ryder.com/careers .
Should you have any questions regarding the application process or to verify the legitimacy of an interview or Ryder representative, please contact Ryder at careers@ryder.com .
Current Employees :
If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) .
\#wd</div>

Claims Representative II - REMOTE

Plymouth Rock Assurance

<div>We are currently seeking an auto claims representative to join our growing Personal Lines Auto team. This position will be based in our newly renovated Boston office, directly across the street from South Station. This is a great opportunity, in a great space, for someone who is eager to share their experience, provide excellent customer service to our customers, join our growing team, and continue their career with a financially sound company. 

Responsibilities:

In this position you will be responsible for the investigation, evaluation and disposition of first- and third-party personal auto property damage claims. This is a full-time, Monday through Friday position, currently 4 days in the office and 1 day working from home.
<div></div><ul><li>Contact insureds, claimants, attorneys, and other parties related to an auto accident.</li>
<li>Proficient in communicating in a variety of ways, including phone, text, email etc.</li>
<li>Investigate all assigned claims for coverage, liability, and damages.
</li><li>Ensure timely disposition of all claims in accordance with regulatory and statutory requirements.</li>
<li>Responsible for timely payment of auto repairs and resolution of total losses.</li>
<li>Ensure adherence to personal lines policies including related coverages and exclusions.</li>
<li>Determine liability of parties involved in a loss, including application of comparative negligence.</li>
<li>Effectively manage workload through claims management and imaging systems.</li>
</ul>
Qualifications:
<ul>
<li>0-2 years of auto claims handling experience.</li>
<li>Excellent written and verbal communication skills.</li>
<li>Ability to communicate effectively via phone, text, email and other written correspondence.</li>
<li>Demonstrated level of competency in time management, priority setting and customer focus.
</li><li>Experience using a claims management and imaging system.</li>
<li>Bachelor's Degree or commensurate experience</li>
</ul>
<div>Perks and Benefits:</div>
<ul>
<li>Paid time off</li>
<li>Free onsite gym at our Boston location
</li><li>Tuition reimbursement
</li><li>Low cost and excellent health insurance coverage options that start on Day 1 (medical, dental, vision)
</li><li>Robust health and wellness programs</li>
<li>Auto and home insurance discounts
</li><li>Matching donation opportunities
</li><li>Annual 401(k) employer contribution</li>
<li>Various Paid Family leave options including Paid Parental Leave
</li><li>Resources to promote professional development</li>
<li>Convenient locations and pre-tax commuter benefits</li>
</ul>
The pay range for this position is $47,000 - $60,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
<div>About the Company:</div>

Pilgrim Insurance is a member of The Plymouth Rock Group of Companies which together write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic. Established in 1987, Pilgrim Insurance Company has over thirty years of experience handling both Massachusetts personal and commercial lines of business in the voluntary and residual markets, where we have built an unparalleled reputation for service. The Plymouth Rock group of companies employs more than 2,000 people and is headquartered in Boston, Massachusetts.
<div>
</div><div>#LI-RJ1</div></div>

Claims Representative - Personal Lines Auto

Openly

<div><div><h2 class="jobSectionHeader">Why Openly</h2>

Openly is rebuilding insurance from the ground up. We are re-envisioning and enhancing every aspect of the customer experience. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc.
<h2 class="jobSectionHeader">The Openly Difference</h2>

We created Openly because we saw an evident gap in the market for premium insurance made simple. Consumers deserve more complete coverage at competitive prices.
<ul><li>The Price Difference: Using cutting-edge data and technology, we provide you with customizable, competitive prices to protect your most valuable assets.</li>
<li>The Policy Difference: Coverages are truly customizable to meet your individual protection needs, for both standard coverages and optional add-ons.</li>
<li>The Experience Difference: From tailored claims handling to highly responsive customer service, we are focused on making the home insurance purchasing process a better overall experience.</li>
</ul><h2 class="jobSectionHeader">Welcome to your next adventure.</h2>

At Openly, our people are just as important as our product. For us, collaboration, communication, and work-life balance are more than nice-to-haves&mdash; they're the must-haves that make us who we are. We believe a great company is the result of a shared set of values, so we look for these qualities in every candidate we hire.
<ul>
<li>Integrity</li>
<li>Empathy</li>
<li>Teamwork</li>
<li>Curiosity</li>
<li>Urgency</li>
</ul>
We've designed our hiring process with you, the candidate, in mind. At every step, you have the chance to present your strengths and learn more about what makes Openly a great place to work.
<h2 class="jobSectionHeader">
We're committed to Diversity, Equity, &amp; Inclusion</h2>

We embrace individuality and believe diverse teams are winning teams. Our commitment to inclusion across race, gender, age, religion, identity, and experience drives us forward every day.</div><h3 class="jobSectionHeader">
Position Summary</h3>

The Senior Manager, Claims Process Improvement is a strategic leadership role within the Personal Lines Claims organization responsible for identifying, designing, and implementing large-scale process improvement initiatives that drive operational excellence and measurable business outcomes. This role owns the end-to-end continuous improvement lifecycle &mdash; from root cause analysis and data-driven diagnostics through process design, SOP development, and sustained performance monitoring &mdash; while directly leading a team of process improvement professionals. The ideal candidate is a structured problem-solver with deep claims knowledge, expertise in Lean, Six Sigma, or Agile methodologies, and the ability to influence at all organizational levels.

At Openly, everything we do is grounded in our five core values: Integrity, Teamwork, Curiosity, Urgency, and Empathy. In this role, those values are not aspirational &mdash; they are operational. How you lead improvement initiatives, engage with data, coach your team, and collaborate with stakeholders should reflect these values every day.
<h3 class="jobSectionHeader">
Key Responsibilities</h3>

Process Improvement Leadership &amp; Strategy
<ul>
<li>Identify, prioritize, and lead large-scale, complex process improvement initiatives across the Claims organization, driving measurable gains in efficiency, quality, and customer experience.</li>
<li>Translate executive strategy into actionable improvement roadmaps with clear milestones, ownership, and measurable outcomes.</li>
<li>Partner with Claims leadership and cross-functional teams to align improvement priorities with organizational goals, ensuring all stakeholders are on track with project requirements, timelines, and deliverables.</li>
<li>Maintain rigorous documentation of process workflows, SOPs, and implementation guidelines; ensure all changes are accurately captured, version-controlled, and communicated.</li>
</ul>
Methodology &amp; Process Design
<ul>
<li>Apply Lean, Six Sigma, Kaizen, or Agile methodologies to design, develop, and refine Standard Operating Procedures (SOPs) that drive consistency and quality across the Claims organization.</li>
<li>Conduct structured root cause analysis of process failures; identify business problems and use data analysis to develop targeted, evidence-based solutions.</li>
<li>Lead process mapping and workflow design events, facilitating cross-functional working sessions that produce actionable, implementable outputs.</li>
<li>Champion the Design&ndash;Perform&ndash;Measure cycle and the Check-and-Act phase across all improvement initiatives, ensuring sustainable adoption and continuous refinement.</li>
</ul>
Data Analytics &amp; Performance Monitoring
<ul>
<li>Utilize data, KPIs, and operational dashboards to measure process performance, identify inefficiencies, and validate improvement results across the Claims organization.</li>
<li>Prepare and deliver executive-level presentations on process performance, improvement initiatives, and organizational impact to senior leadership.</li>
<li>Surface leading indicators proactively to address emerging performance risks before they escalate; translate findings into clear, actionable recommendations.</li>
<li>Apply systems thinking to evaluate the downstream impact of process changes on claims outcomes, employee experience, and organizational goals.</li>
</ul>
Team Leadership &amp; Capability Building
<ul>
<li>Directly lead and develop a team of process improvement professionals, providing ongoing coaching, feedback, and performance management.</li>
<li>Coach and train employees across the Claims organization on continuous improvement concepts and methodologies, building lasting organizational capability.</li>
<li>Develop and deliver engaging training programs and materials that translate complex process content into clear, practical guidance for claims staff and managers.</li>
</ul>
Cross-Functional Collaboration &amp; Leadership Influence
<ul>
<li>Collaborate with Claims Operations, People Operations, Authority, IT, Finance, and Legal to align improvement initiatives with enterprise-wide objectives.</li>
<li>Influence upward by presenting data-backed recommendations, strategic insights, and improvement proposals to senior leadership.</li>
<li>Define and mitigate process and project risk through proactive issue identification and effective resolution with teams and stakeholders.</li>
<li>Represent the Process Improvement function in enterprise-wide initiatives, cross-functional committees, and strategic planning sessions.</li>
</ul><h3 class="jobSectionHeader">Required Qualifications</h3>
<ul><li>5+ years of experience in process improvement, project management, or operations within a P&amp;C insurance environment.</li>
<li>5+ years of leadership experience with a demonstrated track record of managing teams and driving change in complex environments.</li>
<li>In-depth knowledge of property claims processes, including FNOL, coverage verification, evaluation, and settlement; 10+ years of P&amp;C claims experience preferred.</li>
<li>Bachelor's degree in Business, Engineering, or a related field required; advanced degrees or certifications (e.g., Lean Six Sigma Black Belt) strongly preferred.</li>
<li>Strong analytical, critical thinking, and problem-solving abilities; proficiency in process mapping/workflow software and data analysis tools.</li>
<li>Excellent written and verbal communication skills; demonstrated ability to present confidently to senior leadership and facilitate large group training and working sessions.</li>
<li>Proven ability to use data analytics to drive operational decisions, validate improvement results, and communicate findings to diverse audiences.</li>
<li>Demonstrated track record of modeling Openly's core values &mdash; Integrity, Teamwork, Curiosity, Urgency, and Empathy &mdash; in both results and in how those results are achieved.</li>
<li>Experience with development and performance management</li>
<li>Some travel will be required</li>
<li>Extended hours may be required during catastrophe (CAT) events, audit cycles, or project deadlines.</li>
<li>We are a rapidly growing company; with growth comes change. Candidates must be comfortable with constant change, adaptability, and flexibility.</li>
</ul><h3 class="jobSectionHeader">Preferred Qualifications</h3>
<ul><li>Lean Six Sigma Black Belt or Green Belt certification.</li>
<li>Background in change management or training delivery to support process and system rollouts.</li>
<li>Experience with program and project management tools and methodologies.</li>
<li>Familiarity with claims management systems, claims estimating platforms (e.g. Cotality), and Microsoft Office Suite / Google Products.</li>
</ul><div>
Benefits &amp; Perks
<ul>
<li>Remote-First Culture - We supported #remotelife long before it was a given. We'll keep promoting it.</li>
<li>Competitive Salary &amp; Equity</li>
<li>Comprehensive Medical, Dental, and Vision Plan Offerings</li>
<li>Life and disability coverage including voluntary options</li>
<li>Parental Leave - up to 8 weeks (320 hours) of paid parental leave based on meeting eligibility requirements 
(Birthing parents may be eligible for additional leave through STD)</li>
<li>401K Company Contribution - Openly contributes 3% of the employee's gross income, even if the employee does not contribute.</li>
<li>Work-from-home stipend - We provide a $1,500 allowance to spend on setting up your home workplace</li>
<li>Annual Professional Development Fund: Each employee has $2,000 in professional development (PD) funds to spend on activities or resources annually. We want each Openly employee to achieve personal and professional success and to feel supported, confident, and informed about improving their efficiency and productivity.</li>
<li>Be Well Program - Employees receive $50 per month to use towards your overall well-being</li>
<li>Paid Volunteer Service Hours</li>
<li>Referral Program and Reward</li>
</ul>
Depending on position, Employees generally are eligible for cash incentive compensation, including commissions for sales eligible roles. In all cases, eligibility for compensation and benefits is subject to applicable plan and policy terms in effect from time to time.

U.S. Citizens, Green Card Holders, and those authorized to work in the U.S. for any employer and currently residing in the US will be considered.

Openly is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Openly is an E-Verify Employer in the United States. Openly will make reasonable accommodations for qualified individuals with known disabilities under applicable law. 


We strive to provide an exceptional applicant and candidate journey when you engage with us. In an effort to respond to applicants in a timely manner, we leverage AI to organize applications and resumes based on required and applicable skills and experience. To allow our applicants to drive their initial interview experience with us, we may leverage an AI-supported scheduling tool so you can choose when to meet with our team. While AI assists with efficiency, all hiring decisions are made by our team members. Rest assured, your data is protected according to privacy laws and company policies. Contact our recruitment team with any questions about our AI-assisted hiring process.</div></div>

Sr. Manager, Claims Process Improvement (Remote - US)

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