Senior Claims Operations Associate - Temporary

• Taking on more complex claim support activities
• Serving as a right-hand operational resource to the Operations Manager
• Supporting process stabilization, automation readiness, and offshore enablement

• Perform and oversee complex claim support tasks requiring judgment, prioritization, and coordination with Claims professionals.
• Serve as escalation support for non-standard, exception-based, or time-sensitive claim issues.
• Ensure work is completed accurately, timely, and in alignment with established procedures and service standards.

• Support the transition of claim support activities to automation and offshore partners.
• Assist in documenting workflows, identifying exceptions, and defining transition and handoff criteria.
• Provide practical feedback on process gaps, failure points, and operational readiness during transformation efforts.

• Act as an onshore subject matter resource supporting offshore teams during knowledge transfer and stabilization.
• Assist with training materials, job aids, and workflow clarifications.
• Monitor early performance and quality trends; escalate risks or issues as appropriate.

• Partner closely with the Operations Manager to support daily operational oversight and issue triage.
• Assist with workload coordination, prioritization, and follow-up on operational actions.
• Support reporting, tracking, and execution of operational initiatives.
• Serve as a trusted delegate for coordination across Claims, Operations, and support partners.

• Help ensure claim support activities remain compliant with internal controls and audit expectations.
• Identify opportunities to improve consistency, reduce rework, and strengthen operational handoffs.
• Participate in continuous improvement efforts aligned with Operations 2.0 objectives.

• Complex, judgment-based claim support and exception handling
• Quality stabilization across automated and offshore workflows
• Identifying opportunities for further process optimization
• Providing operational insight to leadership on transition effectiveness and residual risk

High school diploma or general education degree (GED) and one to three months related experience and/or training; or equivalent combination of education and experience.

• 5+ years of experience in claims support, claims operations, insurance operations, or a related operational role.
• Proven experience working in a production-oriented environment with volume, deadlines, and quality expectations.
• Strong attention to detail, organizational skills, and ability to manage multiple priorities.
• Demonstrated ability to operate effectively in a structured, corporate environment.

• Direct experience in insurance or claims operations.
• Corporate experience within a regulated or highly governed environment.
• Experience supporting operational transitions, automation initiatives, or offshore delivery models.
• Candidates with transferable operational skills (e.g., from financial services, healthcare operations, or shared services environments) will be considered, with a preference for individuals who have worked in structured, metrics-driven production settings.
• Experience partnering closely with operations leadership or acting in a lead/support capacity.

• Operational Judgment: Understands how decisions impact customers, claims outcomes, and downstream processes.
• Adaptability: Comfortable operating in a changing, production-oriented environment.
• Influence Without Authority: Supports peers and offshore partners through expertise and credibility.
• Problem Solving: Identifies issues early and apply practical, risk-aware solutions.
• Clear Communication: Communicates expectations, issues, and process updates effectively.
• Ownership Mindset: Takes accountability for outcomes, not just assigned tasks.
• Partnership Orientation: Builds strong working relationships with Claims professionals and Operations leadership.