[Remote] Commercial Claims Programs Consultant - Remote
Note: The job is a remote job and is open to candidates in USA. CSAA Insurance Group, a AAA Insurer, is seeking a Commercial Claims Programs Consultant to join their team. This role involves managing claims programs, ensuring compliance with operational standards, and collaborating with multiple stakeholders to enhance operational effectiveness.
Responsibilities
- Monitor and ensure TPA compliance with operational standards, SLAs, and contractual requirements
- Facilitate onboarding new clients and TPA partners
- Build relationships with client and partners to ensure clear communication, expectation and align on performance standards
- Lead quarterly and ad-hoc TPA due diligence reviews
- Drive strategic and operational initiatives across internal and external partnerships
- Manage multiple priorities across TPAs and programs
- Collaborate cross-functionally with internal teams
- Serve as escalation point for operational issues with internal partners, vendors and 3rd party providers
- Prepare reports, dashboards, and presentations for review by multiple parties up to and including executive leadership
- Monitor claim funding accounts and reconciliation practices
- Analyze indemnity and expense trends for leakage
- Analyze existing claims data and identify trends or performance gaps (severity, cycle time, litigation rates)
- Deliver insights to leadership and external TPA partners
- Facilitate client meeting preparation, reporting, and follow-up actions
Skills
- Bachelor's Degree in related subject (Business) or equivalent combination of education and experience
- 8+ years of property & casualty insurance experience, preferably in auto and liability claims
- Commercial property and casualty experience or TPA governance experience
- Experience working with TPAs or vendors and/or understanding of TPA oversight practices
- Program management background
Benefits
- Annual bonus eligibility for most roles
- 401(k) with a company match
- Flexible Workplace
- Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices
- Reasonable accommodations to qualified applicants and employees with disabilities or other limitations
- Company-wide annual discretionary bonus, through our Annual Incentive Plan (AIP), of up to 12% of eligible pay
Company Overview