Program Claim Specialist (Hybrid: Madison, WI)

At TruStage, we’re on a mission to make a brighter financial future accessible to everyone. We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what’s possible.

About the role

This position is responsible for oversight of assigned Program Third Party Administrators (TPAs) and handling new and existing litigation claims. Ensure timely and effective application of policies and processes. Accountable for team goals related to customer service and compliance with best practices. Provide claim file direction and assistance with complex claim issue resolution. Maintain effective communication with internal and external business partners. Participate in quality assurance reviews and work on special projects to best meet the needs of the department. Contribute to the development of functional/team strategy. The position will also handle complex professional and general liability litigated claims.

Responsibilities

• Serve as the primary point of contact and relationship manager for program claims.
• Proactive litigation management on assigned claims including investigating, evaluating, and negotiating to resolution.
• Coordinate operational and leadership responsibilities to ensure consistent claim results, quality, and customer service.
• Develop protocols to aid in the establishment and maintenance of claim strategies and appropriate claim handling authority providing education and training as required.
• Collaborate with business partners vetting and onboarding new Programs and TPAs.
• Monitor and improve the communication of essential claim information to ensure that monthly data collection and information sharing practices support TruStage Corporate standards.
• Work in close collaboration with cross-functional teams including Underwriting, Actuarial, Product, Finance, and Treasury to analyze and structure existing and new Program Business.
• Conduct in-person or remote claim file reviews and audits on multiple TPA claim systems.
• Travel as required to participate with Program Managers, Brokers, Reinsurance Intermediaries, Claim TPAs, and other clients, including traveling to Industry association meetings and conferences.
• Identify emerging claim trends as warranted.
• Monitor and document claim processes/guidelines for effectiveness and efficiency, identifying and implementing process improvements.
• Participate in Claim organization strategy initiatives and projects in collaboration with the Claim Operations team.
• Collaborate with Claim Operations leaders regarding the selection and ongoing management of TPAs and other outside vendors.

Requirements

• Bachelor’s Degree in Business Administration, Insurance, Finance, Economics, or related field of study is strongly preferred.
• 7+ years of P&C Insurance claims experience.
• Adjuster license and continuing education as needed.
• Proven ability to clearly and effectively communicate information to internal/external clients remotely or in person.
• Strong critical thinking and analytical skills.
• Demonstrated experience in progressively senior claim roles with strong technical skills.
• Experience in a range of Property and Casualty lines of business and products including Property, General Liability, Automobile Liability and Physical Damage Liability, and Professional Liability.
• Ability to manage and develop existing and new industry relationships with Program Managers, Brokers, and Reinsurance partners.
• Ability to travel ~10%.

Qualifications

• CPCU, AIC, ASLI, or other industry designations or certifications are highly desirable.

Skills

• Strong interpersonal and consultative skills.
• Creativity, flexibility, emotional intelligence, adaptability, and problem-solving skills.

Benefits

At TruStage, we believe a sound, inclusive benefits program is of vital importance, along with a flexible workplace that allows for work-life balance, career growth and retirement assistance. Additional benefits available to eligible employees include medical, dental, vision, employee assistance program, life insurance, disability plans, parental leave, paid time off, 401k, and tuition reimbursement.

Pay

Base Salary Range: $93,100.00 - $139,700.00. Compensation may vary based on the job level, your geographic work location, position incentive plan and exemption status. In addition to your base pay, your position may be eligible for an annual incentive (bonus) plan.

Schedule

This role requires approximately 10% travel. TruStage strives to offer flexibility and invest in technology and other tools that will make hybrid working normal rather than an exception.