Claims Manager

We’re looking for a Claims Managerto join our Claims team to lead the claims team and serve as the subject-matter expert for our commercial insurance portfolio. You will be accountable for end-to-end claims operations, ensuring every claim is filed and adjusted in strict accordance with policy terms, limits, deductibles, and exclusions—while driving timely, accurate resolution. You will also advise on coverage strategy (e.g., adding new locations, adjusting limits) and leverage data to set appropriate values for buildings and other assets, maintaining strong relationships with underwriters. Additionally, the Claims Manager will contribute to claims forecasting to inform budgeting.

 

You’ll report to the Senior Director, Customer Relations and work onsite from our Santa Ana, CAcorporate office headquarters. 

What You’ll Do:

• Lead day‑to‑day operations of the Claims team; set standards for training, quality, cost control, staffing, and continuous improvement

• Continue to develop a high‑performing team: recruit, hire, onboard, motivate, coach, mentor, and manage performance

• Run monthly 1:1s and formal feedback sessions; create development plans and hold the team accountable to goals

• Own annual and quarterly claims volume, severity, and expense forecasting; update outlooks based on trends and drivers

• Utilize data to inform workforce planning and site coverage, aligning schedules and staffing to meet service levels across facilities

• Define, track, and report KPIs (e.g., cycle time, accuracy, SLAs); deliver actionable trend analyses to leadership

• Maintain compliance with carrier guidelines, internal policies, and applicable laws/regulations; promptly remediate any issues that arise

• Adjudicate claims within delegated authority (approve/deny) and escalate exceptions with a clear rationale

• Partner with Underwriters to communicate claim developments and insights that inform pricing, policy language, and risk selection

• Champion process improvement (Lean/Six Sigma mindset); streamline workflows, eliminate defects, and improve employee engagement and customer experience

• Lead and support claims initiatives and cross‑functional projects from scoping through implementation and change management

• Drive productive negotiations with internal and external stakeholders to advance policy, process, and system improvements

Who You Are:

• 5+ years of hands‑on, technical claims experience with strong insurance coverage, liability, and adjudication fundamentals required

• 4+ years of people management experience leading a claims operations team to meet internal and external stakeholder requirements required

• Proven ability to prioritize and manage multiple workflows; strong problem‑solving and organizational skills

• Excellent written and verbal communication; professional interpersonal skills with the presence to lead change

• Strong negotiation and interpersonal influence skills; adept at relationship building and driving alignment with internal and external stakeholders

• Demonstrated ability to plan, delegate, and execute projects to completion, aligned to company OKRs

• Proficient with Microsoft Office and Google Workspace (Docs, Sheets, Slides); comfortable working with metrics and dashboards

• Sound judgment within delegated authority limits; escalates exceptions with clear rationale

• Able to perform the essential functions of the role, with or without reasonable accommodation

• Bachelor’s degree in Business, Risk Management, or a related field preferred (or equivalent experience)

• CPCU, AU, or similar professional designation (completed or in progress) is an asset

Salary Range:

The salary range for this position is $102k-$138k. Actual compensation on this range varies based on a variety of non-discriminatory factors, including location, job level, experience, and skill set. This role may be eligible for bonuses, commissions, or other forms of compensation, please ask your recruiter for details.

 

Reasons To Join Us:

• Health Insurance: All full-time employees are eligible to enroll in Medical, Dental, and Vision

• Additional Benefits: Full-time employees are eligible for fertility, commuter, and educational assistance benefits

• 401(K) Matching Plan: We are proud to offer a competitive 401k matching plan to our employees to support their future financial goals

• Vacation: All salaried employees are eligible for flexible time-off

• Holiday Pay: All regular, full-time employees are eligible for ten company paid holidays

• Employee Discounts: Employees receive discounts on select grading services for approved submissions

• Flexible Hours: Many of our teams offer flexible schedules with varying shifts and will work with you to accommodate your needs

• Fun Working Environment: Our team members are invited to participate in celebrations, holiday events, and team building activities

Candidates must be authorized to work in the United States.