[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