Senior Manager Claims

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible.

Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our  internal and external communities better everyday! Learn more about why you want to be here!

JOB SUMMARY

The Senior Manager of Claims is responsible for leading strategic initiatives that ensure regulatory compliance, operational efficiency, and superior claim outcomes. This role leverages data-driven insights to optimize processes, mitigate risk, and enhance customer experience nationally, across all lines of business. The Senior Manager will focus on specific areas within claims such as Audit, Compliance, and Claims Support.   

ESSENTIAL DUTIES AND RESPONSIBILITIES

Provide Strategic Leadership, Data Driven Decision Making, Operational Efficiencies and Customer Focus.

• Develop and execute strategies that align audit, compliance, technical claims management, and support functions with organizational goals for claims performance.

• Drive initiatives that improve claim outcomes through process optimization and risk mitigation.

• Establish metrics and KPIs to measure performance, operational efficiency, and compliance effectiveness.

• Leverage analytics and reporting tools to identify trends, gaps, and opportunities for improvement.

• Translate data insights into actionable strategies for claims operations.

• Streamline workflows and eliminate redundancies.

• Implement automation and technology solutions to enhance productivity and reduce cycle times.

• Monitor resource allocation and optimize team performance.

• Ensure that operational procedures support excellent customer experience while maintaining compliance and accuracy standards.

• Collaborate with claims teams to resolve escalated issues promptly and effectively.

• Identify and mitigate operational, compliance, and reputational risks related to claims handling.

• Maintain robust internal controls and ensure timely remediation of audit findings.

Collaborate with internal stakeholders to address claims issues and trends.

• Communicate consistently with the Claims Leadership team regarding claims management, policies, procedures, audits, reports, and projects associated with claims handling and operational activities.

• Partner with senior leadership to resolve claim issues and trends related to legal/medical providers or other external constituencies.

• Analyze operational/system issues and claims exposures, as applicable, to submit to senior leadership along with recommendations.

• Review reports/data to identify and address adverse trends and manage budget expenditures. Create and delivers regular reports on operating metrics to Claims leadership.

Lead and develop a team to provide best-in-class customer service.

• Provide team leadership, development and mentoring.

• Provide strategic and tactical direction to team(s), communicating Mission, Values, and other organization operating principles.

• Establish and maintain the overall work cadence, ensuring performance and outcomes strive for excellence in delivery and customer experience. Ensure full team engagement and leadership practices that promote and support professional development, recognition, and retention.

• Establish hiring criteria, on-boarding, and training requirements for new team members.<