Director - TPA Claims Operations jobs in United States
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Xceedance · 4 hours ago

Director - TPA Claims Operations

Xceedance provides strategic operations support, technology, and data services to drive efficiencies for insurance organizations worldwide. The Director – TPA Claims Operations will oversee the end-to-end claims handling process, focusing on operational support and productivity improvements for insurers and brokers.

AnalyticsConsultingInformation TechnologyInsuranceInsurTech
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H1B Sponsor Likelynote
Hiring Manager
Caitlin Hille
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Responsibilities

Responsible for oversight of multiple operational processes supporting a team of multi-line adjusters responsible for moving claims to timely and appropriate resolution. The role will have a significant focus on the First Notice of Loss (FNOL) process including oversight of the teams responsible for FNOL and all processes associated with FNOL
Identifies and evaluates opportunities to improve productivity and customer experience by developing and using tools to facilitate efficient processes and monitoring the performance of team and service delivery
Conduct audits and reviews of tasks to ensure compliance with industry regulations, company policies, procedures, SLAs, and customer expectations
Analyze audit data to identify trends, patterns, and opportunities for improvement
Adept with creating and streamlining process maps and SOPs for greater efficiency in the process. Develop training materials, documentation, quick reference guides and help to facilitate training sessions with the claims support teams
Create process maps and SOPs intended to document existing process as well as identify opportunities for greater efficiency in the process
Acts independently within scope of responsibility with a sense of urgency
Contributing to the organizational values by actively engaging in the larger learning and development process
Driving concise, structured, and effective communication with clients and team members

Qualification

Claims operations expertiseInsurance knowledgeTeam leadershipProcess mappingProblem-solving skillsProfessional writingCommunication skillsAttention to detail

Required

Expertise in the overall understanding of insurance, its key terminologies, and the claim handling process as a whole and is considered a Subject Matter Expert (SME) that the team looks up to
Exceptional knowledge of various claims operational processes products for multiple lines of businesses, thus being able to guide team members on specific queries
Possesses in-depth knowledge with respect to various property and casualty claims work types
Knowledge of the end-to-end claims process
Excellent eye for detail and logic building skills to draw logical and accurate insights
Innate ability to anticipate future outcomes or challenges by visualizing the bigger picture
Embodies an exceptional problem-solving and decision-making aptitude
A minimum of 3 years of commercial claims operations experience
Professional writing and communication skills with the ability to effectively articulate key insights and suggestions to clients and team members
Bachelor's Degree or equivalent work experience

Preferred

Previous experience leading a team is desired

Benefits

Career development opportunities

Company

Xceedance

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Xceedance is an insurance company that provides lifecycle, operations, data, analytics, and claims TPA to reinsurance organizations.

H1B Sponsorship

Xceedance has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (22)
2024 (23)
2023 (5)
2022 (7)
2021 (4)
2020 (11)

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Portage Ventures
2025-10-13Private Equity

Leadership Team

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Justin Davies
SVP, Head of Region, EMEA
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Praveen Pachaury
Sr. VP - Technology and Digital
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Company data provided by crunchbase