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Claims Optimization Program Manager



Posted on Saturday, July 6, 2024


If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we’re hiring. SageSure, a leader in catastrophe-exposed property insurance, is seeking a Claims Optimization Program Manager. This role is responsible for overseeing and improving the processes within our property claims organization. The focus is on optimizing claims management procedures for efficiency, accuracy, and compliance. This role involves collaboration with various teams and stakeholders to ensure that the claims process meets organizational goals and standards.

What you’d be doing:

  • Identify and document business requirements for the claims management process.
  • Collaborate with cross-functional teams to ensure alignment with organizational objectives.
  • Continuously evaluate and optimize the performance of the claims management process.
  • Implement best practices to enhance efficiency and accuracy.
  • Establish and enforce quality standards for claims management, ensuring compliance with industry regulations and organizational policies.
  • Collaborate with claims adjusters, evaluators, and other stakeholders to streamline and improve the claim segmentation workflow.
  • Develop and implement key performance indicators (KPIs) to monitor the performance of the estimating platform and claim evaluation processes.
  • Generate regular reports for senior management, highlighting achievements, challenges, and areas for improvement.
  • Identify opportunities for process improvement within the claims management procedures.
  • Develop and implement strategies to enhance productivity and reduce turnaround times.
  • Develop and implement key performance indicators (KPIs) to monitor the performance of the claims management process.
  • Generate regular reports for senior management, highlighting achievements, challenges, and areas for improvement.
  • Lead and manage specific segments of the property claims process.
  • Assist in creating training material for claims adjusters and other stakeholders to ensure effective utilization of claims management systems and adherence to quality standards.

Process Development:

  • Design and implement standardized processes for property claims investigations and evaluations to ensure consistency and efficiency.
  • Continuously review and refine investigation and evaluation processes based on feedback and performance data.

Investigation/Evaluation Strategy:

  • Develop comprehensive investigation/evaluation strategies tailored to different types of property claims.
  • Determine the appropriate methods and tools for investigations, balancing thoroughness with efficiency.

Vendor Utilization Strategy:

  • Create and manage a strategy for utilizing external vendors, including adjusters, contractors, and other vendors, to support the investigation and evaluation claim processes.
  • Assist in establishing criteria for selecting vendors and creating KPIs to drive vendor accountability.

We’re looking for someone who has:

  • Bachelor's degree in a relevant field; advanced degree or certifications a plus.
  • 7 – 10 years proven experience in program management and claims adjusting, specifically with property claims.
  • Strong understanding of best practices and data associated with claims management process outcomes.
  • Excellent communication and interpersonal skills with the ability to collaborate effectively with cross-functional teams.
  • Demonstrated ability to analyze and optimize processes for increased efficiency and accuracy.
  • Able to perform work with limited supervision, while possessing the ability to effectively prioritize and manage daily workflow and project assignments to meet specified deadlines.

About the Claims team at SageSure:

On SageSure’s Claims team, you’ll be doing more than investigating and resolving losses. From the ground up, you’ll be pioneering a best-in-class claims handling approach that leverages transformative technology to support our customers, agents and employees. As a part of this customer-focused, process-oriented team you will be the face of SageSure, helping our policyholders through some of their most trying times. Whether you hold a formal leadership role or are a key team player, you’ll coach, mentor and engage with those around you in ways that bring out the best in people and effect change.

You can easily distill complex processes in ways those outside the industry can understand and know the importance of aligning communication tools to customer preferences. You thrive on setting and exceeding expectations, and know building relationships, not completing transactions, is the heart of the insurance business.

About SageSure:

As a Best Places to Work in Insurance Recipient for four years in a row (2020-2023), SageSure, one of the largest residential property insurance managing general underwriter (MGU) in the United States, is pioneering ways people protect their American Dream.

A leader in catastrophe-exposed property insurance, SageSure was founded in 2009 to deliver reliable products, exceptional customer experiences, and strong underwriting results in challenging insurance markets. SageSure currently operates in 14 states and provides home, flood, and commercial coverage on behalf of its highly rated carrier partners.

We have more than 600 employees working remotely or hybrid in one of our eight offices—Jersey City, NJ; Mountain View, CA; Chicago, IL; Tallahassee, FL; Cincinnati, OH; Houston, TX; Mt. Laurel, NJ; and Cheshire, CT—who are tackling the industry’s toughest challenges.

We provide generous health benefits and perks, including tuition reimbursement, wellness allowance, paid volunteer time off, a matching 401K plan, and more.

SageSure is a proud Equal Opportunity Employer committed to building a workforce that reflects the spectrum of perspectives, experiences, and abilities of the world we live in. We recognize that our differences make us strong, and we actively seek out diverse candidates through partnerships with organizations, institutions and communities that represent various backgrounds. We champion belonging and inclusion for all identities, including, but not limited to, race, ethnicity, religion, sexual orientation, age, veteran status, ability status, gender, and country of origin, striving to create a culture where all individuals feel valued, respected, and empowered to bring their authentic selves to work.

Our nimble, highly responsive culture nurtures critical thinkers who run toward problems and engineer solutions. We relentlessly pursue better outcomes by investing in the technology, talent, and tools that position us to succeed in demanding markets. Come join our team! Visit to find a position for you.