Commercial Claims Programs Consultant
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Job Description
Commercial Claims Programs Consultant managing data-informed oversight of claims programs for Mobilitas. Collaborating cross-functionally to support onboarding and 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.
Requirements:
- 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.
Benefits:
- total compensation package
- annual bonus eligibility for most roles
- 401(k) with a company match
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