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
CSAA Insurance Group offers automobile, home and other personal lines of insurance to AAA Members in 23 states and the District of Columbia. It was founded in 1914, and is headquartered in Walnut Creek, California, USA, with a workforce of 1001-5000 employees. Its website is https://csaa-insurance.aaa.com.