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Salary: USD 120,000 - 150,250 / annual
Hippo is a technology-driven insurance carrier platform that partners with MGAs (Managing General Agents) to deliver tailored program solutions. The company combines technology and data to help customers protect what matters most, operating as a diversified carrier with a focus on innovation and customer experience.
The Claims Manager – Partner Programs role is responsible for day-to-day oversight and performance management of assigned insurance programs and Third-Party Administrators (TPAs). You will ensure claims are handled in accordance with established guidelines, regulatory requirements, and service expectations while supporting strong claim outcomes and partner relationships.
Key Responsibilities:
Program Oversight & Execution:
- Oversee claims handling for assigned programs to ensure compliance with claims guidelines, coverage intent, and regulatory requirements
- Monitor TPA performance including timeliness, reserving accuracy, and overall claim quality
- Conduct file reviews and QA audits to identify trends and improvement opportunities
- Assist in implementation and maintenance of claims guidelines and best practices
- Support onboarding of new programs including TPA setup, workflows, and reporting requirements
Operational Support & Reporting:
- Analyze claims data and KPIs to identify emerging trends and performance issues
- Prepare stewardship and performance reports for internal stakeholders and program partners
- Track and follow up on corrective action plans
- Support reinsurance reporting and documentation requirements
- Assist with regulatory audits, data calls, and compliance reviews
Stakeholder Collaboration:
- Serve as primary point of contact for TPAs on routine matters
- Partner with underwriting, actuarial, finance, and legal teams
- Participate in program-level meetings and continuous improvement initiatives
Professional Development:
- Build expertise in coverage analysis, reserving, litigation management, and regulatory compliance
- Support senior team members on complex claims
- Participate in training and development opportunities
Requirements:
- 5–8 years of claims handling or program oversight experience
- Experience working with TPAs, MGAs, or delegated authority programs preferred
- Strong understanding of claims fundamentals
- Familiarity with multi-state regulatory environments
- Strong analytical, organizational, and communication skills
- Proficiency in Microsoft Excel and claims systems
Nice to Have:
- Experience in program business or fronting carrier environment
- Exposure to reinsurance reporting
- Industry designations such as AIC, CPCU, or ARM preferred