Head of Claims
ClaimSorted Inc
A Company That Matters Insurance exists to support people at their most vulnerable, after an accident, illness, theft, fire, or crisis. Claims are the moment of truth. That's why we're passionate about making every claim more empathetic, more efficient, and more human. ClaimSorted is an AI-native Third Party Administrator that manages claims operations for insurers across auto, property, travel, gadget, pet, renters, and liability. We combine world-class claims talent with proprietary AI systems to deliver dramatically faster resolutions, lower leakage, and a fundamentally better customer experience We're backed by some of the largest funds in the world Y Combinator, Atomico, and Eurazeo, and already manage claims for MGAs and insurers across the US, UK, and Europe, including publicly traded companies and some of the most well-known household names. Now we're looking for a Head of Claims to help redefine how claims should operate in the modern world. Not optimize around the edges. Not maintain legacy processes. Rebuild the function entirely. The Role This is not a traditional insurance leadership role. We are looking for someone who sees claims as an operational, technical, and product problem - not just a people-management problem. Your mission will be to redesign how claims handling works across products, regions, workflows, escalation management, QA, fraud prevention, recoveries, litigation handling, and customer communication. You will own claims standards across the company and work directly with founders, product, engineering, and operations to rethink every part of the claims lifecycle. You'll build systems that scale.
You'll coach technical excellence into the organization.
You'll personally handle claims to stay close to reality.
You'll make hard decisions under pressure.
And you'll help create the operational model that defines the future of claims. This role is for someone ambitious enough to believe the industry can operate radically better than it does today. What You'll Do Rebuild claims operations from first principles
You'll coach technical excellence into the organization.
You'll personally handle claims to stay close to reality.
You'll make hard decisions under pressure.
And you'll help create the operational model that defines the future of claims. This role is for someone ambitious enough to believe the industry can operate radically better than it does today. What You'll Do Rebuild claims operations from first principles
- Redesign workflows, escalation structures, QA systems, and claims governance
- Identify operational bottlenecks and eliminate unnecessary complexity
- Build scalable claims standards across multiple lines of business and regions
- Partner with product and engineering teams to automate and improve workflows using AI
- Define claims handling standards across auto, property, liability, travel, renters, and other products
- Own governance for complex, high-risk, litigated, or precedent-setting claims
- Drive improvements in leakage, fraud prevention, recoveries, and audit performance
- Review difficult claims personally and make final technical decisions where needed
- Hire and develop exceptional Claims Handlers, Team Leads, QA specialists, and handlers
- Raise the technical bar across the organization
- Create coaching systems, calibration frameworks, and technical training
- Build a culture of ownership, urgency, and high standards
- Act as the senior claims expert in customer and partner meetings
- Support launches, audits, escalations, and strategic insurer discussions
- Build trust with carriers, MGAs, brokers, and enterprise partners
- Work on one of the largest unsolved problems in insurance
- Help define the future operating model for claims
- Work directly with founders
- High ownership and real impact
- Competitive compensation + meaningful equity
- Fast-moving environment with exceptional people
- Opportunity to build a category-defining company
- 7-15 years of claims experience
- Deep technical claims expertise across auto, property, and liability
- Experience working in a startup or a scale up
- Experience leading claims operations and technical governance
- Experience managing Team Leads and Claims Managers
- Strong understanding of leakage, fraud, litigation exposure, recoveries, and QA frameworks
- Strong knowledge of regulatory and compliance requirements, with ability to integrate these into operational processes
- Legal background strongly preferred
- Get frustrated by inefficient systems and want to rebuild them
- Care deeply about operational excellence
- Enjoy making difficult decisions under pressure
- Like being close to the work instead of managing from a distance
- Operate with urgency and intensity
- Prefer ownership over bureaucracy
- Want to build something industry-defining
- Claims quality and technical accuracy
- Leakage reduction
- Complaint rates
- SLA and backlog performance
- QA and audit scores
- Fraud and litigation outcomes
- Recovery performance
- Team quality and satisfaction
- Claims governance across all accounts
Vacancy posted 19 hours ago
Similar jobs that could be interesting for youBased on the Head of Claims in New York, NY vacancy
- ...Your ResponsibilitiesThe Head of Casualty Claims is a senior national leadership role responsible for building and leading the U.S. Casualty Claims function. This role elevates claims from a reactive service to a proactive, coordinated strategic capability across the firm...ClaimsRemote work
$250k - $275k
...Alternate Locations: Atlanta, Boston, Chicago, Dallas, Houston, Philadelphia, Scottsdale Position Summary: The Head of Primary Casualty Claims, North America, is responsible for strategic leadership, management, and execution of all primary casualty claims...ClaimsWorldwide- ...experimentation. Four to eight live tests at a time, two to three shipping per week by day 60. Real hypotheses: pricing framing, hero claims, social proof, funnel sequencing. No button-color theatre. Own the signup funnel, from paid click to the moment the user hits...ClaimsLive in
$226.9k - $378.1k
Head of Environmental We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture... ...provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As...ClaimsTemporary work$201.5k - $330.1k
...Head Of Reserving, Liability Zurich North America is seeking a Head of Reserving for the Liability Line of Business. This role reports... ...reserving content for Virtuous Circle discussions with pricing, claims and underwriting. The role partners closely with Business Unit (...ClaimsTemporary workWork at officeLocal area$185k - $210k
...Head Of Credit Underwriting NYC (Hybrid) Constrafor is a SaaS and fintech platform purpose-built for construction. We are setting... ...performance risk, payment waterfall risk, lien risk, disputes/claims, schedule delays, cost overruns, subcontractor default risk, and...ClaimsFor contractorsFor subcontractorWork at officeLocal area$165k - $190k
...Claims Advocate Vouch is the insurance broker that powers ambition. We're a tech-enabled insurance advisory and brokerage purpose-built for growing companies in technology, life sciences, and professional services. Our clients are ambitious leaders building complex...ClaimsFlexible hours$125k - $165k
...billing operations. This role involves building systems and workflows for a scalable revenue cycle operation and overseeing billing, claims management, and compliance oversight. Ideal candidates will have strong experiences in healthcare revenue management and proven...Claims- A leading global professional services firm seeks a Head of Casualty Claims in New York City. This senior role is responsible for building and leading the Casualty Claims function, transforming claims into a proactive strategic capability. Ideal candidates have 15+ years...ClaimsRemote job
- ...global professional services firm with 6,500 Associates, the world’s largest privately held independent insurance broker. The Head of Casualty Claims is a senior national leadership role responsible for building and leading the U.S. Casualty Claims function. The role...ClaimsRemote work
- * Ensure comprehensive approach to claims handling, with a strong ownership mentality and clear escalation protocols and accountabilities... ...with other North American Financial Lines Claims segment heads and Global Technical Leaders to ensure consistency of message and...Claims
$250k - $275k
Starr Companies in New York is seeking a Head of Primary Casualty Claims for North America. This key role includes leadership in claims operations, ensuring compliance, and optimizing staffing while driving strategic initiatives. The ideal candidate should have over 12...Claims$325k - $400k
...the Chief Executive Officer, North America, the Vice President, Head of U.S. Commercial Operations Excellence will play a pivotal and... ...planning process and to inform strategy and tactics. Utilize various claim data sources to identify patients at different stages of their...ClaimsFlexible hours$300k - $320k
...delivering bespoke products and world class service — both pre- and post-claims. Ascot exists to solve for our clients' brightest tomorrow,... ...a member of the Workers Compensation leadership team, the SVP, Head of Workers Compensation, will embody The Ascot Way in their...ClaimsTemporary workWork at officeLocal areaFlexible hours$145k - $185k
...Job Description Job Description Job Summary Head of Deal Sourcing Initio Capital Full-time, Part-time, Contract, Temporary, Internship, Casual Hybrid | New York, NY, United States Head of Deal Sourcing — Investment & Capital Solutions Initio Capital...Full timeContract workTemporary workPart timeCasual workInternship$215k - $235k
...all billing systems are functional in categories such as dictionary files, data elements, interface and mapping, payor specificity, claims file transmission and electronic remittance posting. Works with accounting team and enables related accounting functions such as...ClaimsWork at officeLocal area3 days per week- ...A leading insurtech company is looking for an Agriculture/Property Claims Director to lead a team in managing diverse claims. This role requires deep expertise in claims, a focus on technology, and exemplary leadership skills. Ideal candidates will have over 10 years...ClaimsRemote work
$55k - $65k
...healthcare revenue solutions company is seeking an Associate Attorney to represent healthcare providers in disputes regarding insurance claims. This unique position offers remote work flexibility and a competitive salary of $55,000–$65,000 per year, alongside a robust...ClaimsRemote work$81k - $123k
...Next Insurance is seeking a Claims Adjuster experienced in handling General Liability claims. The candidate should have at least 4 years of experience and strong investigative and communication skills. Responsibilities include evaluating claims, analyzing coverage, and...ClaimsFull time- ...A leading insurance consultancy is seeking an Insurance Claims Specialist to handle client interactions and manage the claims process. The role requires at least 2 years of experience in Property & Casualty insurance claims, strong communication skills, and the ability...ClaimsRemote workWork from home
$50k - $75k
...A leading provider of workers’ compensation insurance is seeking a Claims Adjuster II to manage claims efficiently while working remotely. The ideal candidate will have 2-5 years of experience in claims adjusting, strong analytical and customer service skills. Responsibilities...ClaimsRemote work- ...A prominent claims adjusting firm in New York is seeking Independent Claims Adjusters to respond to the growing demand due to recent storm events. This rewarding career offers flexibility, autonomy, and comprehensive training programs for both new and experienced adjusters...ClaimsFlexible hours
- ...RML-PH is seeking a Billing Denials Management Specialist to enhance our revenue cycle by handling insurance claim denials. The role involves investigating claims, analyzing trends, and collaborating with teams to maximize reimbursement. The ideal candidate should have...ClaimsRemote work
- ...A leading insurance technology firm seeks a US Insurance Claims Specialist - AI trainer to leverage expertise in insurance policies and claims processing for AI solutions. This remote role involves developing claims evaluation rubrics, analyzing real-world data, and ensuring...ClaimsRemote work
- ...Weekday AI is looking for an Insurance Claims Management AI Expert to enhance the claims lifecycle using AI and analytics. The role demands expertise in insurance claims and AI-driven solutions to optimize processes such as claims intake, investigation, and adjudication...ClaimsPart timeRemote workWeekday work
- ...A leading claims adjusting company in New York is looking for Independent Insurance Claims Adjusters. This role offers flexibility, autonomy, and the opportunity to make a real difference in people's lives while providing comprehensive training to ensure your success....ClaimsFlexible hours
$126.1k - $168.13k
...A prominent title insurance company is seeking a Senior Claims Counsel to manage title insurance and escrow claims from investigation to resolution. The role demands excellent communication, negotiation, and organizational skills. The ideal candidate holds a law degree...Claims- ...Fetch Pet Insurance is seeking a Veterinary Technician to adjudicate claims remotely. This role involves reviewing medical records and ensuring compliance with policy conditions. The ideal candidate should have at least five years of experience, superior communication...ClaimsRemote work
$51.8k - $65k
...RSC Insurance Brokerage, Inc. is seeking a Claims Associate to support its captive insurance claims operations by managing communications and maintaining accurate claim data. The role involves monitoring mailboxes and phone lines, distributing correspondence, and serving...Claims$60k - $70k
...A leading risk and claims administration partner is seeking a Field Staff Auto Appraiser to manage inspections and provide customer service throughout the insurance claims process. This position requires solid experience in auto appraisals, excellent communication skills...Claims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Head of Claims. Be the first to apply!
Related searches
- head of architecture New York, NY
- head credit administration New York, NY
- head coach New York, NY
- head of portfolio management New York, NY
- head golf professional New York, NY
- head of copy New York, NY
- head of seo New York, NY
- head of rewards New York, NY
- head New York, NY
- medical claims auditor New York, NY


