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Claims Program Manager - Spinnaker

$57.69 - $72.24 per hour
Full-time

Hippo Insurance

Job Title: Claims Manager – Partner ProgramsLocation: Austin, TX / Dallas, TX / San Jose, CA / Morristown, NJ Reports To: Senior Claims Program Manager / Head of Claims, Spinnaker (Director, Claims-Partner Programs)About Hippo:Hippo was built on a promise: make homeownership effortless. Nearly a decade later, that mission still drives us. We use technology and data to help our customers stay ahead of problems and protect what matters most. Today, that same tech-native approach powers our work beyond homeowners. Hippo operates as a diversified carrier platform, partnering with MGAs to deliver tailored program solutions that help them grow and deliver better customer experiences. Behind that work is a team that values ownership, curiosity, collaboration, and continuous improvement. If you're energized by building what's next, we'd love to meet you. About You:The Claims Manager – Partner Programs is responsible for the day-to-day oversight and performance management of assigned programs and Third-Party Administrators (TPAs). This role ensures claims are handled in accordance with established guidelines, regulatory requirements, and service expectations while supporting strong claim outcomes and partner relationships.What You’ll Do:Program Oversight & ExecutionOversee claims handling for assigned programs to ensure compliance with claims guidelines, coverage intent, and regulatory requirementsMonitor TPA performance including timeliness, reserving accuracy, and overall claim qualityConduct file reviews and QA audits to identify trends and improvement opportunitiesAssist in implementation and maintenance of claims guidelines and best practicesSupport onboarding of new programs including TPA setup, workflows, and reporting requirementsOperational Support & ReportingAnalyze claims data and KPIs to identify emerging trends and performance issuesPrepare stewardship and performance reports for internal stakeholders and program partnersTrack and follow up on corrective action plansSupport reinsurance reporting and documentation requirementsAssist with regulatory audits, data calls, and compliance reviewsStakeholder CollaborationServe as a primary point of contact for TPAs on routine mattersPartner with underwriting, actuarial, finance, and legal teamsParticipate in program-level meetings and continuous improvement initiativesProfessional DevelopmentBuild expertise in coverage analysis, reserving, litigation management, and regulatory complianceSupport senior team members on complex claimsParticipate in training and development opportunitiesMust Haves:5–8 years of claims handling or program oversight experienceExperience working with TPAs, MGAs, or delegated authority programs preferredStrong understanding of claims fundamentalsFamiliarity with multi-state regulatory environmentsStrong analytical, organizational, and communication skillsProficiency in Microsoft Excel and claims systemsNice to Have:Experience in program business or fronting carrier environmentExposure to reinsurance reportingIndustry designations such as AIC, CPCU, or ARM preferredBenefits and PerksHippo treats its team members with the same level of dedication and care as we do our customers, which is why we’re fortunate to provide all of our Hippos with:Healthy Hippos Benefits - Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. We also offer a 401(k)-retirement plan, short & long-term disability, employer-paid life insurance, Flexible Spending Accounts (FSA) for health and dependent care, and an Employee Assistance Program (EAP)Equity -This position is eligible for equity compensation Training and Career Growth - Training and internal career growth opportunitiesFlexible Time Off - You know when and how you should rechargeLittle Hippos Program - We offer 12 weeks of parental leave for primary and secondary caregiversHippo Habitat - Snacks and drinks available for onsite employees The Morristown, NJ base pay range for this role is $120,000 - $150,250. Exact compensation may vary based on several job-related factors that are unique to each candidate, including but not limited to: skill set, experience, education/training, location, business needs and market demands.Hippo is an equal opportunity employer, and we are committed to building a team culture that celebrates diversity and inclusion. Hippo’s applicants are considered solely based on their qualifications, without regard to an applicant’s disability or need for accommodation. Any Hippo applicant who requires reasonable accommodations during the application process should contact the Hippo’s People Team to make the need for an accommodation known.Applicant & Employee Privacy Notice (CCPA/CPRA)

Vacancy posted 5 days ago
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