Director, TPA Claims
Hippo Insurance
Job Title: Director, TPA Claims Location: Austin, TX / Dallas, TX Reports To: Chief Claims OfficerAbout Hippo:Hippo Holdings consists of national property and casualty insurance companies—including Spinnaker Insurance Company and its subsidiaries, rated A- (VIII) by A.M. Best—along with an insurance agency and a managing general agent. Enabled by technology, Hippo brings products to market through a diversified range of offerings sourced from both owned and third-party programs, available on an admitted and surplus lines basis. We partner with innovative market leaders across personal, commercial, and specialty lines, as well as traditional and non-standard opportunities.The Role: The Director, TPA Claims owns claims strategy and execution for Hippo’s Claims TPA function. This role has full accountability for direct, in-house claims handling for our third-party MGA partners. As the accountable claims leader for a new and rapidly scaling business line, this Director builds the claims organization from the ground up, sets the claims operating model for a net-new external customer base, and represents claims in executive-level planning for the platform's commercial strategy. About You:You're a claims leader who wants the whole build—the team, the operating model, the technology, and the P&L that comes with a business line finding its shape. You've led adjusters and supervisors before and you're ready to hire your own bench, set the standard, and grow the layers underneath you as the book scales. You think claims technology should make good handling faster rather than just tracking it, and you want a seat in the product conversation to make sure it does.What You’ll Do:Own claims performance reporting (loss ratios, cycle time, litigation rate, customer satisfaction) and lead the annual operating plan and forecast for the Claims TPA business line from a claims cost and staffing perspective, reporting results directly to the Chief Claims Officer Direct the claims technology requirements roadmap for the TPA offering—serving as the accountable claims voice in platform product decisions and prioritization with the product management function Own the claims service-level framework that underpins customer retention and satisfaction, and leads claims capacity and service-level scoping with the client success function for new business customer onboarding Represent Claims TPA in enterprise claims governance, standard-setting, and escalation with Hippo's core claims organization Build and lead the Claims TPA organization: hire, train, and develop adjusters, and establish supervisory layers as the team and book of business scale alongside new external TPA customers Set caseload standards, workflows, and quality benchmarks for an in-house claims handling model, distinct from traditional TPA models. Own adjuster licensing compliance and claims handling practices consistent with state regulatory requirements across all jurisdictions and product lines in which B2B customers operate, in partnership with enterprise Operations Own quality assurance, file audits, and reserving accuracy for the TPA claims book, including full accountability for litigation strategy, defense counsel management, and litigation budget Must Haves:Bachelor's degree or equivalent experience 5+ years of general liability (GL) claims experience, with deep knowledge of GL coverage, liability and claims handling across premises, products, and other GL exposures 10+ years of claims handling experience with five or more years leading a team of adjusters and supervisors Demonstrated experience managing litigated claims, including working directly with defense counsel and overseeing litigation strategy and budgets Active adjuster license(s), or demonstrated ability to obtain multi-state licensing Experience in an MGA, program business, or Insurtech environment strongly preferred Experience building and scaling a high-performance team Strong cross-functional collaboration skills and clear written and verbal communication Nice to Haves:Experience with sports and fitness claims handling is a plus Experience in Snapsheet claims system a plusBenefits 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 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)
- ...advance your career. The RoleThe AMD Law Department is seeking a Director of Patent Litigation to support and manage the company’s... ...actions.Lead preparation and review of infringement and invalidity claim charts in collaboration with technical teams.Support early case...Claims
$148.1k - $197.3k
The Director, Total Rewards serves as a strategic leader responsible for the strategy, design, and development of total rewards. This includes... ...about total rewardsReview benefit premium rate contribution, claims and utilization data on an annual basis; analyze and interpret...ClaimsFull timeWork experience placementLocal areaRemote workWork from home- ...a fun, casual, and collaborative environment.Who We WantAs the Director of Carrier Capacity for Arrive Fresh, you will play a critical... ...engagement.Develop and implement robust Carrier Compliance and Claims Management programs tailored to the unique demands of temperature...ClaimsFull timeContract workWork experience placementCasual workWork at officeLocal areaRelocationRelocation packageDay shift
- ...commercialization, and mass production to change the world for the better. Director, Total Rewards Full-Time | People Operations | Austin, TX (... ...communication; serve as the escalation point for complex claims and coverage questions Evaluate and evolve the benefits...ClaimsFull timeLocal area
$150k - $170k
...this role sits at the center of that engine. We are hiring a Director of Revenue Cycle Management to lead and scale our collections... ...proven curiosity to enhance systems and processes for improved claims collections and data visibility. $150,000 - $170,000 a year...ClaimsContract workLocal areaImmediate startRemote workFlexible hours$86.7k - $173.3k
...regulatory and clinical affairsStrong clinical marketing skills - effectively use clinical data to support and drive key marketing claims across a wide variety of geographiesProject management skills—ability to manage complex projects and programs. Ability to pull the...ClaimsRemote workWorldwide$91.7k - $163.7k
...Director of Social Work Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles with WellMed, part... ...at a management level Experience in contract language, claims, Utilization Management guidelines and accreditation guidelines...ClaimsMinimum wageFull timeContract workWork experience placementLocal area- ...ensure alignment with production capacities (man, machine, materials). Supports the development of accurate forecast and demand plans.Claims Management: Variance Management Tracking identifies possible claims and recoveries and addresses them with the commercial team for...ClaimsFull timeContract workVisa sponsorshipFlexible hours
$186.49k - $278.88k
...Remote Full time R12802 The Director, Government Pricing leads all federally mandated price calculations including Medicaid Average... ...fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent...ClaimsFull timeContract workTemporary workLocal areaRemote workWorldwideFlexible hours- ...consequential structural shift in a generation. Carriers that deploy AI as a system — across every value stream from quoting through claims — will capture significant five-year transformation value. Those that deploy it as point solutions will strand most of that value....ClaimsFull timeLive inWork at officeLocal areaShift work
- ...is seeking a Chief Operating Officer (COO) with a strong background in self-funded healthcare operations, stop-loss programs, and claims management. The successful candidate will be responsible for a combination of strategic and tactical activities to support the company...ClaimsRemote work
$220k - $235k
...RVs, carsharing, and other emerging mobility models — spanning underwriting, claims, compliance, analytics, and real-time risk management. Learn more at About The Role As the Director of Underwriting and Actuarial at Roamly , you will lead the underwriting and...ClaimsRemote workFlexible hours- ...Reporting directly to the Site General Manager, the Materials Director is responsible for leading and overseeing all site-level materials... ...and key escalations as required. ~ Ensure supplier-related claims, contracts, and materials decisions are aligned with company...Claims
$100k
Chapter Director - Where Leadership Meets Unlimited Earning Potential Location: Hiring for: Columbus, OH; Houston, TX; San Antonio, TX;... ...who partner with us now aren’t just joining a company—they’re claiming territory in a movement. What You’ll Build Your Revenue Streams...ClaimsFull time$99k - $232k
...efficiency- Collaborate with teams to implement data-driven solutions and secure architectures- Analyze and improve risk selection and claims resolution speed- Enhance customer experience through innovative strategies and automation- Mentor team members to develop their...ClaimsFull timeH1b- ...Overview Harbor Health is seeking an experienced Appeals & Grievances Director to lead the health plan's appeals and grievances function. In... ..., partner closely with Compliance, Legal, Clinical, Claims, and Member Services, and serve as a key voice for member advocacy...Claims
$169.22k - $253k
...Remote Full time R11173 Position Summary The Associate Director of MSAT (Manufacturing Science & Technology) - Analytical... ...equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent...ClaimsFull timeContract workTemporary workLocal areaRemote workWorldwideFlexible hours- Sr Director, Solution Implementation & Delivery (Austin) 15+ Years Austin Full-Time About Autonomize AI Autonomize AI is revolutionizing... ...healthcare systems (e.g., EMRs, care management platforms, claims adjudication systems), experience managing cross-functional...ClaimsFull time
- ...including performance concerns, disciplinary actions, workplace conflicts, accommodations, leave requests and workers compensation claims. • Provide guidance and coaching to managers regarding performance management, disciplinary actions, documentation, and other...ClaimsTemporary workWork experience placementLocal area
$60k
...issues. Ensure management complies with all current state and federal labor laws. Monitor Workers Compensation programs, ensuring claims and reports are submitted on a timely basis. Ensure compliance with all Pyramid Global Hospitality and hotel policies and procedures...ClaimsWork experience placementWork at officeLocal area- ...documentation, and employee communication. Serve as the primary expert for benefits and leave questions, eligibility, coverage issues, and claim resolution. Maintain and update benefits data in HRIS and vendor systems, ensuring accuracy and timely processing. Oversee...ClaimsFull timeTemporary workWork at officeVisa sponsorshipWork visa
- ...managementProviding superior client service in response to day-to-day service issues and questions (eligibility, carrier coverage and claims issues, compliance, etc.)Preparation for client meetings (prepare agendas and materials, coordinate resources, etc.)Supporting...ClaimsFull timeTemporary workWork at officeLocal areaVisa sponsorshipWork visaFlexible hours
$115k - $175k
...#CreateRavingFans of Gong employees. This role will report to the Director of People Analytics. Responsibilities Partner with key... ...will always come from the @gong.io domain. Any outreach claiming to be from Gong via other sources should be ignored. Gong is...ClaimsRemote workWork from homeFlexible hours- ...configurationsunderstanding of financial reporting processes including accounts receivable, cash management, revenue recognition, IT departments, loans/claims managementExperience supervising Associates and Senior AssociatesAdditionally, the following qualifications are preferred:Master’s...ClaimsFull timeFlexible hours
$140k - $155k
Associate Director, Epidemiology & HEOR Consulting Company: Norstella Location: Remote, United States Date Posted: Aug 25, 2026 Employment... ...Hands-on experience with real-world data sources (e.g., open claims, closed claims, EMR, registries). Experience contributing to...ClaimsFull timeTemporary workLocal areaRemote workFlexible hours- ...matters. Conduct complex workplace investigations involving employee complaints, policy violations, misconduct allegations, retaliation claims, harassment concerns, and other sensitive matters. Partner closely with operations leaders to address workforce concerns, resolve...ClaimsHourly payFull timeContract workLocal areaFlexible hours
- ...and responsibilities listed this Job Description and Benefits Timeline. Research and answer questions regarding benefit plans, claims and billings for client, update Benefit Point activities and adhere to the Benefits Timeline Assist bSwift team with set-up of...Claims
- ...continued growth. This role reports to and partners closely with the Director of the People Team and other People Team leadership. We’re... ..., working closely with vendors and employees to resolve claims issues. Support ACA compliance activities, including eligibility...ClaimsTemporary workH1bWork at officeImmediate startRemote workMonday to FridayFlexible hoursAfternoon shift2 days per week
- ...community at a time. Supplemental Health - Voluntary Benefits Sales Director - West Region Aetna is seeking an accomplished Sales Executive... ...management. Partner closely with underwriting, product, claims, account management, implementation, and operations to deliver...Claims
$130k - $140k
...hypothesis, read the result, and decide the next iteration. Quantify customer benefit: cost-in-use, functional replacement ratio, label and claim impact, process and yield benefit. Hold your own in a customer pilot plant. You do not need to run the trial. You need to know when...ClaimsLocal areaRelocationFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Director, TPA Claims. Be the first to apply!
- ai director Austin, TX
- director of demand generation Austin, TX
- residence director Austin, TX
- academic director Austin, TX
- director of scheduling Austin, TX
- industrial director Austin, TX
- director of information management Austin, TX
- director estimating Austin, TX
- director total rewards Austin, TX
- director of credit Austin, TX


