P&C Claims Industry Expert Industry Advisor

P&C Claims Industry Expert - Industry Advisor

San Antonio, TX - Onsite

P&C Claims Industry Expert

Must Have Technical/Functional Skills

• 1520+ years in Personal Lines Claims, claims transformation, claims technology, or equivalent combination.
• Demonstrated success leading cross-functional initiatives that improved claims outcomes (cycle time, leakage, compliance, experience).
• Strong experience working within U.S. regulatory frameworks for claims operations; exposure to market conduct, internal audits, and remediation.
• Proven capability translating complex claims processes into technology requirements and operational change.
• Executive-level communication: able to present senior leadership with clear options, risks, and recommendations.
• Guidewire Claim Center exposure (implementation, upgrade, modernization, or operations support)preferred, not mandatory.
• Certifications: CPCU, AIC, ARM, or relevant US insurance industry certifications.
• Experience with digital FNOL, workflow automation, subrogation, rules engines, fraud analytics, STP, and API-based integration ecosystems.
• Large program experience (multi-state, multi-LOB, multi-vendor).

Roles & Responsibilities

• Serve as business SME for core claims platforms and digital ecosystem.
• Guidewire Claim Center knowledge (preferred); experience with other enterprise claims platforms acceptable.
• Lead business discussion for workflows, rules, integrations (FNOL, estimating, document generation, payments, and communications)
• Partner with Legal/Compliance/Risk to ensure claims processes and systems meet regulatory requirements, market conduct expectations, fair claims handling, and unfair claims practices standards.
• Support the team in defining business objectives, epics/features, acceptance criteria, and measurable outcomes.
• Lead or oversee UAT, production readiness, defect triage, and post-go-live stabilization.
• Ensure third-party solutions meet security, privacy, and compliance expectations and integrate cleanly into the claims ecosystem

Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.