Director, TPA Claims at Hippo Insurance | Austin, TX, US | Rezi

Director, TPA Claims at Hippo Insurance

Director, TPA Claims

Hippo Insurance · Austin, TX, US

1 weeks ago

Director, TPA Claims

Hippo Insurance · Austin, TX, US

9 days ago
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About 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.

Responsibilities

  • 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

Requirements

  • 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

Skills

  • General liability (GL) claims
  • GL coverage
  • Liability and claims handling
  • Litigated claims management
  • Defense counsel management
  • Litigation strategy
  • Litigation budgets
  • Adjuster licensing
  • MGA
  • Program business
  • Insurtech
  • Team building
  • Team scaling
  • Cross-functional collaboration
  • Written communication
  • Verbal communication
  • Sports and fitness claims handling (plus)
  • Snapsheet claims system (plus)

Location

  • Austin, TX
  • Dallas, TX

Work Type

  • Onsite

Experience Level

  • Director
  • 5+ years of general liability (GL) claims experience
  • 10+ years of claims handling experience
  • Five or more years leading a team of adjusters and supervisors

Education Level

  • Bachelor's degree or equivalent experience

Benefits

  • Multiple medical plans to choose from
  • 100% employer covered dental & vision plans for team members and their families
  • 401(k)-retirement plan
  • Short & long-term disability
  • Employer-paid life insurance
  • Flexible Spending Accounts (FSA) for health and dependent care
  • Employee Assistance Program (EAP)
  • Equity compensation
  • Training and internal career growth opportunities
  • Flexible Time Off
  • 12 weeks of parental leave for primary and secondary caregivers
  • Snacks and drinks available for onsite employees

About the Company

  • 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.

Equal Opportunity

  • 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.