US Jobs US Jobs     UK Jobs UK Jobs     EU Jobs EU Jobs

   

Program Claims Manager

About the Company

Vantage Group Holdings Ltd.

(Vantage) was established in late 2020 as a re/insurance partner designed for the future.

Driven by relentless curiosity, our team of trusted experts provides a fresh perspective on our clients’ risks.

We add creativity to tech-enabled efficiency and robust analytics to address risks others avoid.

Vantage provides specialty re/insurance through its operating subsidiaries in Bermuda and the U.S.

Vantage has approximately 365 colleagues in both the United States and Bermuda.

We have offices in Chicago, IL, Norwalk, CT, Alexandria, VA, Boston, MA, New York, NY, Atlanta, GA and Hamilton, Bermuda.

Additionally, we are a highly geographically diverse workforce with colleagues based in 35 states and counting.

We fully support work flexibility including remote and hybrid work arrangements.

About the role:

At Vantage, the Program Claims Manager is responsible for establishing and executing goals to implement the strategic vision for managing claims processed by Managing General Agents (MGA) and Third-Party Administrators (TPA).

This role holds overall responsibility for the engagement and claim service outcomes delivered by our MGA and TPA partners.

Key duties include leading the MGA/TPA Oversight Function, managing and overseeing third-party administrators, selecting MGAs/TPAs, auditing compliance with contractual and legal obligations, assisting with MGA/TPA contract drafting and placement, preparing special handling instructions, reporting fraud, providing training and ensuring compliance, developing workflows for accurate information exchange with MGA/TPA partners, and preparing and analyzing reports to assess MGAs/TPAs against key performance indicators and benchmarks.

This position reports to the Chief Claims Officer.

The base salary expectation for this role is between $120,000 and $145,000.

Actual base salary for the selected candidate may be higher commensurate with candidate experience and expectations.

Additionally, Vantage offers its colleagues performance-based bonus potential, strong health & welfare benefits, retirement plans with company match, competitive time off plans, a highly flexible work environment, and much more. 

Responsibilities & Accountabilities:


* Accountable for the performance of MGAs/TPAs engaged by the company, and responsible for effectively communicating outcomes to internal partners and senior management.


* With input from the line of business claim leaders, determine financial authority framework for MGAs/TPA's and provide financial oversight and authority on claims matters.


* Work closely with the underwriting team, program manager and other Vantage capabilities in the vetting and onboarding of new Programs, MGA's and TPA's.


* Develop and maintain close relationships with external and internal clients and partners, anticipating needs and immediately solving problems or concerns.


* Visible leader directing the development and mentoring ...




Share Job