This position operates at the intersection of claims, legal, and operational execution, requiring close coordination with internal claims teams and external law firms and vendors. The ideal candidate brings a strong operational mindset, thrives in a data-driven environment, and has experience managing complex, high-volume workflows.
SPECIFIC DUTIES:
- Own end-to-end workflow execution, including intake, work routing, assignment, processing, and completion
- Ensure adherence to service level agreements (SLAs), quality standards, and throughput expectations
- Establish, monitor, and report on key operational metrics (volume, cycle time, backlog, quality)
- Oversee operational queues and intake channels to ensure accurate routing and timely work distribution
- Design, document, and optimize workflows using SOPs, job aids, and process maps
- Leverage workflow and case management systems to improve efficiency and visibility
- Manage vendor relationships, including performance monitoring, SLA adherence, and cost optimization
- Serve as the operational point of accountability across Claims, Legal, Vendor, and Technology partners
- Identify and resolve operational issues and lead continuous improvement initiatives
- Analyze workload trends and staffing capacity; recommend resource allocation
- Support onboarding, training, and development of team members
- Provide data-driven insights to leadership to support decision-making
QUALIFICATIONS, EXPERIENCE REQUIRED:
- Bachelor’s degree required; business-related field preferred
- 5+ years of experience in insurance operations, claims operations, or similar high-volume environments
- 2+ years of leadership experience managing teams or workflows
- Experience in claims operations, insurance defense operations, or law firm operational environments required
- Experience supporting claims or legal workflows, including coordination with law firms and external vendors preferred
- Experience working in SLA-driven environments with accountability for performance outcomes
- Experience with workflow, case management, or document management systems
- Experience using data/reporting tools (Qlik, Power BI, or similar)
- Strong analytical, problem-solving, and process improvement skills
- Proven ability to manage vendor relationships
- Excellent communication and stakeholder management skills
- Ability to manage multiple priorities in a fast-paced environment
Location:Â
Atlanta OfficeLearn more about this Employer on their Career Site
