Senior Manager, Risk Operations
New
Based in the United StatesFull-TimeManager
Salary not disclosed
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Job Details
- Experience
- 5–8+ years
- Required Skills
- Data AnalysisRisk Management
Requirements
- 5–8+ years of experience in Workers’ Compensation, insurance operations, or risk management, with exposure across both claims and underwriting/policy administration.
- 4+ years of people management experience in a high-volume, fast-paced, or scaling organization.
- Strong knowledge of WC claims lifecycle, reserving practices, and TPA/vendor performance management.
- Solid understanding of WC policy structures, classification systems, payroll-based premiums, and audit processes.
- Proven ability to analyze claims and operational data to identify trends and drive measurable improvements.
- Experience managing external vendors and holding partners accountable to performance standards.
- Strong communication skills with the ability to explain complex insurance concepts to non-specialists.
- A proactive risk mindset, with the ability to connect underwriting decisions to claims outcomes and loss reduction strategies.
- Preferred: experience with large deductible or self-insured WC programs, actuarial reporting, or EOR/PEO environments.
- Preferred: familiarity with entertainment, media, or staffing industry risk programs and certifications such as CPCU or ARM.
Responsibilities
- Lead end-to-end Workers’ Compensation operations, including claims oversight, underwriting workflows, program administration, and risk mitigation initiatives across a complex portfolio of productions.
- Act as the primary operational liaison with the TPA, managing claims handling quality, reserving practices, escalation protocols, and SLA performance.
- Monitor and analyze claims data, loss runs, and performance metrics to identify trends and drive targeted actions that reduce claim frequency and severity.
- Oversee complex and high-value claims, ensuring appropriate strategy, escalation, and alignment with program objectives.
- Design and implement risk reduction programs such as safety initiatives, return-to-work frameworks, and operational best practices tailored to fast-moving production environments.
- Manage underwriting operations including onboarding, classification, jurisdiction setup, policy administration, and endorsements.
- Lead, mentor, and develop a team of Workers’ Compensation and claims professionals, ensuring clear priorities, accountability, and strong execution.
- Partner with senior leadership on capacity planning, workforce scaling, and continuous improvement of risk operations.
- Build data-driven reporting and leverage AI tools to streamline workflows, improve decision-making, and enhance internal knowledge systems.
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