Claims Operations Manager (Systems & AI)

Allied Public AdjustersProperty insurance claims

Remote within the Pacific, Central, or Mountain time zones., Pacific, Central, or Mountain time zones; available during Pacific business hours of 9-6 PST.Full-TimeManager

Salary$140,000 - $160,000 base + 10% bonus

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Job Details

Experience: 5+ years of experience as product owner of a software product, managing the backlog, priorities and releases directly with a development team, in-house or vendor.
Required Skills: SQLMicrosoft Power BIMicrosoft Excel

Requirements

Have 5+ years of experience as a software product owner, managing backlog, priorities and releases directly with an in-house or vendor development team.
Have designed and run operational workflows.
Have redesigned processes so the resulting data is complete and reliable.
Be able to build dashboards and reports from raw data using Power BI, SQL, Excel or AI tools such as Claude.
Have designed and run audits, compliance reviews or quality programs on detailed files or processes.
Have actively built a real AI tool, workflow, agent or knowledge base, at work or independently.
Be a strong project manager who keeps developers and stakeholders on a plan.
Write and present clearly, and run meetings with an agenda and pre-read.
Be self-directed and responsive in a remote role, maintaining a steady cadence with collaborators.
Experience in or around property insurance claims and working knowledge of the claim lifecycle and its terminology are ideal.
Experience with a system rollout or data migration, including post-launch issues, is ideal.

Responsibilities

Design and update claims workflows across onboarding, client relationships, carriers, vendors, legal, estimating and contents.
Configure workflow stages, handoffs, triggers and SLA timers from signing through settlement.
Design and maintain file audits, including 45-day file audits, submission timing, call and email logging, and file handling.
Track submissions, collections, cycle time, caseload by adjuster tier and audit scores.
Build automated scorecards and dashboards for the department, each pod and each adjuster.
Combine data from Claimore and other systems into a single view, keeping Claimore as the source of truth.
Own the Claimore roadmap and backlog, prioritize requirements, coordinate releases and review vendor invoices against delivered work.
Build dashboards, automated audits and reports using AI tools, Power BI and Excel; maintain the Claude-based Claims AI knowledge base.
Run weekly reviews with the Director of Claims and Chief Growth Officer, and review SOPs for steps the system cannot track.
Shadow teams on site quarterly and, as the function grows, hire and lead operations managers for new pods.

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