Senior Claims Operations Specialist
$80,000–$100,000 year
On-site · Fort Worth, Texas, United States or Dallas, Texas, United States
Job Summary
The Senior Claims Operations Specialist is accountable for driving operational excellence in the claims function by analyzing existing workflows to enhance efficiency and implementing process enhancements for claim intake and tracking. Collaborating closely with the Claims Leadership Team, the specialist aligns initiatives with business goals, automates tasks with technology solutions, and monitors key performance indicators to optimize operations. The role involves documenting standard operating procedures, supporting continuous improvement programs, providing educational support on claims processes, and facilitating cross-functional initiatives to improve the customer experience.
Required Qualifications
- Bachelor’s degree in Business, Operations Management, or related field
- 5+ years of claims operations or related experience with an insurance carrier, TPA, or agency
- Experience collaborating with leadership teams to implement operational initiatives
- Experience training, educating, or communicating complex processes to internal teams
- Experience defining, tracking, and acting on KPIs to drive operational performance
- Experience managing or supporting large accounts or client engagement initiatives
Desired Qualifications
- Experience using process improvement methodologies (Lean, Six Sigma, Agile) is a plus.
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