Self-Funded Claims Manager

Claims Manager — Amwins Self-Funded

Are you ready to make a meaningful impact in a collaborative, people-focused environment? Amwins Self-Funded is looking for a

Are you ready to make a meaningful impact in a collaborative, people-focused environment? Amwins Self-Funded is looking for a Claims Manager to lead and support a dedicated claims team, strengthen day-to-day operations, and help deliver exceptional service to our clients and partners. This role is primarily in-office, with the opportunity to work from home up to two days per week after completing training.

At Amwins, we believe people do their best work when they feel supported, valued, and empowered to grow. We are proud to offer a workplace where team members can build strong relationships, contribute ideas, and make a meaningful impact:

• Flexibility: Enjoy a primarily in-office role with hybrid flexibility and scheduling options that support balance.
• Comprehensive Benefits: Feel supported from day one with a competitive benefits package, generous Paid Time Off (PTO), and paid holidays.
• Continual Learning and Growth: Grow your skills in a collaborative, education-focused environment that encourages learning, development, and career growth.
• Leadership Impact: Lead with purpose by coaching team members, improving processes, and helping create a positive experience for clients and partners.
• Annual Bonus Program: Be recognized for your contributions through our performance-based bonus program, designed to reward achievement and shared success.

Learn More About Us At

• Team Leadership: Leads the day-to-day operations and supports the success of assigned Claims team members. Responsibilities may include staffing recommendations, promotions, performance evaluations, and disciplinary actions, as applicable.
• Performance Management: Supports assigned team member performance through regular feedback, accountability conversations, training, and technical coaching. Partners with the assigned Claims Lead to provide targeted coaching and process guidance.
• Quality Assurance Partnership: Partners with the Claims Quality team to use centralized audit findings in support of team development, performance management, and operational oversight. Reviews QA reports on a defined cadence to monitor team-level quality trends and requests escalated or graduated audit coverage with the QA Claims Manager for team members who may benefit from additional support.
• Document Management: Oversees the master list of groups/cases for the Claims Department, including all contractual claims service parameters.
• Workload Distribution: Manages client account assignments based on team and individual workload volume, when applicable.
• File Management: Manages and oversees the filing process for Stop Loss Claims within the Claims Department.
• Subject Matter Expertise: Serves as a trusted resource on complex claim submissions, providing oversight and support for high-priority claims. Provides guidance on team claim submissions, correspondence, and processes.
• Claim Tracking: Conducts claim reviews and processes reimbursement filing and reporting to Stop Loss carriers, when applicable or needed.
• Claim Reporting: Manages and produces monthly claims reporting and notifications to Stop Loss carriers, when applicable or needed.
• Process Improvement: Supports the development and implementation of policies, procedures, and process improvements that strengthen Claims operations.
• Service Delivery: Collaborates with the Director of Claims to support consistent, high-quality service delivery for clients.
• Relationship Building: Builds positive, collaborative relationships with internal departments and team members to support a strong client service experience.
• Carrier and Broker Relations: Builds positive, collaborative relationships with external partners, including carriers, brokers/consultants, and administrators, to support responsive and effective client service.
• Training Partnership: Partners with Claims Trainer(s) to identify department-wide or team-wide skill gaps, coordinate helpful training programs, and support team member participation…