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 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.

• 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 and development.
• Ad Hoc: Other duties and projects as assigned.

• Required Qualifications: 2 years of management experience with a passion for leading, coaching, and developing others.
• Preferred Qualifications: Bachelor's degree or 3--5 years of experience working in Group Benefits.
• Industry
  
  Experience:
  
  3--5 years of claims or production-environment experience preferred.
• Technology…