Senior Manager, Risk Operations in United States at Jobgether
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Job Description
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Manager, Risk Operations based in the United States.
This is a high-impact leadership role at the intersection of insurance operations, risk management, and technology-driven workforce solutions. You will oversee the full Workers’ Compensation program lifecycle, ensuring strong claims performance, effective underwriting operations, and proactive risk mitigation across a large, dynamic workforce ecosystem. The role combines strategic oversight with hands-on operational ownership in a fast-paced, high-volume environment. You will act as a key decision-maker for claims performance and vendor accountability while shaping how risk is managed at scale. Working closely with senior leadership, you will translate data into actionable insights that directly reduce loss frequency and severity. This is a player-coach position where you will also lead and develop a growing team of specialists. The environment is highly collaborative, data-driven, and innovation-oriented, with increasing adoption of AI to improve operational efficiency.
- 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.
- 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.
- Competitive compensation aligned with experience and market benchmarks
- Unlimited paid time off to support flexibility and work-life balance
- Fully remote work within the United States
- Comprehensive health, dental, and wellness benefits
- Home office setup stipend to support remote work productivity
- Retirement savings plan with employer matching contribution
- Learning and development budget to support continuous professional growth
- Internet and mobile service reimbursement allowance.