Senior Claims Advocacy Manager

Bright Horizons•Newton, MA

1d•$107,000 - $124,000•Remote

About The Position

The Senior Claims Advocacy Manager will be responsible for claims analysis, strategic advocacy, and stakeholder management to ensure claims are resolved efficiently, fairly, and in line with company goals. Acts as a subject matter expert working across internal and external stakeholders to assess claims, identify risk mitigation strategies and enhance overall operational performance for claims management. This role will assure that claim performance is sound both technically and financially, including the leadership of case reserving practices and performance along with knowledge sharing and collaboration with other departments related to claims. Direct third-party claims administrators in their respective roles ensuring accurate, efficient and equitable disposition of claims and losses. In addition, partner directly with Risk Management leadership in the development and execution of departmental strategies that support the overall goals and operations of the company. This is a remote position available in the United States. Bright Horizons is a leading education and care company that helps employees thrive at work and at home by partnering with employers to offer high-quality child care, elder care, and educational support. Our workplace reflects this commitment—with collaborative environments, meaningful benefits, and a culture that supports both career growth and personal well-being. Whether you’re caring for children or powering the systems and partnerships that make it all possible, at Bright Horizons, you’re the difference.

Requirements

Bachelor's Degree in Finance, Legal, Business Administration, Insurance or a related field
7 years in Insurance Claims (specifically: workers compensation, general liability, employment practices liability)
In lieu of a degree, an additional 5 years of experience will be considered

Nice To Haves

Master's Degree
Associate in Claims (AIC) or CCP Certification Preferred
Proficient in incident management systems, claims management systems, data analytics, dashboard reporting, and financial analysis
Strong leadership, analytical, and customer service skills

Responsibilities

Serves as a subject matter expert on complex claims issues (specifically within workers compensation, liability, and employment practices), providing guidance and support to the team (consisting of: risk management, legal, health and safety, human resources, and external partners/TPAs) and assisting with the resolution of challenging cases
Supports the management of claims adjudication while executing strong leadership and management across third party claims administrators
Represents the company in negotiations with third party claims administrators, clients, and other stakeholders, ensuring the protection of the organization’s interests and achievement of favorable outcomes
Monitors industry trends, regulatory developments, and emerging risks to proactively identify opportunities for improvement and adapt claims advocacy strategies accordingly
Conducts regular reviews, audits, and performance evaluations to assess the effectiveness of claims advocacy processes and identify areas for enhancement
Drives initiatives to enhance operational efficiency, streamlines claims handling processes, provides internal training and resources, and optimizes resource allocation across the claims lifecycle
Collaborates with key departments (internal) and business partners (external: third party providers, insurance brokers) to develop innovative solutions for claims management and risk mitigation