US MGA Claims Program Manager

US MGA Claims Program Manager Simply Business - 3.5 Boston, MA Job Details Full-time $85,600 - $141,200 a year 1 day ago Benefits Commuter assistance Disability insurance Health insurance Dental insurance 401(k) 401(k) 5% Match Vision insurance 401(k) matching Life insurance Prescription drug insurance Qualifications Handling insurance claims Regulatory compliance in claims processing Bachelor's degree Full Job Description Who Are We? Simply Business is a digital insurance brokerage that specializes in one thing: protecting the businesses our customers are working hard to build. We're doing this by simplifying the insurance-buying process for all small businesses, blending together a combination of technology, data, and insurance knowledge. Our proprietary technology platform allows small business owners to easily search and compare quotes from over 20 top-rated insurance providers, customize their coverage, and purchase and access their policies - all online. Founded in the UK in 2005, Simply Business is an insurtech pioneer with nearly 20 years of experience supporting small businesses. Simply Business is passionate about building an outstanding product for our customers - one that empowers their entrepreneurial spirits. More importantly, we're doing it all while taking care of our people. We've consistently been named a best place to work, including most recently ranking in Built In's 2025 Best Companies to Work for in the US (Top 100), and Best Places to Work in Boston. We want team members who have the drive to challenge boundaries. If you're smart and passionate about delivering brilliant customer experiences, we'd love to hear from you. Job Category Underwriting Position Type Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $85,600.00 - $141,200.00 Target Openings 1 What Is the Opportunity? As the Claims Program Manager, you will be the guardian of our claims integrity and the primary driver of program profitability through robust claims management and outcomes. This role is responsible for the complete collaboration, oversight, and management of our Third-Party Administrator (TPA) program(s) to ensure they are compliant, effective, and cost efficient. You will act as the crucial technical bridge between our

MGA, TPA

partners, and Fronting Carriers/Reinsurers, ensuring our claims process maintains rigorous technical control to protect loss ratios, litigation spend, and carrier relationships. What Will You Do? Guide TPA partners as the primary technical point of contact to ensure claims excellence and accurate dispositions. Establish and monitor KPIs , such as settlement accuracy and lifecycle duration, while keeping a close eye on aged inventory. Conduct deep-dive audits and technical file reviews to score TPA quality, efficiency, and adherence to best practices. Maintain reserve integrity by tracking increases of $25K or more to ensure accuracy aligns with long-term book profitability. Strategic ownership by providing expert second opinions on complex coverage letters and pushing for aggressive, early resolution of claims. Drive data intelligence by analyzing loss trends to identify specific trade risks and feeding those insights back to our Underwriting and Product teams. Partner with stakeholders to lead roundtable discussions on complex claims and produce high-quality performance scorecards for leadership. Perform other duties as assigned. What Will Our Ideal Candidate Have? Professional designations such as CPCU, ARM, AIC, or SCLA. Ability to influence and persuade partners through technical expertise and relationship building. Leverage a data-driven mindset and analytical curiosity to deeply understand litigation and loss ratio drivers, identifying financial trends that protect the bottom line. A self-motivated problem-solver who thrives in fast-paced environments and isn't afraid to "fix broken processes". Experience working with TPA, MGA or delegated authority environment What is a Must Have? Bachelor's Degree A minimum of 5+ years of professional experience in claims or risk management, with a specific focus on Commercial Lines General Liability. Expertise in handling litigated commercial bodily injury or product liability claims. Deep understanding and application of coverage throughout the claims lifecycle, including compliance with regulatory requirements. What Is in It for You? Here are some of the great benefits and perks that come from being a Simply Business employee: Group plan for medical, dental, vision, and prescription drug coverage. Short term disability, long term disability, and life insurance coverage. Participation in the Company's bonus program-Participation in 401(k) plan with a 5% employer match. Commuter benefits to help cut down on parking and public transit costs. 25 days of vacation time plus 10 sick days and 10 company holidays. A genuine investment in your learning and development-Regular team outings and volunteer opportunities. An awesome office space. A hybrid working model, giving our employees great choice and flexibility to work in a way that's best for their particular job, their teams, and their lives. Employment Practices Simply Business is an equal opportunity employer. We're committed to welcoming and helping employees grow within an inclusive & diverse culture.