Claims Program Manager Spinnaker

Claims Program Manager

• Spinnaker Hippo Insurance
• 3.4 San Jose, CA Job Details $120,000
• $150,250 a year 1 day ago Benefits Disability insurance Health insurance Dental insurance 401(k) Parental leave Employee assistance program Vision insurance Opportunities for advancement Life insurance Qualifications Stakeholder engagement Microsoft Excel Handling insurance claims 5 years Regulatory compliance in claims processing Compliance audits & assessments Data reporting CPCU Key Performance Indicators Quality assurance audits Analysis skills Associate in Risk Management Quality audits Senior level Communication skills Regulatory compliance management Excel data analysis Stakeholder management

Full Job Description Job Title:

Claims Manager•

Partner Programs Location:

Austin, TX / Dallas, TX /

Morristown, NJ Reports To:

Senior Claims Program Manager / Head of Claims, Spinnaker (Director, Claims-Partner Programs)

About Hippo:

Hippo Holdings consists of national property and casualty insurance companies—including Spinnaker Insurance Company and its subsidiaries, rated A

• (VIII) by A.

M. Best—along with an insurance agency and a managing general agent. Enabled by technology, Hippo brings products to market through a diversified range of offerings sourced from both owned and third-party programs, available on an admitted and surplus lines basis. We partner with innovative market leaders across personal, commercial, and specialty lines, as well as traditional and non-standard opportunities.

About You:

The Claims Manager

• Partner Programs is responsible for the day-to-day oversight and performance management of assigned programs and Third-Party Administrators (TPAs).

This role ensures claims are handled in accordance with established guidelines, regulatory requirements, and service expectations while supporting strong claim outcomes and partner relationships.

What You'll Do:

Program Oversight & Execution Oversee claims handling for assigned programs to ensure compliance with claims guidelines, coverage intent, and regulatory requirements Monitor TPA performance including timeliness, reserving accuracy, and overall claim quality Conduct file reviews and QA audits to identify trends and improvement opportunities Assist in implementation and maintenance of claims guidelines and best practices Support onboarding of new programs including TPA setup, workflows, and reporting requirements Operational Support & Reporting Analyze claims data and KPIs to identify emerging trends and performance issues Prepare stewardship and performance reports for internal stakeholders and program partners Track and follow up on corrective action plans Support reinsurance reporting and documentation requirements Assist with regulatory audits, data calls, and compliance reviews Stakeholder Collaboration Serve as a primary point of contact for TPAs on routine matters Partner with underwriting, actuarial, finance, and legal teams Participate in program-level meetings and continuous improvement initiatives Professional Development Build expertise in coverage analysis, reserving, litigation management, and regulatory compliance Support senior team members on complex claims Participate in training and development opportunities

Must Haves:

5-8 years of claims handling or program oversight experience Experience working with TPAs, MGAs, or delegated authority programs preferred Strong understanding of claims fundamentals Familiarity with multi-state regulatory environments Strong analytical, organizational, and communication skills Proficiency in Microsoft Excel and claims systems Nice to

Have:

Experience in program business or fronting carrier environment Exposure to reinsurance reporting Industry designations such as AIC, CPCU, or ARM preferred Benefits and Perks Hippo treats its team members with the same level of dedication and care as we do our customers, which is why we're fortunate to provide all of our Hippos with: Healthy Hippos Benefits

• Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. We also offer a 401(k
• retirement plan, short & long-term disability, employer-paid life insurance, Flexible Spending Accounts (FSA) for health and dependent care, and an Employee Assistance Program (EAP) Equity
• This position is eligible for equity compensation Training and Career Growth
• Training and internal career growth opportunities Flexible Time Off
• You know when and how you should recharge Little Hippos Program
• We offer 12 weeks of parental leave for primary and secondary caregivers Hippo Habitat
• Snacks and drinks available for onsite employees The Morristown, NJ base pay range for this role is $120,000
• $150,250.

Exact compensation may vary based on several job-related factors that are unique to each candidate, including but not limited to: skill set, experience, education/training, location, business needs and market demands. Hippo is an equal opportunity employer, and we are committed to building a team culture that celebrates diversity and inclusion. Hippo's applicants are considered solely based on their qualifications, without regard to an applicant's disability or need for accommodation. Any Hippo applicant who requires reasonable accommodations during the application process should contact the Hippo's People Team to make the need for an accommodation known. Hippo CCPA