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Claims Operations Jobs in New York (NOW HIRING)

SiriusPoint

Claims Operations Manager

New York, NY · On-site

Join Our Team The Claims Operations Manager will support the effective running of the Claims function within a complex commercial insurance company. The role will assist in managing operational ...

Socket.dev

Claims Operations Manager

Manhattan, NY · On-site

$120 - $135/hr

Join Our Team The Claims Operations Manager will support the effective running of the Claims function within a complex commercial insurance company. The role will assist in managing operational ...

Core Specialty

Claims Operations Assistant

Long Beach, NY · On-site

$48K - $50K/yr

Multi-state commercial insurance carrier is seeking a Claims Operations Assistant to provide support to the Claims department and perform other office tasks as needs dictate, based in the Long Beach ...

Core Specialty

Claims Operations Assistant

Long Beach, NY · Hybrid

$48K - $50K/yr

- Multi-state commercial insurance carrier is seeking a Claims Operations Assistant to provide support to the Claims department and perform other office tasks as needs dictate, based in the Long Beach ...

MLabs

Head of Claims

Manhattan, NY · On-site

$150 - $200/hr

This position is designed for an operational and technical strategist who views claims as a product, technical, and operational challenge rather than just a people‑management task. The successful ...

MLabs

Head of Claims

New York, NY · On-site

$150K - $200K/yr

This position is designed for an operational and technical strategist who views claims as a product, technical, and operational challenge rather than just a people-management task. The successful ...

MLabs

Head of Claims

New York, NY · On-site

$150K - $200K/yr

This position is designed for an operational and technical strategist who views claims as a product, technical, and operational challenge rather than just a people-management task. The successful ...

ClaimSorted Inc

Head of Claims

New York, NY · On-site

$180K - $250K/yr

ClaimSorted is an AI-native Third Party Administrator that manages claims operations for insurers across auto, property, travel, gadget, pet, renters, and liability. We combine world-class claims ...

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Claims Operations information

What is claims operations?

Claims Operations refers to the processes and teams responsible for handling, processing, and managing insurance claims from start to finish. This includes reviewing claims submissions, verifying information, coordinating investigations, and ensuring that claims are settled efficiently and accurately. Claims Operations professionals work to streamline workflows, comply with regulations, and deliver a positive experience for policyholders. Their role is essential in preventing fraud, reducing costs, and maintaining customer satisfaction within an insurance company.

What are the key skills and qualifications needed to thrive in claims operations?

To thrive in Claims Operations, you need strong analytical abilities, attention to detail, and a background in insurance, finance, or a related field. Familiarity with claims management systems, regulatory compliance tools, and industry certifications such as AIC (Associate in Claims) is often required. Excellent communication, problem-solving skills, and adaptability help professionals handle complex claims and interact effectively with clients and stakeholders. These competencies are crucial for ensuring accurate, timely claims processing and maintaining customer satisfaction.

What are some common challenges faced in a claims operations role and how can they be managed?

Professionals in Claims Operations often encounter challenges such as managing high volumes of claims, ensuring accuracy under tight deadlines, and navigating complex regulatory requirements. To manage these effectively, strong organizational skills, attention to detail, and familiarity with claims processing software are essential. Many teams use workflow automation and regular training sessions to stay updated on procedures and compliance standards, which helps streamline operations and reduce errors. Building strong communication skills also aids in collaborating with adjusters, underwriters, and customers to resolve issues efficiently.

What is the difference between Claims Operations vs Claims Adjuster?

AspectClaims OperationsClaims Adjuster
Primary RoleOversees claims processing, manages teams, and ensures compliance across claims functions.Evaluates individual claims, investigates damages, and determines settlement amounts.
Required CredentialsTypically requires claims handling certifications, insurance licenses, and management experience.Requires adjuster licenses, claims handling certifications, and knowledge of insurance policies.
Work EnvironmentOffice-based, team management, and coordination with various departments.Fieldwork and office work, direct interaction with claimants and vendors.
Industry UsageCommonly used in insurance companies for claims processing departments.Used by insurance carriers for claim evaluation and settlement.

Claims Operations focuses on managing the overall claims process and team coordination, while Claims Adjusters handle individual claim evaluations and settlements. Both roles require insurance-related certifications and are integral to the insurance industry, but they differ in scope and daily responsibilities.

Is claims processing a stressful job?

Claims processing is a core part of claims operations and can be stressful due to tight deadlines, high workload, and the need for accuracy. Employees often manage multiple claims simultaneously and must pay close attention to detail, which can contribute to job stress, especially during busy periods or complex cases.

What are the most commonly searched types of Claims Operations jobs in New York?

The most popular types of Claims Operations jobs in New York are:

What are popular job titles related to Claims Operations jobs in New York?

For Claims Operations jobs in New York, the most frequently searched job titles are:

What job categories do people searching Claims Operations jobs in New York look for?

The top searched job categories for Claims Operations jobs in New York are:

Claims Operations jobs near you
Infographic showing various Claims Operations job openings in New York as of August 2026, with employment types broken down into 86% Full Time, 13% Part Time, and 1% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution.

Claims Operations Manager

SiriusPoint

New York, NY • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Key responsibilities

  • Support the day-to-day running of the Claims Operations function, ensuring claims processes, workflows and service standards are consistently followed across business lines.

  • Maintain, review and improve claims operating procedures, identifying opportunities to simplify workflows, remove inefficiencies and improve control effectiveness.

  • Produce and interpret claims operational MI, dashboards and KPI reporting covering volumes, cycle times, service performance, ageing, reserving support indicators, leakage, bordereaux quality and operational risk themes.

Job description

Who We Are
SiriusPoint is a specialty underwriter providing solutions to clients and brokers around the world. Bermuda-headquartered with offices in New York, London, Stockholm and other locations, we are listed on the New York Stock Exchange (SPNT). We have licenses to write Property & Casualty and Accident & Health insurance and reinsurance globally. Our offering and distribution capabilities are strengthened by a portfolio of strategic partnerships with Managing General Agents and program managers. With over $3.0 billion total capital, SiriusPoint's operating companies have a financial strength rating of A from AM Best, Fitch and S&P, and A3 from Moody's.
Join Our Team
The Claims Operations Manager will support the effective running of the Claims function within a complex commercial insurance company. The role will assist in managing operational performance, improving claims processes, strengthening controls, supporting regulatory and audit requirements, and ensuring the Claims function operates efficiently, consistently and in line with business priorities.
The successful candidate will work closely with Global Head of Claims Operations, Claims leadership, claims handlers, underwriting, finance, actuarial, compliance, legal, IT and external service providers to deliver high-quality operational support across claims management, governance, reporting and transformation activities.
Your responsibilities will include:
  • Operational management: Support the day-to-day running of the Claims Operations function, ensuring claims processes, workflows and service standards are consistently followed across business lines.
  • Process ownership and improvement: Maintain, review and improve claims operating procedures, identifying opportunities to simplify workflows, remove inefficiencies and improve control effectiveness.
  • Performance reporting: Produce and interpret claims operational MI, dashboards and KPI reporting covering volumes, cycle times, service performance, ageing, reserving support indicators, leakage, bordereaux quality and operational risk themes.
  • Governance and controls: Support claims governance, audit readiness, control testing, quality assurance activity and remediation tracking, ensuring clear ownership and timely closure of actions.
  • Stakeholder coordination: Act as a key liaison between Claims, Finance, Actuarial, Underwriting, Compliance, Legal, IT and external partners to support joined-up delivery across the claims lifecycle.
  • Data and systems support: Help maintain data quality across claims platforms, reporting tools and workflow systems, supporting system enhancements, user acceptance testing and operational change delivery.
  • Vendor and third-party oversight: Assist with oversight of loss adjusters, TPAs, legal providers and other claims service partners, including performance monitoring, service reviews and issue escalation.
  • Regulatory and audit support: Support compliance with internal policies, regulatory expectations, delegated authority requirements, audit requests and documentation standards.
  • Change delivery: Contribute to claims transformation initiatives, including process redesign, automation, reporting enhancements, control improvements and adoption of new technology.

Your skills and abilities should include:
Previous Experience:
  • Minimum 5 years' experience in claims operations, claims management or insurance operations.
  • Strong understanding of the commercial insurance claims lifecycle, ideally across complex, specialty, London Market, Lloyd's, reinsurance or multinational insurance environments.
  • Experience supporting operational performance management, MI reporting, governance routines, audit activity, process improvement and control frameworks.
  • Proven experience working with claims systems, workflow tools, reporting platforms and operational data sets.
  • Experience supporting cross-functional initiatives involving Claims, Finance, Actuarial, Underwriting, Compliance, Legal and Technology teams.
  • Demonstrable exposure to third-party claims service providers such as TPAs, loss adjusters, legal firms or outsourced operational teams.
  • Experience contributing to change programmes, process redesign, automation, system enhancement or operational transformation activity.

Required Skills & Capabilities:
  • Claims operations expertise: Practical understanding of claims processes, operational controls, service standards, delegated authority arrangements and claims governance expectations.
  • Analytical capability: Strong ability to interpret claims MI, identify trends, assess operational performance and translate data into clear insight and action.
  • Process improvement: Ability to map processes, identify root causes, document procedures and implement practical improvements that enhance efficiency, quality and control.
  • Control and risk mindset: Strong appreciation of operational risk, audit evidence, quality assurance, regulatory obligations and the importance of clear accountability.
  • Stakeholder management: Confident working with senior stakeholders and cross-functional teams, with the ability to influence, challenge and build alignment.
  • Communication: Excellent written and verbal communication skills, including the ability to prepare concise reports, issue summaries, governance updates and executive-level materials.
  • Organisation and delivery: Strong planning, prioritisation and follow-through skills, with the ability to manage multiple workstreams, deadlines and dependencies.
  • Technology awareness: Comfortable using claims management systems, Microsoft Excel, PowerPoint and reporting tools; experience with Power BI, workflow tools or automation platforms would be advantageous.
  • Leadership potential: Able to coach others, promote consistent standards, support team engagement and contribute to a high-performing Claims Operations culture.

We aim to retain and attract great people, knowing they can achieve a rewarding and enriching career. We offer a competitive and above market compensation package. The following are some of the benefits and perks we offer our employees:
  • Medical
  • Dental
  • Vision
  • FSA Medical and Dependent care
  • Health Savings Account (HSA)
  • EAP
  • Basic Life and AD&D (company paid)
  • Basic Long-Term Disability (employer) paid-Taxable income
  • Employee paid Long Term Disability(voluntary)
  • Company Medical Leave, Parental leave- 8 weeks full pay after 6 months of service
  • Voluntary benefits: short term disability, Critical illness, Hospital Indemnity, Accident
  • Travel assistance programs Company paid
  • 401(k) 6 % safe harbor match, fully vested after two years, pre- and post-tax contributions allowed
  • Gym reimbursement
  • Legal plan
  • Pet Insurance
  • Tuition reimbursement
  • Generous PTO
  • Flexible work arrangement
  • Fully stacked pantry on-site
  • Team outings
  • ERG Groups

Our CCPA Job Applicant Policy is found here: Sirius-America-CA-Job-Applicant-Privacy-Policy-Final.pdf
SALARY: The estimated annual salary range for this position is mentioned below. This is a good-faith assessment of the salary range for this position only. In determining the actual salary within this range, SiriusPoint will consider a candidate's relevant experience, location, and other job-related factors.
SALARY RANGE
$120,000-$135,000 USD
United behind common goals
At SiriusPoint we work as one team across our global business, and we unite that team behind common goals, understanding the positive impact we can all make at SiriusPoint. We aim to retain and attract great people, knowing they can achieve a rewarding and enriching career.
Our Purpose is to provide security and resilience in an uncertain world.
Our Vision is to be recognized as a best-in-class underwriter utilizing deep risk capabilities to protect our customers. Blending our talent, expertise, and data to provide intelligent risk solutions.
Our culture is one ofperformance and accountability. Our people are our experts, and you will be empowered to apply your expertise in a supportive, collaborative and purposeful environment.
Our Values are at the heart of our business, and which guide everyday actions and decision making.
  • Integrity: Integrity, respect and trust are our core principles
  • Customer Focused: Our customers are the reason we exist
  • Solution Driven: Creating solutions is our mindset
  • Diversity: Diversity, inclusion and allyship make us stronger
  • Collaboration: Collaboration drives outperformance

Why Should You Join SiriusPoint?
Our people are our experts, and from day one you will be empowered to apply your expertise in a supportive, collaborative, and purposeful environment. Our Values - Integrity, Customer Focused, Solution Driven, Diversity, and Collaboration - are at the heart of our business, and they guide our everyday actions and decision making. We also unite our global team behind common goals, ensuring you can make a meaningful impact.
We Achieve More Together
At SiriusPoint, we know that diversity, inclusion and allyship make us stronger. We value and are committed to supporting the unique voices, backgrounds, cultures, lifestyles, and contributions of the diverse global employee base that make up our business.
We know that a diverse and equitable culture, where all voices are included and heard, is critical to our success as an employer. We are committed to developing our DE&I strategy to ensure that SiriusPoint remains a supportive and empowering place of work.
We are unable to sponsor or take over sponsorship of an employment visa at this time.

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