Remote Medical Claims Processor Jobs in Edmonds, WA

Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners insurance at the center of this relationship. We differentiate and look to win in the massive and growing homeowners insurance opportunity by 1) providing the best services for homebuyers, 2) led by advantaged underwriting in insurance, 3) to protect the whole home.
As a leader in the home services software-as-a-service ("SaaS") space, we've built deep relationships with approximately 30 thousand companies that are key to the home-buying transaction, such as home inspectors, mortgage companies, and title companies.
In 2020, Porch Group rang the Nasdaq bell and began trading under the ticker symbol PRCH. We are looking to build a truly great company and are JUST GETTING STARTED.
Job Title: Head of Operations, Warranty
Location: United States
Workplace Type: Remote
Job Summary
The future is bright for the Porch Group, and we'd love for you to be a part of it as ourHead of Operations, Warranty
Job Summary
Porch Consumer Services is a division of Porch Group that helps homeowners protect, manage, and maintain one of life's most important investments, their home. Through our home warranty brands, including American Home Protect, Residential Warranty Services, and Porch Warranty, we serve hundreds of thousands of customers across the country, providing coverage and peace of mind across the systems and appliances that matter most.
We are looking for a Head of Operations to lead and scale the operational engine behind our home warranty business. This is a high-impact leadership role responsible for overseeing two core functions, claims management and contractor network management, that together define how we deliver on our promise to customers.
You will set the strategic direction, build the systems and processes that drive operational excellence, and ensure we have the right people, tools, and processes in place to maintain rigorous financial controls and regulatory compliance across the claims lifecycle. This is an opportunity to build and lead a critical function at a company that is investing meaningfully in its warranty business. You will help define what great looks like for our customers, our contractor partners, and our team, and drive the next phase of operational growth.
What you will do as a Head of Operations, Warranty:
Operational Leadership

• Lead and develop the Warranty Operations team across claims operations and contractor network management, setting clear direction, fostering a culture of ownership, and ensuring the team has what it needs to perform at a high level.
• Establish and own the operating rhythm of the team, including business reviews, initiative execution, and performance reporting, ensuring the team is aligned, informed, and moving with urgency.
• Build and maintain a high-performing culture grounded in accountability, continuous improvement, and customer focus, including oversight of onboarding, training, and team development programs.
• Partner closely with the Head of Business Operations and Fulfillment on operational strategy, resourcing decisions, and cross-functional priorities.

Claims Operations Oversight

• Oversee the end-to-end claims lifecycle across all product lines, ensuring alignment with policy terms, SOP requirements, and compliance standards.
• Own operational performance across claims, driving continuous improvement against key metrics including claim cycle time, first-touch resolution rate, claims approval rate, cost per claim, and customer satisfaction scores.
• Ensure audit readiness and SOX compliance across all claims processes; oversee escalations including reputation management, Attorney General complaints, and legal matters.
• Oversee financial controls related to claims, including payment processing, reconciliation, refunds, and chargebacks in partnership with Accounting.

Contractor Network Oversight

• Oversee the contractor network management function, ensuring we maintain a high-quality, responsive network of service technicians across all product lines and markets.
• Own contractor network performance, driving continuous improvement against key metrics including fulfillment rates, contractor quality scores, and dispatch accuracy.
• Provide strategic direction on contractor sourcing, vetting, onboarding, and performance management, ensuring we have the supply needed to meet customer demand.
• Partner with Claims Operations and Accounting to ensure accurate contractor assignment, dispatch, and payment.

Systems, Tools & Process Excellence

• Oversee operational systems including PCMI/PCRS and Zoho, ensuring system integrity and driving adoption of tools that improve efficiency and visibility.
• Own the development and maintenance of SOPs and operational policies across both functions, ensuring processes are standardized, scalable, and audit-ready.
• Champion the use of technology and AI tools to automate routine tasks, improve claims handling, and enhance reporting and decision-making.
• Lead implementation of new products, services, and operational initiatives in partnership with Product, Marketing, and Legal.

Performance Management & Reporting

• Define and own the KPI framework across claims and contractor operations - including claim cycle time, fulfillment rates, cost per claim, NPS/CSAT, and backlog aging, and use those insights to drive decisions and ensure leadership has timely visibility into operational health.
• Drive monthly performance reviews and backlog audits, proactively identifying and addressing gaps before they impact customers or SLAs.
• Build and maintain reporting infrastructure that supports data-driven decision-making across both functions.

What You Will Bring Head of Operations, Warranty:

• 7-10 years of experience working for a best-in-class warranty company in a leadership role, including management of multiple teams.
• Proven track record of leading through managers - setting direction, building accountability, and developing talent at the Senior Manager level and below.
• Strong knowledge of claims operations and the end-to-end claims lifecycle, with an ability to quickly understand contractor network dynamics.
• Demonstrated ability to develop SOPs, manage backlogs, and drive performance against SLAs across multiple queues and product lines.
• Excellent analytical and problem-solving skills, with the ability to translate data into operational decisions and communicate clearly to leadership.
• Experience implementing or optimizing operational systems (e.g., PCMI/PCRS, Zoho) and driving process improvement at scale.
• Hands-on experience leveraging AI and automation tools to improve operational efficiency, claims handling, or call center performance.
• Strong understanding of regulatory compliance, audit readiness, and SOX requirements as they apply to claims operations.
• Effective cross-functional collaborator with experience partnering across Accounting, Legal, Product, and external partners.
• Bias to action and comfort operating in ambiguity, with the ability to move quickly, make sound decisions with incomplete information, and adapt as the business evolves.

he application window for this position is anticipated to close in 2 weeks (10 business days) from July 13th, 2026. Please know this may change based on business and interviewing needs
At this time, Porch Group does not consider applicants from the following states for remote positions: Alaska, Arkansas, Delaware, Hawaii, Iowa, Maine, Mississippi, Montana, New Hampshire, and West Virginia.
What You Will Get As A Porch Group Team Member
Pay Range*: $138,800 - $194,300 Annually
Please know your actual pay at Porch will reflect a number of factors among which are your work experience and skillsets, job-related knowledge, alignment with market and our Porch employees, as well as your geographic location.
You will be eligible to receive long-term incentive awards, subject to program guidelines and approvals.
You will also be eligible to receive sales incentives, subject to program guidelines and approvals.
Our benefits package will provide you with comprehensive coverage for your health, life, and financial wellbeing.

• Our traditional healthcare benefits include three (3) Medical plan options, two (2) Dental plan options, and a Vision plan from which to choose.

• Critical Illness, Hospital Indemnity and Accident plans are offered on a voluntary basis.

• We offer pre-tax savings options including a partially employer funded Health Savings Account and employee Flexible Savings Accounts including healthcare, dependent care, and transportation savings options.

• We provide company paid Basic Life and AD&D, Short and Long-Term Disability benefits. We also offer Voluntary Life and AD&D plans.

• Both traditional and Roth 401(k) plans are available with a discretionary employer match.

• Supportlinc is part of our employer paid wellbeing program and provides employees and their families access to on demand guided meditation and mindfulness exercises, mental health coaching, clinical care and online access to confidential resources including will preparation.

• LifeBalance is a free resource to employees and their families for year-round discounts on things like gym memberships, travel, appliances, movies, pet insurance and more.

• Our wellness programs include flexible paid vacation, company-paid holidays of typically nine per year, paid sick time, paid parental leave, identity theft program, travel assistance, and fitness and other discounts programs.

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What's next?
Submit your application and our Porch Group Talent Acquisition team will be reviewing your application shortly! If your resume gets us intrigued, we will look to connect with you for a chat to learn more about your background, and then possibly invite you to have virtual interviews. What's important to call out is that we want to make sure not only that you're the right person for us, but also that we're the right next step for you, so come prepared with all the questions you have!
Porch is committed to building an inclusive culture of belonging that not only embraces the diversity of our people but also reflects the diversity of the communities in which we work and the customers we serve. We know that the happiest and highest performing teams include people with diverse perspectives that encourage new ways of solving problems, so we strive to attract and develop talent from all backgrounds and create workplaces where everyone feels seen, heard and empowered to bring their full, authentic selves to work.
Porch is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable laws, regulations, and ordinances.
Porch Group is an E-Verify employer. E-Verify is a web-based system that allows an employer to determine an employee's eligibility to work in the US using information reported on an employee's Form I-9. The E-Verify system confirms eligibility with both the Social Security Administration (SSA) and Department of Homeland Security (DHS). For more information, please go to the USCIS E-Verify website.