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Job Description

As an innovator in risk assessment, our client embraces technology and builds renowned data-driven tools that evaluate risk for a wide variety of applications. Our client has a product that is a comprehensive SaaS solution that uses artificial intelligence (AI) to analyze structured and unstructured data to predict high-cost claims. The product team can assemble data from unstructured sources, build predictive models using cutting-edge machine learning techniques, and implement with experienced claims consultants to ensure successful implementation for our clients. We are seeking a seasoned claims professional to serve as the claim’s leader for our customers product. This individual will leverage deep expertise in property & casualty insurance - specifically workers’ compensation, auto liability, and general liability - to guide clients in adopting and maximizing value from AI-driven solutions.

Responsibilities include:

• Act as the primary claims leader for the product, ensuring product strategy and client deployments reflect industry best practices.

• Partner with carrier and TPA clients to design and implement AI-enabled workflows that enhance efficiency, accuracy, and financial outcomes.

• Lead client engagements to ensure successful deployment, adoption, and sustained optimization of the product across claims operations.

• Provide expert guidance on medical management, litigation management, and complex claim handling strategies.

• Translate client needs and claims domain expertise into actionable product requirements for the product team.

• Serve as a thought leader, representing Milliman at client meetings, industry conferences, and internal knowledge-sharing forums.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Skills and Requirements

• A Bachelor’s degree or higher

• 10+ years of progressive claims leadership experience within P&C insurance, preferably in workers’ compensation, auto liability, and general liability.

• Proven track record in medical management, litigation management, or related areas is highly desirable. • Experience leading claims operations at a national carrier or TPA

• Familiarity with AI, advanced analytics, or claims technology platforms, including prior involvement in technology implementations.

• Deep knowledge of medical cost containment strategies (bill review, utilization review, provider networks, nurse case management).

• Professional designations such as AIC, CPCU, or ARM

• MBA, JD, or other advanced degree