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Senior Vice President, Claims

Trisura Group
Stamford, CT Full Time
POSTED ON 2/18/2025
AVAILABLE BEFORE 5/13/2025

At Trisura , we expect more because we believe it can be done better.

We are a young, growth-oriented team with a commitment to exceptional talent and have been named one of Canada’s Top Small and Medium Employers since 2017. Our growth and our entrepreneurial style, niche market position, and development opportunities ensure that our people see the results of their commitment reflected in the company’s success.

We are currently seeking a qualified individual to join the Trisura Group Leadership Team.

SENIOR VICE PRESIDENT, CLAIMS

Reporting to the President & CEO of Trisura Group Ltd., the SVP, Claims is a strategic role within Trisura. The SVP, Claims is responsible for overseeing the organization’s claims operations to ensure efficient, accurate, and customer-focused processing of claims. This role involves managing internal claims teams, monitoring the performance of Third-Party Administrators (TPAs), and ensuring compliance with regulatory standards, company policies, and service-level agreements (SLAs). The SVP, Claims will oversee the claims functions for both the Canadian and US operations and will collaborate closely with all departments to achieve our organizational goals.

Accountabilities

  • Deliver the overall Claims vision and road map for all lines of business (fronting, professional lines, property, surety, warranty), in close consultation with Trisura’s senior leadership team.
  • Develop and implement strategic plans to drive claims strategy in alignment with the organization’s risk management and operational goals.
  • Establish key performance indicators (KPIs) to track team performance, productivity, and effectiveness in managing claims.
  • Lead, coach, and develop a team of claims professionals to achieve high performance and continuous improvement.
  • Foster a collaborative and customer-focused work culture within the claims department.
  • Establish and track team objectives and provide feedback to support professional growth.
  • Ensure effective training and development for claims team members to enhance their skills and maintain high performance standards.

Claims Management

  • Oversee end-to-end claims processes, including intake, investigation, resolution, and closure, ensuring adherence to organizational standards.
  • Evaluate and resolve escalated claims to maintain fairness and consistency.
  • Drive claims strategy in alignment with the organization’s risk management and operational goals.
  • TPA Oversight and Monitoring

  • Monitor Third-Party Administrators (TPAs) to ensure compliance with agreed service-level agreements (SLAs) and performance metrics.
  • Conduct regular audits and reviews of TPA processes, documentation, and outcomes to identify areas for improvement.
  • Act as the primary liaison between the organization and TPAs, facilitating effective communication and issue resolution.
  • Evaluate and report on TPA performance through key performance indicators (KPIs) and periodic scorecards.
  • Provide guidance to TPAs on complex claims, policy interpretations, and compliance requirements.
  • Compliance and Risk Management

  • Ensure claims processes comply with regulatory requirements, industry standards, and organizational policies.
  • Collaborate with internal stakeholders to manage claims-related risks and implement mitigation strategies.
  • Keep up to date with industry trends, legal changes, and best practices in claims management.
  • Data Analysis and Reporting

  • Analyze claims data to identify trends, areas for cost control, and process improvement opportunities.
  • Prepare and present regular reports to senior management, highlighting key insights and recommendations.
  • Collaborate with IT and data teams to optimize claims systems and reporting tools.
  • Qualifications :

  • Comprehensive knowledge of the P&C insurance industry gained through 15 years of experience in insurance claims management, with at least 5 years in a senior leadership role.
  • Self-motivation and entrepreneurial outlook with strong interpersonal skills and an ability to work effectively within a team environment.
  • Solid experience building and leading teams of professionals.
  • Ability to work collaboratively across departments and countries and manage multiple priorities.
  • Strong analytical and decision-making abilities.
  • Outstanding communication, presentation, and leadership skills.
  • Excellent negotiation and relationship-building skills.
  • Proven ability to manage deadlines effectively.
  • Dedication to exceptional customer service.
  • Passion for excellence.
  • Education Requirements :

  • Bachelor’s degree in business, insurance, risk management, or a related field.
  • Advanced degrees and industry designations (e.g. CPCU, ARM, AIC, CIP / FCIP, CRM, etc).
  • If you are looking for a career in an exciting and rewarding company, are driven to excel, thrive in a team environment, and want to contribute to the success of an organization that values your contribution, we would like to hear from you!

    We are committed to an inclusive and barrier-free workplace that reflects the diversity in each of our offices across North America. Accommodations will be provided on request for candidates taking part in all aspects of our recruitment and selection process.

    We thank all candidates for their interest; however, only those selected for an interview will be contacted.

    Trisura , headquartered in the heart of Canada’s financial district, is a specialty lines insurer with a focus on Surety, Specialty Insurance, Property & Casualty, and Warranty products.

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