PAIGE/JOBBANK

Claims Operations Manager (Systems & AI)

Los Angeles, CA, USCAPosted 31 Oct 2026Remotelocal_ats

<div style="padding: 56.25% 0 0 0; position: relative;"><iframe style="position: absolute; top: 0px; left: 0px; width: 688px; height: 387px;" src="https://player.vimeo.com/video/1232459537?h=a9ce59b57a&badge=0&autopause=0&player_id=0&app_id=58479" width="" height=""></iframe></div> <p><span data-contrast="none">If you love owning a system and seeing it run smoother, faster and with better data because of your work, this role is for you. Here, you’ll design the workflows our claims team runs on, own the platform behind them, and build the reports and AI tools that guide the company’s growth.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <p><span data-contrast="none">At Allied Public Adjusters, our mission is a world where every property loss is settled truthfully and equitably. Since 1997, we've worked on behalf of policyholders to demand what's right by using technical expertise, field investigations, and uncompromising quality. We empower policyholders with the most skillful representation, while ensuring carriers have the information they need to do what's right. Today we're rebuilding how we handle claims around pods: player-coaches leading tiered adjusters, with dedicated estimators and attorneys, all working to one standard.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <p><span data-contrast="none">The Claims Operations Manager is the bridge between our claims team and our technology. Our Director of Claims defines what good looks like and coaches the team. You design and build the systems that make it happen and measure it: the workflows, Claimore (our in-house claims platform), the dashboards and audits, and the AI tools the team works with. </span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <p><strong><span data-contrast="none">Responsibilities</span></strong><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <p><span data-contrast="none">Design the Workflows</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <ul> <li><span data-contrast="none">Design and update the systems our claims team works in for ease of use, depth and accuracy, across every workflow a claim runs through: client onboarding, the client relationship, carriers, vendors, legal, and our in-house estimating and contents team.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Configure each workflow from the handoff after signing through the settlement profile, with stages, handoffs, triggers and SLA timers, so the team can follow it easily and every step can be tracked.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Translate stakeholder requests into defined solutions to build or backlog.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> </ul> <p><span data-contrast="none">Build the Reporting, Dashboards and Audits</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <ul> <li><span data-contrast="none">Design, run and maintain the audits that show whether files meet the standard, starting with the 45-day file audit, submissions within 30 days, call and email logging, and file handling.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Track submissions and how fast they go out, collections against submissions, cycle time, caseload by adjuster tier, and audit scores.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Turn the KPIs and outcomes the Director of Claims defines into automated scorecards and dashboards, for the department, every pod and every adjuster.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Own the claims numbers the company reports, so leadership and the All Hands work from one version. </span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Pull data from Claimore and our other systems into one view, with Claimore as the source of truth, and keep improving it as claim volume grows.</span><span data-ccp-props="{"335559685":720}"> </span></li> </ul> <p><span data-contrast="none">Claimore Product Owner</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <ul> <li><span data-contrast="none">Serve as product owner of Claimore: own the roadmap and the backlog, and decide what our vendor development team builds and in what order.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Turn stakeholder input into clear requirements, prioritize them against everything else on the backlog, and keep the Director of Claims updated on deadlines and delivery.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Accept each release before it reaches the team, and check the development team's invoices against delivered work.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> </ul> <p><span data-contrast="none">Build with AI</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <ul> <li><span data-contrast="none">Build the tools yourself: dashboards, automated audits and reports, using AI tools like Claude along with Power BI and Excel. Larger Claimore features go to the development team.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Build and maintain our Claims AI, the Claude-based knowledge base our claims team works files with. The Director of Claims and the team supply what it knows; you structure it, keep it current and make it part of the team's day.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Look beyond Claimore for things to automate, from how we order aerial measurements and material testing to how we track collections.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> </ul> <p><span data-contrast="none">Leadership & Process</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <ul> <li><span data-contrast="none">Run a weekly review with the Director of Claims and the Chief Growth Officer, with an agenda and a pre-read: what you shipped, what the audits found, and what's next.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Change Claimore or a workflow on your own when the change doesn't require retraining. Review and align with the Director of Claims first for any changes that require retraining.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Review the SOPs the Director of Claims writes, and flag any step the system can't track.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Spend a week on site each quarter shadowing the teams who use what you build, to see what the data can't show you.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Grow the function with the pods: past three pods, hire and lead the ops managers who run audits and exceptions for the new ones. Lead well and build something reliable that scales, and the seat can grow into Director of Operations as ops expands beyond claims to growth, finance, people ops, IT and legal.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> </ul> <p><strong><span data-contrast="none">Requirements</span></strong><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <ul> <li><span data-contrast="none">5+ years of experience as product owner of a software product, managing the backlog, priorities and releases directly with a development team, in-house or vendor. </span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Has designed and run operational workflows, and redesigned a process so the data it produces is complete and reliable.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Can build dashboards and reports from raw data, in Power BI, SQL, Excel or AI tools like Claude.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Has designed and run audits, compliance reviews or quality programs on detailed files or processes.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Actively builds with AI: has made a real tool, workflow, agent or knowledge base with tools like Claude, at work or on their own time. </span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Strong project manager who keeps developers and stakeholders on a plan.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Writes and presents clearly, and runs meetings with an agenda and a pre-read.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Self-directed and responsive in a remote role, keeping a steady cadence with the people they depend on.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Experience in or around property insurance claims, with a working knowledge of the claim lifecycle and its terminology is ideal. </span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Has lived through a system rollout or data migration and seen what breaks after go-live is ideal. </span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> </ul> <p><strong><span data-contrast="none">Results</span></strong><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <ul> <li><span data-contrast="none">Every claim step from signing through settlement is tracked in Claimore, and leadership can see where any file stands without asking an adjuster. </span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">The claims team works files with the Claims AI every day, and it stays current. </span><span data-ccp-props="{"335559685":720}"> </span></li> <li><span data-contrast="none">Audits of claim and legal files run on schedule without manual pulls, and every finding ends as a system fix or a coaching item, never as the same report next month. </span><span data-ccp-props="{"335559685":720}"> </span></li> <li><span data-contrast="none">Every adjuster and pod has an automated scorecard, the Director of Claims and the Chief Growth Officer make their weekly decisions from your dashboards, and the company's claims numbers come from one source. </span><span data-ccp-props="{"335559685":720}"> </span></li> <li><span data-contrast="none">Claimore has one roadmap and one owner, the development team builds what the standard needs, and every invoice matches delivered work. </span><span data-ccp-props="{"335559685":720}"> </span></li> <li><span data-contrast="none">Audit scores and on-time submissions rise quarter over quarter, toward 90% on the 45-day audit. </span><span data-ccp-props="{"335559685":720}"> </span></li> <li><span data-contrast="none">Each new pod launches with its workflows, scorecards and dashboards live on day one.</span><span data-ccp-props="{"335559685":720}"> </span></li> </ul> <p><strong><span data-contrast="none">Logistics</span></strong><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <ul> <li><span data-contrast="none">Location: Remote within the Pacific, Central, or Mountain time zones.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Travel: Your first 30 days in person at our Southern California offices, then one week on site each quarter.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Schedule: Available during Pacific business hours of 9-6 PST.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> </ul> <p><strong><span data-contrast="none">Salary</span></strong><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <ul> <li>$140,000 - $160,000 base + 10% bonus </li> </ul> <p><strong><span data-contrast="none">Benefits</span></strong><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></p> <ul> <li><span data-contrast="none">401(k) with 3% non-elective contribution</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Health and dental insurance options</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Generous paid holidays and paid time-off policy</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Career advancement and professional development opportunities</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559685":720,"335559738":0,"335559739":0}"> </span></li> </ul> <p><strong><span data-contrast="none">Our Core Values: We Show Up with G.R.I.T. </span></strong><span data-ccp-props="{"134233117":false,"134233118":false,"335557856":16777215,"335559738":240,"335559739":240}"> </span></p> <ul> <li><span data-contrast="none">Go-Getters: We pursue truth and fairness with rigor and expertise. We are proactive, responsive, and committed to professional service.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335557856":16777215,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Relationship Builders: We nurture relationships based on mutual respect, challenging insurers when we must and helping them when we can, all in the spirit of resolving claim matters fairly.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335557856":16777215,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Intelligent Experts: We work to achieve mastery of our respective crafts, trusting our teammates to do the same. By focusing on core competencies, we create a team stronger than the sum of its parts.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335557856":16777215,"335559685":720,"335559738":0,"335559739":0}"> </span></li> <li><span data-contrast="none">Truth Champions: We pursue truth above all else. To champion our clients' interests most effectively, we seek precisely what is owed, nothing more, and absolutely nothing less.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335557856":16777215,"335559685":720,"335559738":0,"335559739":0}"> </span></li> </ul> <p><span data-contrast="none">We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335557856":16777215,"335559738":240,"335559739":240}"> </span></p> <p><span data-ccp-props="{}"> </span></p>

Source: local_ats. Description and metadata as published by the employer or its applicant tracking system on 2026-10-31. The apply link goes to the original source. Paige JobBank does not accept applications on the employer's behalf.