Job Description
Job Description
We are seeking a detail-oriented and customer-focused
Claims Representative with experience in captive insurance programs.
Key Responsibilities
Review, investigate, and manage claims within captive insurance programs from intake through closure
Coordinate with TPAs, adjusters, brokers, legal counsel, and insureds to ensure timely and accurate claim handling
Monitor claim reserves, settlement activity, and claim trends to ensure financial accuracy and program performance
Analyze loss data and identify patterns, emerging risks, and opportunities for loss mitigation
Assist captive members with claim-related questions, documentation, and reporting requirements
Ensure compliance with applicable state regulations, captive program guidelines, and internal policies
Prepare claims reports, summaries, and presentations for management, captive boards, and client meetings
Qualifications
3+ years of claims handling or claims administration experience, preferably within captive insurance, risk management, or self-insured programs
Knowledge of workers’ compensation, liability, property, and/or commercial claims
Understanding of captive insurance structures and alternative risk financing programs preferred
Experience working with TPAs and insurance carriers
Preferred Qualifications
Claims-related licenses or certifications preferred
Experience with loss runs, reserve analysis, and claims trend reporting
Familiarity with regulatory compliance and captive insurance operations
Experience in healthcare, transportation, construction, manufacturing, or other captive-heavy industries is a plus
Compensation & Benefits
Competitive salary based on experience
Health, dental, and vision insurance
401(k) with company match
Paid time off and holidays
Hybrid or remote flexibility depending on location and business needs