TPA Manager

March 7

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RYZE Claim Solutions

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RYZE Claim Solutions is a national and privately held claims services firm committed to providing value-added claims management and a level of service that is unrivaled in the industry. They employ a hands-on, comprehensive approach to provide resources, technology, and manpower to efficiently resolve complex claims. Their services include property adjusting, catastrophe claims, flood adjusting, casualty adjusting, and customized TPA services across the United States. RYZE is dedicated to quality service and is known for its quick turnaround times and professionalism, making them a vital partner in the claims industry.

Daily Property • Flood • Catastrophe • TPA/Claims Administration • Casualty

1001 - 5000 employees

🤝 B2B

💸 Finance

📋 Description

• At RYZE Claim Solutions, we’re committed to delivering exceptional claims management services with integrity, innovation, and expertise. • As a TPA Manager, you will play a pivotal role in ensuring our claims professionals deliver industry-leading service while driving efficiency, performance, and client satisfaction. • Why RYZE? We foster a collaborative and growth-driven culture where leaders are empowered to innovate, improve processes, and develop their teams. • This is your chance to lead a high-performing claims team, enhance operational effectiveness, and make a meaningful impact on both our employees and clients. • What You’ll Do • Lead & Support – Provide guidance and leadership to claims professionals, enabling them to maximize their potential and meet client expectations. • Optimize Workflows – Manage workload distribution across the team, ensuring optimal efficiency and productivity. • Drive Performance & Quality – Conduct regular audits (monthly, quarterly, annual) to maintain top-tier quality assurance. • Proactively Address Issues – Identify and resolve employee performance issues while fostering a high-performing, service-driven team culture. • Ensure Claims Progression – Oversee claim inventories, regularly reviewing reports on aging, productivity, and backlog to drive claims to closure effectively. • Enhance Processes & Systems – Collaborate with leadership to improve claims handling systems, workflows, and overall team effectiveness. • Manage Client Relationships – Communicate directly with clients to identify and resolve concerns while delivering exceptional service. • Oversee Complex Claims – Provide expert-level guidance to adjusters handling complex claims, ensuring adherence to best practices and policy compliance. • Support CAT Response Efforts – Lead preparation and response efforts during catastrophic events that require swift ramp-up and deployment. • Handle Carrier Correspondence – Respond to assigned TPA carrier correspondence, including proofs of loss, denial responses, and complaint resolutions. • Contribute to Company Success – Engage in strategic initiatives that promote continuous improvement, innovation, and team collaboration.

🎯 Requirements

• Bachelor’s degree (preferred) or equivalent experience in claims management • 5+ years of industry experience, with at least 3+ years of management experience • Previous TPA experience strongly preferred • Proficiency in Xactimate estimating software • Exceptional leadership, analytical, and problem-solving skills • Excellent oral & written communication abilities • Strong computer skills, including proficiency in Microsoft Office Suite (Word, Excel, Outlook) • Bilingual (Spanish) a plus

🏖️ Benefits

• Remote work flexibility – Lead a high-performing team from anywhere • A dynamic and engaging company culture – We believe in innovation, collaboration, and leadership excellence • Opportunities for career growth and advancement – We invest in our leaders and their long-term success • Competitive compensation and benefits – Because top talent deserves top rewards