Senior Manager, Risk Operations

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as the main operational liaison for our TPA (Sedgwick), overseeing claim handling expectations, reserving practices, and escalation procedures.

• Evaluate and analyze loss runs, trends in claim frequency/severity, and the status of open claims; provide insights to the Sr. Director and initiate corrective actions with the team.

• Regularly assess large loss and litigated claims to ensure the TPA’s handling strategy is in alignment with program goals.

• Monitor SLA compliance and claims quality metrics, ensuring the TPA meets performance expectations.

• Detect patterns in claims data (by state, classification, production type, time of year) and convert findings into actionable recommendations aimed at risk reduction.

• Create and execute risk mitigation strategies, including safety programs, return-to-work policies, and best practices in claims management tailored to the workflows of the entertainment industry.

• Integrate claims and underwriting data to pinpoint areas for operational enhancements (improved classification, quicker reporting, focused safety guidance) that can decrease loss frequency and severity.

• Manage the comprehensive underwriting operations workflow—encompassing production company onboarding, classification, state jurisdiction setup, and policy endorsement execution.

• Monitor and report on Worker Compensation KPIs and SLAs throughout the WC program.

• Oversee, mentor, and cultivate the development of Workers Compensation Operations and Claims Specialists.

• Establish clear objectives, conduct regular one-on-ones, and promote accountability across all program areas—claims, risk mitigation, underwriting operations, and COI workflows.

• Distribute team workload evenly between claims and underwriting functions, adjusting resource allocation as production seasons and claim volumes fluctuate.

• Collaborate with the Sr. Director on capacity planning, recruitment, and team development as the program expands.

• Utilize AI tools (including Claude, Dust, and emerging platforms) as a fundamental aspect of daily operations—enhancing research, drafting, workflow automation, and overall team capability in AI.

• Develop and sustain a centralized Workers' Compensation knowledge base; work with AI Champions to create and implement self-service agents that minimize friction for internal teams and speed up decision-making.

• Act as Wrapbook's internal expert on WC program structures—constantly observing the landscape, identifying gaps in differentiation, and providing strategic insights to senior leadership.

⛳️ Requirements

• 5–8+ years of experience in workers’ compensation operations, insurance program management, or a related risk management role—exposure to both claims and underwriting/policy administration is essential.

• At least 4 years of experience in people management, preferably in a dynamic or high-volume setting.

• Comprehensive knowledge of WC claim lifecycles, reserving practices, and TPA performance oversight.

• Strong understanding of WC policy frameworks, classification systems, payroll-based premium calculations, and audit methodologies.

• A risk management mindset—naturally linking underwriting decisions to claims outcomes while seeking methods to minimize loss frequency and severity across the program.

• Proven experience in utilizing claims and policy data to identify trends, create reports, and suggest operational improvements.

• Established ability to manage vendor and broker relationships focused on accountability and measurable results.

• Exceptional communication skills, with the capacity to translate WC concepts for stakeholders outside of the insurance field.

🏝️ Benefits

• Unlimited Paid Time Off

• Work remotely from anywhere in Canada and the USA

• Health and Dental benefits

• Up to $1,500 USD/ $2,025 CAD for IT setup at home

• Up to 2% matching RRSP / 401K

• Opportunities for Learning and Development

• Up to $50 USD/ $67.50 CAD for Internet/Cell phone services