ClaimSorted

Insurance

HeadofClaims

$150–200k London, United Kingdom; New York, New York, United States; Dallas, Texas, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Executive candidates.

The Brief

“Head of Claims at ClaimSorted. Skills: Claims operations, Technical governance, Process redesign. Redesign claims handling. Own claims standards”

What You'll Achieve.

Dramatically faster resolutions; Lower leakage; Better customer experience; Claims quality; Technical accuracy; Leakage reduction; Complaint rates; SLA performance; Backlog performance; QA scores; Audit scores; Fraud outcomes; Litigation outcomes; Recovery performance; Team quality; Team satisfaction; Claims governance

Industry & Context.

Insurance
Problems you'll solve

Identify operational bottlenecks; Eliminate unnecessary complexity; Make hard decisions

Eligibility Requirements

5 days a week in-person, Skilled Worker visa sponsorship

What They're Looking For.

Must Have

5 days a week in-person, 7–15 years of claims experience, Deep technical claims expertise, Experience working in a startup, Experience leading claims operations, Experience managing Team Leads, Understanding of leakage, Understanding of fraud, Understanding of litigation exposure, Understanding of recoveries, Understanding of QA frameworks, Knowledge of regulatory requirements, Knowledge of compliance requirements

Nice to Have

Legal background strongly preferred

What You'll Do.

Redesign claims handling

Work with engineering

Rethink claims lifecycle

Build systems that scale

Coach technical excellence

Handle claims personally

Create operational model

Rebuild claims operations

Redesign escalation structures

Redesign claims governance

Identify operational bottlenecks

Eliminate unnecessary complexity

Build scalable claims standards

Partner with product teams

Partner with engineering teams

Define claims handling standards

Own governance for claims

Drive improvements in leakage

Drive improvements in fraud prevention

Drive improvements in recoveries

Drive improvements in audit performance

Review difficult claims

Make final technical decisions

Develop Claims Handlers

Develop QA specialists

Create coaching systems

Create calibration frameworks

Create technical training

Build a culture of ownership

Build a culture of urgency

Build a culture of high standards

Act as senior claims expert

Support strategic insurer discussions

Build trust with carriers

Build trust with MGAs

Build trust with brokers

Build trust with enterprise partners

How You'll Work.

Team & Collaboration

Work with founders; Partner with product; Partner with engineering; Partner with operations; Customer and partner meetings

Communication Scope

Customer communication; Partner meetings; Insurer discussions

Process & Methodology

Process management, Resource planning

Full Job Description

A Company That Matters Insurance exists to support people at their most vulnerable, after an accident, illness, theft, fire, or crisis. Claims are the moment of truth. That’s why we’re passionate about making every claim more empathetic, more efficient, and more human. ClaimSorted is an AI-native Third Party Administrator that manages claims operations for insurers across auto, property, travel, gadget, pet, renters, and liability. We combine world-class claims talent with proprietary AI systems to deliver dramatically faster resolutions, lower leakage, and a fundamentally better customer experience We’re backed by some of the largest funds in the world Y Combinator, Atomico, and Eurazeo, and already manage claims for MGAs and insurers across the US, UK, and Europe, including publicly traded companies and some of the most well-known household names. Now we’re looking for a Head of Claims to help redefine how claims should operate in the modern world. Not optimize around the edges. Not maintain legacy processes. Rebuild the function entirely. The Role This role requires 5 days a week in-person at our London, New York or future Dallas office This is not a traditional insurance leadership role. We are looking for someone who sees claims as an operational, technical, and product problem - not just a people-management problem. Your mission will be to redesign how claims handling works across products, regions, workflows, escalation management, QA, fraud prevention, recoveries, litigation handling, and customer communication. You will own claims standards across the company and work directly with founders, product, engineering, and operations to rethink every part of the claims lifecycle. You’ll build systems that scale. You’ll coach technical excellence into the organization. You’ll personally handle claims to stay close to reality. You’ll make hard decisions under pressure. And you’ll help create the operational model that defines the future of claims. This role is for

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