P&C Claims Industry Expert (Industry Advisor)

P&C Claims Industry Expert (Industry Advisor)

San Antonio, TX or Phoenix, AZ

Employment Fulltime

Must Have Technical/Functional Skills

•              15–20+ years in Personal Lines Claims, claims transformation, claims technology, or equivalent combination.

•             Demonstrated success leading cross-functional initiatives that improved claims outcomes (cycle time, leakage, compliance, experience).

•             Strong experience working within U.S. regulatory frameworks for claims operations; exposure to market conduct, internal audits, and remediation.

•             Proven capability translating complex claims processes into technology requirements and operational change.

•             Executive-level communication: able to present senior leadership with clear options, risks, and recommendations.

•             Guidewire Claim Center exposure (implementation, upgrade, modernization, or operations support)—preferred, not mandatory.

•             Certifications: CPCU, AIC, ARM, or relevant US insurance industry certifications.

•             Experience with digital FNOL, workflow automation, subrogation, rules engines, fraud analytics, STP, and API-based integration ecosystems.

•             Large program experience (multi-state, multi-LOB, multi-vendor).

Roles & Responsibilities

The P&C Claims Industry Expert brings the P&C Claims domain knowledge, Industry trends, strategy, prioritization, automation, process improvements, operation efficiency, AI opportunities, and delivery outcomes for P&C claims transformation journey. This leader bridges Claims, IT, Compliance, Risk, Legal, Finance, and vendor partners to modernize its claims platforms built on Guidewire Claims Center

•             Serve as business SME for core claims platforms and digital ecosystem.

•             Guidewire Claim Center knowledge (preferred) ; experience with other enterprise claims platforms acceptable.

•             Lead business discussion for workflows, rules, integrations (FNOL, estimating, document generation, payments, and communications)

•             Partner with Legal/Compliance/Risk to ensure claims processes and systems meet regulatory requirements, market conduct expectations, fair claims handling, and unfair claims practices standards.

•             Support the team in defining business objectives , epics/features, acceptance criteria, and measurable outcomes.

•             Lead or oversee UAT, production readiness, defect triage, and post-go-live stabilization.

Ensure third-party solutions meet security, privacy, and compliance expectations and integrate cleanly into the claims ecosystem

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