Pie Insurance
Denver, CO
Remote

Claims TPA Manager

| Greater Denver Area | Remote
Pie Insurance is an insurtech company tackling meaningful problems. At Pie, we work with small businesses using technology and innovation to improve how they access insurance. Like our small business clients, we are a diverse team of builders, dreamers, and entrepreneurs. So, at the heart of every decision we make is the idea that if it doesn’t serve our clients, it doesn’t serve us. 

Today, all Pie-oneers are working remotely and will continue to do so until it is safe to return to the office. As a remote team member, you will be expected to be available for meetings with team members in other time zones and have access to reliable, high-speed internet. 

Pie Insurance is seeking a Claims Third Party Administrator (TPA) Manager to manage our workers’ compensation TPA claims program(s). This position will report to Pie’s Director of Claims, and work closely with Pie’s TPA as well as our internal legal and compliance, underwriting, and customer success teams to understand, review, and guide decisions regarding coverage, compensability, and loss control. You will partner with our TPA leadership and claims teams to ensure the injured workers are receiving prompt and appropriate medical care, returning to work as effectively as possible, and providing the very best claims experience.

This role can work in our Denver or DC office once our office re-opens, or can continue to work in a remote location.

How You'll Do It

  • Managing expectations within and outside Pie around the overall Workers Compensation (WC) claims program and/or other small business insurance claims by conducting recurring claims reviews, developing investigation and closure strategies, and ensuring reserve and escrow allocations are adequate.
  • Managing safety and/or loss controls programs for Pie’s customers leveraging your analysis of claims frequency, severity, costs and risk mitigation approaches.
  • Performing monthly analysis to identify key drivers of new claims and develop mitigating strategies.
  • Partnering with our internal teams (Engineering, UX, Finance, Legal, Customer Care, Product, Underwriting) and TPA in order to facilitate diversity in thought and drive to deliver results.
  • Completing all monthly, quarterly, and annual State Reporting requirements on time and ensuring compliance.
  • Create a humanized claims process and manage the relationship with our TPA. 
  • Managing, tracking and responding when necessary to subpoena/legal requests related to WC claims.
  • Preparing analysis and business case justification for settlements requiring executive approval.
  • This is an experienced hire role. As a leader at Pie, you will be as comfortable and content managing projects and programs as you are managing people.
  • Team building and leadership are important in this role. You will manage our claims advocacy group who are focused on providing a top notch claims experience through their daily interactions with all of the important stakeholders in a claim’s overall success

The Right Stuff

  • High School diploma or equivalent is required. 
  • 8+ years of workers’ compensation experience with a minimum of 3 years of experience managing a TPA or WC claims directly.
  • 3+ years of people management preferred. 
  • Knowledge of and experience managing California claims strongly preferred.
  • Advanced attention to detail, experience and analytical competencies. Details matter, and especially in claims, so you pay attention to it all to ensure it gets done right.
  • Strong understanding of complexity of WC claims and why our relationship with a TPA is vital to our success.
  • Demonstrated Collaboration: Strong ability to articulate issues, questions, and requirements. Must be able to communicate openly, freely, and frequently with colleagues, customers, vendors, and insurance partners. Must confidently and actively participate, listen, and share. 
  • Strong multitasking and organization of work skills, must be able to set priorities by using data, your knowledge and experience to figure things out. 
  • Keen focus on customer experience, we are looking to provide a first class claims experience. Ability to share perspective to come up with the best possible solutions, whether it's through TPA partnership or on our own.
  • Advanced knowledge of workers’ comp, with ability to quickly and readily identify new opportunities for Pie. 
  • The ability to innovate is a must. Expect to constantly challenge the insurance industry status quo.

Pie Perks

  • Competitive salary
  • A piece of the Pie (in the form of stock options)
  • Comprehensive health plans
  • Generous PTO 
  • Paid sick leave 
  • Future focused 401k match
  • Generous parental leave
  • Our core values are more than just a poster on the wall; they’re tangibly reflected in our work and recognized with our monthly culture award. 

Compensation & Benefits 

Our goal is to make all aspects of working with us as easy as Pie. That includes our offer process. When we have identified talent that is a good fit for Pie, we work hard to present an equitable and fair offer. We look at your knowledge, skills and experience along with your compensation expectations and align that with our company equity processes to determine our offer ranges. 
We value and want to support our team members, and are proud to offer a comprehensive compensation package which includes the following:

Compensation Range for position: $92,500 - $118,500 

Other Benefits: Each year Pie reviews Company performance and may grant discretionary bonuses to eligible team members.

Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic.

Pie Insurance participates in the E-Verify program. Please click here, here and here for more information.

Our Achievements

Pie Insurance Named a Top Colorado Company 2020
Pie is rated Excellent by our customers on Trustpilot
Check out our great reviews from current and former employees on Glassdoor
Pie raises an additional $127M in funding

See More
Apply now
By clicking continue you agree to Built In’s Privacy Policy and Terms of Use.

Where we are

1755 Blake St , Denver, CO 80202

Technology we use

  • Engineering
  • Product
  • Sales & Marketing
    • .NETLanguages
    • C#Languages
    • PythonLanguages
    • ReactLibraries
    • ReduxLibraries
    • MongoDBDatabases
    • MixpanelAnalytics
    • BalsamiqDesign
    • AsanaManagement
    • ConfluenceManagement
    • JIRAManagement
    • WordpressCMS
    • SalesforceCRM
    • MarketoLead Gen
Previous
Next

What are Pie Insurance Perks + Benefits

Culture
Partners with Nonprofits
Friends outside of work
Eat lunch together
Intracompany committees
Pie Insurance has a group of Culture Ambassadors from across the organization. This group creates content and hosts activities that reflect our values and foster collaboration, and fun!
Daily sync
Open door policy
Team owned deliverables
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Highly diverse management team
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Onsite Gym
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
401(K) Matching
Company Equity
Performance Bonus
Child Care & Parental Leave Benefits
Generous Parental Leave
We provide up to 16 weeks of parental leave for the primary caretaker. Pie also provides 16 weeks of leave for the secondary caretaker.
Flexible Work Schedule
Pie provides employees with a flexible work schedule that includes Core hours.
Family Medical Leave
Return-to-work program post parental leave
Vacation & Time Off Benefits
Unlimited Vacation Policy
Generous PTO
Generous PTO policy
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Company Outings
Stocked Kitchen
Some Meals Provided
Happy Hours
Parking
We offer team members a parking subsidy.
Relocation Assistance
Professional Development Benefits
Lunch and learns
Cross functional training encouraged
Promote from within

An Insider's view of Pie Insurance

How does your team reward individual success?

Our Customer Care team rewards success by giving "snaps" in team and company slack channels. We like to verbally recognize people in our team meetings by giving them a shout out and telling them they are valuable to the team and are appreciated! It is important to also be conscious of how people like to be recognized and not put people "on blast".

Seika

Customer Success Working Team Lead

How do you collaborate with other teams in the company?

As a Sales Manager, I work closely with Underwriting & Customer Care on improving our processes to be more efficient from quote to issuance. With Marketing, I help with campaign initiatives to roll out to new and old prospects. I also connect with our UX & Product Teams to provide feedback on ways to enhance our online quote flow for our customers.

Marty

Inside Sales Manager

Jobs at Pie Insurance
19

All Jobs
All Jobs
Finance
Data + Analytics
Dev + Engineer
HR + Recruiting
Legal
Operations
Product
Sales
Tap to close

Backend Engineer

Pie Insurance
Greater Denver Area
1 day ago
+39
Engineers are innovative, driven by engineering excellence and create code that is a joy for other engineers to maintain and is highly testable. Rapid problem-solving is one of your core competencies. You’ll be collaborating with other world-class engineers to drive automation, leverage our analytics, and create awe-inspiring user experiences. The systems you develop will be large and must be highly resilient. This is a dynamic startup environment; you must love working on a design in the morning and performing root cause analysis on a production issue in the afternoon. You will be joining our team in downtown Denver, specifically LoDo within walking distance from Union Station. Everything we do is connected: we need you to be a strong communicator and a doer.

Director of People Operations

Pie Insurance
Greater Denver Area
3 days ago
+39
Pie Insurance is an insurtech company tackling meaningful problems. At Pie, we work with small businesses using technology and innovation to improve how they access insurance. Like our small business clients, we are a diverse team of builders, dreamers, and entrepreneurs. So, at the heart of every decision we make is the idea that if it doesn’t serve our clients, it doesn’t serve us.  Today, all Pie-oneers are working remotely and will continue

Sr. People Partner

Pie Insurance
Greater Denver Area
5 days ago
+39
Pie Insurance is an insurtech company tackling meaningful problems. At Pie, we work with small businesses using technology and innovation to improve how they access insurance. Like our small business clients, we are a diverse team of builders, dreamers, and entrepreneurs. So, at the heart of every decision we make is the idea that if it doesn’t serve our clients, it doesn’t serve us.  Today, Pie’s People and Talent teams are fully remote. Given

Senior DevOps Engineer

Pie Insurance
Greater Denver Area
1 week ago
+39
The Senior DevOps Engineer is responsible for maintaining, designing, and automating our DevOps processes. This position not only works on deliverables directly, but will be responsible for technically leading team members, and providing knowledge, guidance and resources to ensure on time delivery of products.

Executive Assistant

Pie Insurance
Greater Denver Area
1 week ago
+39
The Executive Assistant will be connecting with peers, immediate leadership, and Executives frequently to connect on collaborative efforts and update status needs and tasks. They will collaborate with other departments and leaders throughout the month to determine deliverables and check in on status needs.

Claims TPA Manager

Pie Insurance
Greater Denver Area
1 week ago
+39
Pie Insurance is seeking a Claims Third Party Administrator (TPA) Manager to manage our workers’ compensation TPA claims program(s). This position will report to Pie’s Director of Claims, and work closely with Pie’s TPA as well as our internal legal and compliance, underwriting, and customer success teams to understand, review, and guide decisions regarding coverage, compensability, and loss control. You will partner with our TPA leadership and claims teams to ensure the injured workers are receiving prompt and appropriate medical care, returning to work as effectively as possible, and providing the very best claims experience.

Senior Software Development Engineer in Test - (SDET)

Pie Insurance
Greater Denver Area
1 week ago
+39
At Pie we are pioneering a new approach to insurance. As a rapidly growing insurtech startup, we are disrupting an industry that is ripe for change. We focus on small business, and each Pie-oneer has the opportunity to help small business owners achieve their dreams through accessible and affordable workers compensation coverage. Pie has an inclusive, values-driven culture, where hard working self-motivated team members have limitless growth

Underwriter, Workers' Compensation

Pie Insurance
Greater Denver Area
1 week ago
+39
Pie Insurance is an insurtech company tackling meaningful problems. At Pie, we work with small businesses using technology and innovation to improve how they access insurance. Like our small business clients, we are a diverse team of builders, dreamers, and entrepreneurs. So, at the heart of every decision we make is the idea that if it doesn’t serve our clients, it doesn’t serve us.  Today, all Pie-oneers are working remotely and will continue

Assistant General Counsel

Pie Insurance
Greater Denver Area
1 week ago
+39
Pie Insurance is an Insurtech company tackling meaningful problems. At Pie, we work with small businesses using technology and innovation to improve how they access insurance. Like our small business clients, we are a diverse team of builders, dreamers, and entrepreneurs. So, at the heart of every decision we make is the idea that if it doesn’t serve our clients, it doesn’t serve us.  Today, all Pie-oneers are working remotely and will continue

Director, Reinsurance and Capital Solutions

Pie Insurance
Greater Denver Area
1 week ago
+39
Reporting directly to the CEO, the Director, Reinsurance and Capital Solutions will oversee reinsurance, risk finance, and the strategy for capital efficiency. As a leader at Pie, you will be responsible for reinsurance programs, determining the capital strategy for our reinsurance business, and be a liaison to credit agencies. You will communicate with customers and assist with plan design and distribution when necessary, as well as research and analyze reinsurance prices and specifications. 

Pricing Analyst

Pie Insurance
Greater Denver Area
1 week ago
+39
Pie Insurance is an insurtech company tackling meaningful problems.At Pie, we work with small businesses using technology and innovation to improve how they access insurance. Like our small business clients, we are a diverse team of builders, dreamers, and entrepreneurs. So, at the heart of every decision we make is the idea that if it doesn’t serve our clients, it doesn’t serve us.  If you are looking to make an immediate impact and are

People Partner

Pie Insurance
Greater Denver Area
2 weeks ago
+39
As one of our People Partners, you will provide an outstanding experience for our team members and leaders throughout the team member lifecycle, from onboarding through offboarding, while providing day-to-day support and coaching. While being paired with our Engineering, Product, and UX teams, you will develop strong knowledge and understanding of how our business works in order to support your leaders in building the teams they need to be effective. This includes developing high-trust, collaborative relationships with your business partners. 

Inside Sales Representative - Commercial

Pie Insurance
Remote
2 weeks ago
+39
As an Inside Sales Rep, you’ll be responsible for the growth of our direct customer channel while working with small business owners to provide them the support they need. Our sales team is flexible and adaptable as we navigate challenges and rapidly problem-solve in service of our awe-inspiring mission! 

Product Manager

Pie Insurance
Greater Denver Area
2 weeks ago
+39
Pie Insurance is an insurtech company tackling meaningful problems. At Pie, we work with small businesses using technology and innovation to improve how they access insurance. Like our small business clients, we are a diverse team of builders, dreamers, and entrepreneurs. So, at the heart of every decision we make is the idea that if it doesn’t serve our clients, it doesn’t serve us.  Today, all Pie-oneers are working remotely and will continue

Partner Experience Specialist

Pie Insurance
Greater Denver Area
2 weeks ago
+39
Pie Insurance is an insurtech company tackling meaningful problems. At Pie, we work with small businesses using technology and innovation to improve how they access insurance. Like our small business clients, we are a diverse team of builders, dreamers, and entrepreneurs. So, at the heart of every decision we make is the idea that if it doesn’t serve our clients, it doesn’t serve us.  The Partner Experience Specialist is part of a collaborative

Staff Backend Engineer

Pie Insurance
Greater Denver Area
3 weeks ago
+39
Staff Engineers are innovative, driven by engineering excellence and create code that is a joy for other engineers to maintain and is highly testable, and act as technical leads across the organization. They are capable of stretching themselves by exploring the unknown and helping technically guide the organization. Rapid problem-solving is one of your core competencies. You’ll be collaborating with other world-class engineers to drive automation, leverage our analytics, and create awe-inspiring user experiences. The systems you develop will be large and must be highly resilient. This is a dynamic startup environment; you must love working on a design in the morning and performing root cause analysis on a production issue in the afternoon.

Senior Backend Engineer

Pie Insurance
Greater Denver Area
3 weeks ago
+39
Senior Engineers are innovative, driven by engineering excellence and create code that is a joy for other engineers to maintain and is highly testable. Rapid problem-solving is one of your core competencies. You’ll be collaborating with other world-class engineers to drive automation, leverage our analytics, and create awe-inspiring user experiences. The systems you develop will be large and must be highly resilient. This is a dynamic startup environment; you must love working on a design in the morning and performing root cause analysis on a production issue in the afternoon.

Engineering Manager

Pie Insurance
Greater Denver Area
57 minutes ago
+39
Pie Insurance is an insurtech company tackling meaningful problems. At Pie, we work with small businesses using technology and innovation to improve how they access insurance. Like our small business clients, we are a diverse team of builders, dreamers, and entrepreneurs. So, at the heart of every decision we make is the idea that if it doesn’t serve our clients, it doesn’t serve us.  Today, all Pie-oneers are working remotely and will continue

Data Engineer

Pie Insurance
Greater Denver Area
57 minutes ago
+39
As a Data Engineer at Pie Insurance, you’ll be a member of the team responsible for transforming the commercial insurance market by delivering best-in-class data architecture solutions and driving more accurate data-driven decision making. Our team is looking for an experienced data engineer. We expect you’ll have spent at least 3 years in the data warehouse and/or data analytics space. Of course, you’ll also need certain skills and abilities to do the work.