ARM (Advanced RISC Machine), Acceptance Testing, Application Programming Interface (API), Artificial Intelligence (AI), Auditing, Automation, Bug Tracking/Defect Management, Claims Processing, Cross-Functional, Ecosystems, Establish Priorities, Finance, Guidewire, Industry/Trade Analysis, Insurance, Insurance Certifications, Internal Audit, Leadership, Legal, Operational Improvement, Operational Strategy, Operational Support, Presentation/Verbal Skills, Privacy Controls, Process Improvement, Production Control, Regulations, Regulatory Compliance, Regulatory Requirements, Risk, Semantic Reasoner, Subrogation
P&C Claims Industry Expert
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