Mlabs

Head of Claims

New York, New York, United States · Full-time

No sponsorship$150k-$200kDetected 7 days ago

AuditingLeadershipMentoringInternal Audit

About the role

This is not a traditional insurance leadership role.
The successful candidate will rebuild claims processes from first principles, establish global standards, and work closely with the founding, product, and engineering teams to integrate cutting-edge AI workflows.

Build highly scalable claims standards across multiple lines of business and diverse geographic regions.
Collaborate directly with product and engineering teams to automate workflows and continuously improve operations using AI.
Own Technical Claims Excellence Define and maintain technical claims handling standards across auto, property, liability, travel, renters, and other specialized products.
Drive continuous improvement across core metrics, including leakage, fraud prevention, recoveries, and audit performance.
Build and Scale Elite Claims Teams Recruit, develop, and mentor exceptional Claims Handlers, Team Leads, and QA specialists.
Manage Key Partner and Customer Relationships Serve as the senior claims subject matter expert during strategic partner, customer, and carrier meetings.
Support client launches, external audits, high-level escalations, and executive-level insurer discussions.
Cultivate deep trust with carriers, MGAs, brokers, and key enterprise partners.
Core Outcomes You Will Own Overall claims quality, technical accuracy, and claims governance across all active client accounts.
Extensive experience leading claims operations, managing technical governance, and leading Team Leads or Claims Managers.

Strong understanding of leakage control, fraud detection, litigation exposure, recoveries, and robust QA frameworks.

Rebuild Claims Operations from First Principles Redesign workflows, escalation structures, QA systems, and claims governance to eliminate unnecessary complexity and operational bottlenecks.
Establish and oversee governance frameworks for complex, high-risk, litigated, or precedent-setting claims.
Personally review difficult or high-value cases, making final technical decisions where required.
Elevate the organization's technical capabilities by creating coaching systems, calibration frameworks, and structured technical training.
Foster an internal culture centered on high standards, extreme ownership, and urgency.
Leakage reduction, fraud detection, and litigation outcomes.
SLA performance, backlog management, and low complaint rates.
QA and external audit scores, as well as recovery performance.

Generous and transparent equity participation, allowing you to share in the company's long-term success.
28 days of annual leave plus bank holidays in the UK (20 days of annual leave in the US).
Comprehensive private health insurance.
Pension contributions provided in line with UK auto-enrolment requirements (or regional equivalents).
$150K - $200K • Offers Equity • £110K - £150K Our client is an AI-native Third-Party Administrator (TPA) that is redefining how claims operations are managed globally.

Regular company offsites and the opportunity to build a category-defining company alongside exceptional colleagues.
Due to the high volume of applications we anticipate, we regret that we are unable to provide individual feedback to all candidates.
If you do not hear back from us within 4 weeks of your application, please assume that you have not been successful on this occasion.
We genuinely appreciate your interest and wish you the best in your job search.
At MLabs, we are committed to offer equal opportunities to all candidates.
We ensure no discrimination, accessible job adverts, and providing information in accessible formats.
Our goal is to foster a diverse, inclusive workplace with equal opportunities for all.
If you need any reasonable adjustments during any part of the hiring process or you would like to see the job-advert in an accessible format please let us know at the earliest opportunity by emailing human-resources@mlabs.city.
MLabs Ltd collects and processes the personal information you provide such as your contact details, work history, resume, and other relevant data for recruitment purposes only.
Your data may be shared only with clients and trusted partners where necessary for recruitment purposes.
You may request the deletion of your data or withdraw your consent at any time by contacting legal@mlabs.city.

Skilled Worker visa sponsorship is available for qualified candidates in the UK.

This listing is sourced directly from Mlabs's careers page and normalized into a canonical job model.