• Job Description

  Req#: 574998

  At RYZE Claim Solutions, we’re committed to delivering exceptional claims management services with integrity, innovation, and expertise. As a TPA Manager, you will play a pivotal role in ensuring our claims professionals deliver industry-leading service while driving efficiency, performance, and client satisfaction.

  Why RYZE?

  We foster a collaborative and growth-driven culture where leaders are empowered to innovate, improve processes, and develop their teams. This is your chance to lead a high-performing claims team, enhance operational effectiveness, and make a meaningful impact on both our employees and clients.

  What You’ll Do

  • Lead & Support – Provide guidance and leadership to claims professionals, enabling them to maximize their potential and meet client expectations.

  • Optimize Workflows – Manage workload distribution across the team, ensuring optimal efficiency and productivity.

  • Drive Performance & Quality – Conduct regular audits (monthly, quarterly, annual) to maintain top-tier quality assurance.

  • Proactively Address Issues – Identify and resolve employee performance issues while fostering a high-performing, service-driven team culture.

  • Ensure Claims Progression – Oversee claim inventories, regularly reviewing reports on aging, productivity, and backlog to drive claims to closure effectively.

  • Enhance Processes & Systems – Collaborate with leadership to improve claims handling systems, workflows, and overall team effectiveness.

  • Manage Client Relationships – Communicate directly with clients to identify and resolve concerns while delivering exceptional service.

  • Oversee Complex Claims – Provide expert-level guidance to adjusters handling complex claims, ensuring adherence to best practices and policy compliance.

  • Support CAT Response Efforts – Lead preparation and response efforts during catastrophic events that require swift ramp-up and deployment.

  • Handle Carrier Correspondence – Respond to assigned TPA carrier correspondence, including proofs of loss, denial responses, and complaint resolutions.

  • Contribute to Company Success – Engage in strategic initiatives that promote continuous improvement, innovation, and team collaboration.

  What You Bring to the Table

  • Bachelor’s degree (preferred) or equivalent experience in claims management

  • 5+ years of industry experience, with at least 3+ years of management experience

  • Previous TPA experience strongly preferred

  • Proficiency in Xactimate estimating software

  • Exceptional leadership, analytical, and problem-solving skills

  • Excellent oral & written communication abilities

  • Strong computer skills, including proficiency in Microsoft Office Suite (Word, Excel, Outlook)

  • Bilingual (Spanish) a plus

  What’s in It for You?

  • Remote work flexibility – Lead a high-performing team from anywhere

  • A dynamic and engaging company culture – We believe in innovation, collaboration, and leadership excellence

  • Opportunities for career growth and advancement – We invest in our leaders and their long-term success

  • Competitive compensation and benefits – Because top talent deserves top rewards

  This is your opportunity to take your claims leadership career to the next level with a company that values your expertise, empowers your decision-making, and champions innovation.

• About the company

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