Senior Claims Manager
Brighterway
Senior Claims Manager
Brighterway
Builds AI software for workers' compensation claims
Brighterway is an ambitious, rapidly growing organization scaling its claims handling operations to meet customer needs and deliver high-quality workers’ compensation service.
Brighterway builds AI-native claims software and administration for casualty claims. We started in workers' compensation medical-legal review, where our agentic document pipeline sorts, de-duplicates and summarizes some of the most document-heavy files in the industry for national medical-evaluation networks. We are now building the claims platform on top of that foundation: intake across mail, fax, phone and email, bill review, subrogation, reserving signals, a workflow language, and state and federal reporting.
We are backed by Y Combinator and Maverick Ventures. Our customers handle protected health information every day, so we run HIPAA, SOC 2 and ISO 27001 programs. The team is small and technical and sits close to customers. Everyone ships, and everyone talks to the people who use what they ship.
You will build and lead the claims operation behind Brighterway's claims administration offering. That means hiring and managing adjusters, setting quality standards, owning customer relationships at the claims-leadership level, and deciding, with engineering, which parts of the job the platform should do and which parts stay with people.
Stand up and run the claims team: staffing models, caseload standards, quality audits, escalation paths.
Own claims outcomes for assigned customers and report on them.
Lead program transitions: file transfer, data mapping, reserve review, customer communication.
Partner with product and engineering on workflow design, automation and reporting.
Represent Brighterway with customers, brokers and regulators on claims matters.
8+ years in workers' compensation claims with at least 3 years managing adjusters.
Track record running a claims unit at a TPA, carrier or large self-insured employer.
Experience with program transitions and RFP responses.
Comfort with data: you read loss runs and dashboards fluently and ask for better ones.
Federal programs experience (Longshore, Black Lung, FECA).
Multi-state experience across the Midwest and Appalachia.
Small team, high trust, direct access to founders and customers.
We ship to production weekly and measure ourselves on customer outcomes.
Competitive salary and meaningful equity. Health, dental and vision coverage. Flexible time off.
Brighterway is an equal opportunity employer.
Location: Remote (United States) Employment type: Full-time
Builds AI software for workers' compensation claims
Brighterway builds AI software and runs claims administration for organizations handling workers' compensation and other casualty claims. Its customers include insurers, self-insured employers and medical examiners who need to turn large medical files into usable case information. The software sorts and deduplicates records, prepares summaries and chronologies, and supports claims work from intake through state reporting. Organizations buy its claims platform for their own teams or use its full-service administration, while examination practices use its record-review tools before preparing medical opinions. Brighterway was founded in 2023 and is headquartered in San Francisco.
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