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Brighterway

Builds AI software for workers' compensation claims

Senior Claims Manager - Workers' Compensation

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • At least 8 years of workers’ compensation claims experience, including at least 3 years managing adjusters.
  • A track record running a claims unit at a third-party administrator, carrier, or large self-insured employer.
  • Experience with program transitions and requests for proposals.
  • Ability to read loss runs and dashboards fluently and identify needs for better reporting.

Responsibilities

  • Build and lead the claims operation behind Brighterway’s claims administration offering.
  • Stand up and run the claims team, including staffing models, caseload standards, quality audits, and escalation paths.
  • Own claims outcomes for assigned customers and report on them.
  • Lead program transitions, including file transfer, data mapping, reserve review, and customer communication.
  • Partner with product and engineering on workflow design, automation, and reporting.
  • Represent Brighterway with customers, brokers, and regulators on claims matters.
  • Hire and manage adjusters, set quality standards, own customer relationships at the claims-leadership level, and decide with engineering which parts of claims work the platform should handle and which remain with people.

Desired Qualifications

  • Federal programs experience, including Longshore, Black Lung, or FECA.
  • Multi-state experience across the Midwest and Appalachia.

About the Company

Brighterway

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.

Company size
11-50
Company stage
Seed
Total funding
$130K
Headquarters
San Francisco, CA
Founded
2023

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