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PERSONAL INJURY CLAIMS MANAGER

XTN-36ED592

City
Taguig City, PHILIPPINES
Schedule
Office Location
FOUR/NEO

Make your next big career move by applying as KMC Solutions' next PERSONAL INJURY CLAIMS MANAGER

We are seeking a Personal Injury Claims Manager to lead, strategize, and optimize the firm’s Personal Injury (PI) claims operations across multiple teams. This role plays a critical part in driving case efficiency, ensuring compliance with U.S. PI standards, and enhancing overall client experience and claim outcomes.

The ideal candidate brings deep expertise in U.S. personal injury or insurance claims management, with a proven ability to balance strategic leadership (70%) and operational oversight (30%). The successful candidate will be responsible for setting the direction of the PI claims function while mentoring case managers, improving workflow processes, and ensuring seamless coordination with attorneys and medical/legal partners.

On top of your salary, here are the exciting benefits you can look forward to:

  • Health Insurance/HMO 
  • Enjoy unlimited MadMax Coffee
  • Diverse learning & growth opportunities
  • Accessible Cloud HR platform (Sprout)
  • Above standard leaves

The main responsibilities of a PERSONAL INJURY CLAIMS MANAGER include:

Strategic Leadership

  • Develop and implement strategies to improve case management efficiency, claim resolution rates, and client satisfaction.
  • Design team structures and optimize case workflows for improved throughput and quality of settlements.
  • Establish negotiation frameworks and oversee KPI tracking related to claim cycle time, settlements, and escalations.
  • Partner with executive leadership to identify opportunities for operational excellence and business growth.

Operational Oversight

  • Provide mentorship, performance feedback, and case review guidance to Case Managers and related Specialists.
  • Conduct case audits to ensure accuracy, compliance, and adherence to firm and U.S. PI standards.
  • Coordinate with attorneys, medical professionals, and other key stakeholders to ensure timely claim resolution and client satisfaction.
  • Support cross-departmental collaboration to address bottlenecks and ensure process alignment.

Compliance and Quality Control

  • Ensure strict adherence to California Bar, HIPAA, and insurance communication standards.
  • Maintain process transparency and documentation integrity in all claims management activities.
  • Oversee data protection and ensure compliance across all operational systems and processes.

Performance and Reporting

  • Track key success metrics including case throughput, cycle time reduction, settlement value optimization, and compliance accuracy.
  • Utilize tools and data reporting systems to monitor productivity and identify opportunities for improvement.
  • Provide regular performance and progress reports to the CEO and senior leadership team.
  • Use of Time Doctor for daily time tracking and productivity monitoring during work-related tasks.

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Key Performance Indicators (KPIs)

  • Case throughput and resolution rates
  • Claim cycle time reduction
  • Settlement value optimization
  • Client satisfaction and feedback scores
  • Reduction in escalations or compliance errors

To apply, you must be an expert on the following requirements:

  • 7+ years total relevant professional experience with a minimum of 3 years in leadership
  • Experience ideally in:
    • US Personal Injury law firm operations
    • Claims management related to the litigation process
  • Direct exposure to:
    • California PI practices strongly preferred
    • Case lifecycle management from intake to settlement and pre-litigation
  • Acceptable Adjacent Backgrounds (If PI talent is scarce):
  • Car insurance claims management
  • Medical insurance / medical claims with legal exposure
  • US legal/litigation operations experience
  • Must have handled legal case files directly, not just documentation or support tasks.
  • Needs fluency with legal terminology and end-to-end case workflows.

It will also be favorable if you are knowledgeable in:

  • US Personal Injury law firm operations - strong preference but not required,  given the limited talent pool in the Philippines
  • Tools: FileVine, Lead Docket, Google Workspace

The successful candidate must submit the following pre-employment requirements

  • Scanned copy of valid NBI Clearance
  • Accomplished Medical or PEME Slip (covered by KMC)
  • 2x2 & Half body picture with white background
  • Proof of government numbers (TIN, SSS, Pag-ibig, & Philhealth)
  • Photocopy of 2 valid IDs – front & back (government-issued)
  • Clear copy of your Birth Certificate (PSA or NSO)
  • Accomplished HR Forms & Promissory Note (will be provided by KMC’s Onboarding Team

Click here to view the complete list of KMC’s pre-employment requirements.

KMC Careers

If you're a rockstar at what you do and looking to be a part of our amazing story, we want to hear from you!

We offer attractive salaries and benefits plus you get to work in some of the Philippines' best flexible workspaces. Our employees also get to enjoy exclusive discounts, rewards and freebies, and invites to our monthly events. We are always recruiting for roles in IT & Development, Marketing, Business Administration, HR & Recruitment and Legal & Finance Roles.

KMC provides quality employment opportunities for job-seekers looking for a career that is both challenging and fulfilling. We are also committed to providing equal opportunities at every selection stage. We do not discriminate due to age, gender, sexual orientation, ethnicity, nationality, and religion.

Work with Us. Grow with Us.

KMC Solutions offers a variety of career opportunities in Metro Manila, Cebu and Clark & Iloilo. We are always looking for talented and enthusiastic individuals who are ready to make their next big career move.

Our Culture

At KMC, we foster an inclusive and positive workplace for all. We push our members to succeed in everything they do through our collaborative work environment. We encourage our community to work hard and reach their full potential while delivering results that matter for our members and you as professionals.

We host amazing and quality events and implement people-centric policies to work flexibly. We ensure that everyone in our expansive network is engaged, from our internal employees and those who work on behalf our offshore partners.

Life within KMC: Work Hard Party Harder

At KMC, we work hard and we are committed to putting our best foot forward in everything we do. Everyone is encouraged to be an individual while also working for the collective good of the KMC Community. We believe mistakes are opportunities and that you should not present a solution without a problem.

We also know when hard work deserves to be recognized so we reward our employees with monthly parties, free trips and much much more!

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