Lead Claims Specialist - IntelliScript (Remote)

What We Do

Milliman IntelliScript is a group of a few hundred experts in fields ranging from actuarial science to information technology to clinical practice. Together, we develop and deploy category-defining, data-driven, software-as-a-service (SaaS) products for a broad spectrum of insurance, health IT and life sciences clients. We are a business unit within Milliman, Inc., a respected consultancy with offices around the world.

Candidates who have their pick of jobs are drawn to IntelliScript's entrepreneurial and collaborative culture of innovation, excellence, exceptional customer service, balance, and transparency. Every single person has a voice in our company, and we challenge each other to push the outer limits of our full, diverse potential. And, we've shown sustained growth that ensures you'll have room to grow your skillset, responsibilities, and career.

Our team is smart, down-to-earth, and ready to listen to your best ideas. We reward excellence and offer competitive compensation and benefits. Visit our LinkedIn page for a closer look at our company, and learn more about our cultural values here.

Milliman invests in skills training and career development and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERGs) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our website to learn more about Milliman's commitments to our people, diversity and inclusion, social impact, and sustainability.

What this position entails

As an innovator in risk assessment, Milliman embraces technology and builds renowned data-driven tools that evaluate risk for a wide variety of applications. Nodal is a comprehensive SaaS solution that uses artificial intelligence (AI) to analyze structured and unstructured data to predict high-cost claims. The Nodal product team can assemble data from unstructured sources, build predictive models using cutting-edge machine learning techniques, and implement with experienced claims consultants to ensure successful implementation for our clients. We are seeking a seasoned claims professional to serve as the claims leader for Nodal. This individual will leverage deep expertise in property & casualty insurance - specifically workers' compensation, auto liability, and general liability - to guide clients in adopting and maximizing value from AI-driven solutions.

What you will be doing

• Act as the primary claims leader for Nodal, ensuring product strategy and client deployments reflect industry best practices.
• Partner with carrier and TPA clients to design and implement AI-enabled workflows that enhance efficiency, accuracy, and financial outcomes.
• Lead client engagements to ensure successful deployment, adoption, and sustained optimization of Nodal across claims operations.
• Provide expert guidance on medical management, litigation management, and complex claim handling strategies.
• Translate client needs and claims domain expertise into actionable product requirements for the Nodal product team.
• Serve as a thought leader, representing Milliman at client meetings, industry conferences, and internal knowledge-sharing forums.

What we need

• A Bachelor's degree or higher
• 10+ years of progressive claims leadership experience within P&C insurance, preferably in workers' compensation, auto liability, and general liability.
• Proven track record in medical management, litigation management, or related areas is highly desirable.

What you bring to the table

• Ability to provide expert guidance on claims operations to clients and internal teams.
• Ability to translate client needs and claims expertise into actionable product requirements for the product team.
• Ability to support client engagements to ensure successful deployment, adoption, and sustained optimization of technology solutions.
• Strong ability to engage with executive and operational stakeholders, driving adoption of innovative technologies.
• Strategic thinker with hands-on operational experience, capable of bridging business needs with technology solutions.
• Excellent communication and client-facing skills, with the ability to influence and educate across levels of an organization.
• Apply relevant technical knowledge and skills to perform effectively, while actively seeking opportunities to learn and develop expertise.

Wish list

• Experience leading claims operations at a national carrier or TPA
• Familiarity with AI, advanced analytics, or claims technology platforms, including prior involvement in technology implementations.
• Deep knowledge of medical cost containment strategies (bill review, utilization review, provider networks, nurse case management).
• Professional designations such as AIC, CPCU, or ARM
• MBA, JD, or other advanced degree

Location

The expected application deadline for this job is December 31, 2025. This position is open to remote work. Applicants must be willing to travel to the Milliman office in Brookfield, WI as needed and travel nationwide for meetings, conferences, and team events.

Compensation

The overall salary range for this role is $117,500 - $232,680. For candidates residing in:

• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, Pennsylvania, Virginia, Washington, or the District of Columbia the salary range is $129,250 - $213,290.
• New York City, Newark, San Jose, or San Francisco the salary range is $141,000 - $232,680.
• All other locations the salary range is $117,500 - $193,900.

A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.

Benefits

We offer a comprehensive benefits package designed to support employees' health, financial security, and well-being. Benefits include:

• Medical, Dental and Vision - Coverage for employees, dependents, and domestic partners.
• Employee Assistance Program (EAP) - Confidential support for personal and work-related challenges.
• 401(k) Plan - Includes a company matching program and profit-sharing contributions.
• Discretionary Bonus Program - Recognizing employee contributions.
• Flexible Spending Accounts (FSA) - Pre-tax savings for dependent care, transportation, and eligible medical expenses.
• Paid Time Off (PTO) - Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
• Holidays - A minimum of 10 paid holidays per year.
• Family Building Benefits - Includes adoption and fertility assistance.
• Paid Parental Leave - Up to 12 weeks of paid leave for employees who meet eligibility criteria.
• Life Insurance & AD&D - 100% of premiums covered by Milliman.
• Short-Term and Long-Term Disability - Fully paid by Milliman.

Equal Opportunity

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran.