Complaints Manager

Cover Genius

$90K — $120K *
Finance & Insurance
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years of experience in disputes or complaints management in financial services or insurtech
  • Knowledge of US state-specific adjuster licensing requirements
  • Ability to execute processes in regulated environments with operational excellence
  • Tech-native with proficiency in AI-driven tools for automating tasks
  • Collaborative mindset for working with QA and Training
  • Deep familiarity with US insurance regulations and DOI communications
  • Metrics-driven approach for performance monitoring and improvement

Responsibilities

  • Own and oversee the daily complaints process for the Americas, ensuring regulatory deadlines are consistently met
  • Analyze policy terms and claims documentation for sound determinations and draft communications to regulatory authorities
  • Break down complex cases to make business decisions and prioritize team projects
  • Manage and develop team leads, stepping in to resolve critical customer issues
  • Identify systemic failures and lead remediation activities to prevent recurring issues
  • Use complaint data to identify service gaps and partner with QA and Training for improvements
  • Mentor team on utilizing AI tools to enhance capacity and efficiency
  • Provide transparent, data-backed updates to leadership on regional risks

Benefits

  • Flexible work environment with hybrid scheduling
  • Opportunity to work with passionate, like-minded individuals
  • Engagement in philanthropy through CG Gives programs
  • Emphasis on social initiatives and team-building activities
  • Supportive culture that adapts to life’s changes
Full Job Description
Application form

About the Role

As a Senior Complaints Manager (Americas) on our Customer Team, you will lead a team of Complaints Specialists and serve as the regional lead for our regulatory response framework. Your mission is to move beyond simple resolution, ensuring every customer receives a technically accurate, timely response that protects our global standing.

You will be at the forefront of managing and hardening our complaint resolution ecosystem, collaborating with stakeholders across Legal, Insurance, Underwriters, and Claims to de-risk our operations. To drive success, you will use complaint data as a diagnostic tool to partner with QA and Training teams. By identifying recurring friction points and providing actionable insights, you will increase customer satisfaction, decrease legal risk, and ensure our regional growth is supported by a lean, high-performing engine.

Key Responsibilities
  • Own the Americas Framework: Run the day-to-day complaints process for the US. You are responsible for ensuring the team hits every regulatory deadline (including NAIC and state-specific mandates) with 100% technical accuracy.
  • Analysis & Drafting: You will critically analyze policy terms and claim documentation to ensure determinations are sound and defensible. You will be responsible for drafting communications to regulatory authorities, translating intricate insurance concepts and fact patterns into clear, professional narratives that resolve regulatory inquiries.
  • Advanced Process Management: Make critical business decisions by breaking down complex cases and backing your reasoning with advanced analysis. You will define which projects the team prioritizes and set aggressive timelines to reach regional goals quickly.
  • Lead through Team Leads: Manage and develop a growing team by leading your Team Leads by example. You will personally step in to resolve the toughest customer issues, ensuring your team consistently delivers at an elite level.
  • Systemic Root Cause Remediation: Lead Remediation Activity by identifying systemic failures that impact multiple customers. You will drive the necessary changes to our infrastructure to prevent these issues from recurring.
  • Drive Improvement Insights: Partner with QA and Training teams to turn complaint data into actionable insights. You will identify service gaps and use our internal feedback loops to improve global training and customer outcomes.
  • AI-Augmented Leadership: Mentor your team in using our AI-augmented toolstack to increase capacity and unblock technical hurdles, ensuring that technology handles the routine so your people can focus on high-judgment work.
  • Report the Ground Truth: Provide data-backed updates to leadership regarding regional risks, prioritizing transparency and "ground truth" over generic status updates.


Qualifications
  • Experience: 8 + years of experiencein dispute resolution or complaints management within a high-growth financial services or insurtech environment.
  • Licensing: demonstrated experience navigating US state-specific adjuster licensing requirements and ensuring licensed complaint handling across multiple jurisdictions.
  • Operational Excellence: You are a disciplined lead who knows how to execute a global process perfectly on the ground in a regulated market.
  • AI-Fluency: You are tech-native and comfortable using AI-driven tools to automate routine drafting and data sorting. You look for ways to use technology to remove "busy work" from your team's plate.
  • Collaborative Mindset: You enjoy working with QA and Training teams to turn "problems" into learning opportunities for the wider business.
  • US Regulatory Knowledge: Deep familiarity with US insurance regulations and experience communicating directly with state Departments of Insurance (DOI).
  • Data-Driven: You use metrics as a diagnostic tool to monitor team performance and identify where to deploy fixes.
What you will have
  • Problem solving.
  • Strong customer focus and empathy.
  • Driven, energetic, positive approach.
  • Organizational and time management skills.
  • Excellent attention to details.
  • Professional approach and confident manner.
  • Ability to adapt quickly to a start-up pace environment and culture.
Why Cover Genius?

Cover Genius not only cares about being the best in our industry, we care about our team. We're a business that understands life can be fluid and so we flex to ensure we provide the environment to suit that. What does that mean?
Flexible Work Environment - Our teams are hybrid. We work from home on Wednesdays and Thursday and attend the office on Monday, Tuesday and Friday with flexibility around start/finish times.
Work with like-minded people who are passionate about both the work we're doing and giving back. Our CG Gives programs enable us to all become philanthropists through our peer recognition and rewards system.
Social Initiatives - pictures speak a thousand words!

Sounds interesting? If you think you have the best composition of the above, send us your resume and let's chat!

Annual base salary range is $90,000 - 120,000. Compensation will vary on experience

Similar Jobs

More Jobs at Cover Genius

More Finance & Insurance Jobs

Find similar Complaints Manager jobs: