Silva-Lining HR is seeking a Fractional Customer Service (Claims) Manager for a client to oversee and optimize the end-to-end claims process, ensuring timely resolution, operational efficiency, and exceptional customer experience. This role requires a highly organized and proactive individual with experience in claims management, client communication, ticket pipeline management, and cross-functional project coordination.
The ideal candidate is proactive, highly responsive, solutions-oriented, communicates with professionalism and empathy, and thrives in an environment that requires strong ownership, accountability, and follow-through.
Responsibilities
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Oversee and manage the claims process to ensure timely and accurate resolution of customer issues
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Manage and maintain the ticket pipeline in HubSpot for order-related concerns, claims, and follow-ups
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Serve as the primary point of contact for all claim-related client communications, including phone and email support
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Handle escalated or complex claims and provide effective resolution strategies
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Lead project management efforts for claims resolution, including task delegation and coordination with internal team members, vendor partners, shipping providers, and repair services
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Monitor claims workflows to ensure deadlines and service expectations are consistently met
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Measure and analyze claim-related KPIs, including response times, resolution timelines, customer satisfaction, and operational efficiency
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Collaborate cross-functionally to improve claims handling procedures and customer service processes
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Analyze claims data to identify trends, recurring issues, and opportunities for process improvement
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Ensure compliance with company policies, procedures, and industry regulations
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Provide guidance, coaching, and support to customer service representatives as needed
This is a fractional, fully remote contractor opportunity requiring approximately 10 hours per week (around 2 hours daily), with availability aligned to EST business hours.
Requirements:
- Bachelor’s degree and/or equivalent related field experience
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3–5 years of experience in claims management, customer service, or a related operational support role
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2+ years of experience using HubSpot or similar CRM/ticketing platforms
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Proven experience with Shopify and project management software
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Strong project coordination skills with the ability to manage multiple moving parts simultaneously
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Excellent communication and interpersonal skills, particularly in client-facing situations
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Proficiency in claims management software and customer support systems
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Strong analytical skills with the ability to interpret data and generate actionable reports
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Highly detail-oriented with excellent organizational and time management skills
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Previous management experience overseeing teams, monitoring performance, and maintaining quality control standards
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Strong leadership skills with the ability to motivate, guide, and support team members
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Comfortable working independently in a fully remote environment
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Ability to manage sensitive customer situations with professionalism, urgency, and empathy
