What are the responsibilities and job description for the Director, Corporate Claims, REMOTE position at Accident Fund Holdings, Inc.?
Job Description
This position requires residency within the US. Business hours : EST or CST.
REMOTE opportunity
SUMMARY :
This role is responsible for planning, organizing, directing, controlling and leading strategy, performance and operations within Corporate Claims (Workers' Compensation and Property and Casualty Claims). This role will set the vision and identify strategic direction for claims operations throughout the Enterprise. This role will support corporate goals and objectives and direct activities of planning, staff development, problem solving and communications. This role will establish business unit's goals and objectives that support continuous quality improvement, manage and develop business unit leadership and provide effective / efficient solutions to complex business problems. This role provides a high level oversight and leadership to business unit and leads change effectively.
RESPONSIBILITIES / TASKS :
- Responsible for Claims Strategy throughout the Enterprise .
- Oversight of claims systems and processes including Enterprise Way and Target Operating Model
- Responsible for formulating large scale, current and multi-year plan strategy development in a dynamic and evolving environment.
- Leads change management efforts within claims functions.
- Manages claims customer experience and strategy.
- Execute and continuously improve end-to-end process model operations.
- Construct and execute data driven performance management of processes, programs, vendors, staff and providers. Conduct operations in a planned, metric-driven approach.
- Provide vision, leadership, planning, project coordination and management for the development of a cost-effective department while concurrently facilitating efficient operations to meet current and future business needs within the organization.
- Partner and guide clients and key customer contacts through a continued process improvement effort to better engage members and providers in the Quality space
- Responsible for establishing and oversight of claims training strategies and programs.
- Upon request, function as the department head in the absence of the Executive of the area.
- Participate in the development of programs as a strategic partner that supports the company plan.
- Participate in development of annual departmental budget, monitor budget and identify budget discrepancies. Research cause and make recommendations.
- Responsibility for balancing workload to optimize the effectiveness of the department.
- Liaison to Data and Analytics.
DIRECTION EXERCISED :
Directly supervises exempt and non-exempt staff in accordance with company policies and applicable Federal and State Laws. Responsibilities include but are not limited to effectively interviewing, hiring, terminating, and training employees; planning, assigning and directing work; appraising performance; rewarding and counseling employees; addressing complaints and resolving problems; supporting and encouraging the engagement process.
This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
EMPLOYMENT QUALIFICATIONS :
EDUCATION :
Bachelor's degree in a related field. Continuous learning, as defined by the company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.
EXPERIENCE :
Ten years of progressively more responsible experience in an insurance environment with demonstrated technical experience that provides the necessary knowledge, skills and abilities. Five years of experience in claims management including leadership experience implementing new claims programs. Five years of leadership experience in an insurance company.
SKILLS / KNOWLEDGE / ABILITIES (SKA) REQUIRED :
WORKING CONDITIONS :
Work is performed in an office / remote setting with no unusual hazards. Travel may be required.
The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.
Pay Range "Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $123,300 and $206,600."
We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.
AFICA #LI-MG1
About the Team
Accident Fund Insurance Company of America
Salary : $123,300 - $206,600
