What are the responsibilities and job description for the Director of Claims Management #ESF2059 position at ExpertHiring, LLC?
Job Description
Top Reasons to Work with our client
Great work-life balance!
Market leader in commercial insurance and risk management!
Offer a wide range of career paths and opportunities for growth!
Competitive Compensation and Benefits : health insurance, retirement plans, and other benefits!
Job Type : Full Time Location : Spring Valley, New York Pay : Competitive Pay & Benefits! Job Description What you will be doing :
Lead and manage the WC claims department, including supervision of WC claims adjusters, analysts, and support staff.
Develop and implement strategies for efficient WC claims processing, including workflows, technologies, and customer service practices.
Collaborate closely with the WC claims system design team to provide insightful feedback, ensuring the system's functionality supports efficient and accurate claim adjudication.
Ensure adherence to legal, regulatory, and company-specific standards and policies.
Review and evaluate complex WC claims, providing guidance on high-level cases and decisions.
Oversee the preparation of WC claims reports and analysis for senior management, identifying trends and suggesting improvements.
Ensure accurate and timely settlement of WC claims while controlling costs and mitigating risk to the company.
Develop training programs for WC claims team members to enhance their skills and ensure high-quality service.
Establish and maintain relationships with external partners, such as third-party vendors, legal counsel, and service providers.
Collaborate with other departments (e.g., underwriting, legal, customer service) to streamline operations and improve cross-functional communication.
Monitor key performance indicators (KPIs) for the WC claims department and lead continuous improvement initiatives.
Stay updated on industry trends, technology advancements, and regulatory changes that could affect claims management.
Foster a positive and collaborative work culture within the department, ensuring high employee morale and retention.
Experience you will need :
In-depth knowledge of WC insurance claims processes, regulations, and industry best practices.
Strong leadership skills with the ability to manage, coach, and develop teams.
Excellent problem-solving and decision-making abilities, especially for complex WC claims scenarios.
Exceptional communication and interpersonal skills, with the ability to collaborate across departments.
Strong analytical skills with experience in data-driven decision-making and reporting.
Proficiency with WC claims management software and other relevant tools.
Bachelor's degree in Business, Insurance, Risk Management, or related field (preferred).
10 years of experience in WC claims management or a related field with at least 4 years in a leadership role.
Our client asked me to submit 3 great people within the next few days. We work directly with the hiring manager and can arrange interviews within a few days
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