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Director of Risk Management (Workmen's Compensation Insurance Claims Management)

Grammar USA
Spring, NY Full Time
POSTED ON 3/25/2025
AVAILABLE BEFORE 5/24/2025

Role: Director of Risk Management (Workmen's Compensation Insurance Claims Management)
Location: Spring Valley, NY-10977
Position: Full Time Benefits

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!

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.

Job Type: Full-time

Pay: $200,207.00 - $285,629.00 per year

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • On-site gym
  • Paid time off
  • Parental leave
  • Professional development assistance
  • Referral program
  • Relocation assistance
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance
  • Wellness program

Compensation Package:

  • Bonus opportunities
  • Employee stock purchase plan

Schedule:

  • Day shift

Experience:

  • Workmen's Compensation Claims Management: 10 years (Required)
  • Leadership: 4 years (Required)

Work Location: In person

Salary : $200,207 - $285,629

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