What are the responsibilities and job description for the Director of Claims, Workers' Compensation position at King's Insurance Staffing?
Our client is seeking a strategic and results-oriented Workers’ Compensation Claims Director to lead and enhance their workers’ compensation claims department. This role is responsible for overseeing claims operations, compliance, and process optimization, ensuring efficiency and cost control while driving exceptional service. The ideal candidate will bring deep industry expertise, strong leadership capabilities, and a commitment to developing a high-performing team. They will implement best practices, leverage technology, and collaborate with cross-functional teams to enhance claims processing and risk mitigation.
Key Responsibilities:
- Lead and oversee the Workers' Compensation claims department, managing supervisors, adjusters, analysts, and support staff to ensure operational excellence.
- Develop and execute strategies to enhance claims workflows, optimize technology, and improve efficiency.
- Provide leadership in complex claims decisions, ensuring fair, timely, and cost-effective resolution.
- Ensure compliance with regulatory, legal, and company policies, maintaining high standards of claims management.
- Collaborate with the claims system design team, offering insights to refine system functionality and improve accuracy in claims adjudication.
- Analyze claims trends and performance data, preparing reports with actionable insights for senior leadership.
- Partner with external stakeholders such as third-party vendors, legal counsel, and service providers to enhance claims operations.
- Implement training and development programs to enhance the skills and knowledge of the claims team.
- Work closely with internal teams, including underwriting, legal, and customer service, to ensure alignment and improve processes.
- Monitor key performance indicators (KPIs), driving continuous improvement initiatives to enhance claims management.
- Stay informed on industry trends, emerging technologies, and regulatory updates, adapting strategies accordingly.
- Foster a collaborative and high-performance team culture, ensuring strong employee engagement and retention.
Qualifications & Skills:
- 10 years of proven leadership experience in workers’ compensation claims management.
- In-depth knowledge of claims handling processes, industry regulations, and best practices.
- Strong analytical and strategic thinking skills with a focus on operational efficiency and risk mitigation.
- Experience in claims technology implementation and process automation is highly preferred.
- Excellent communication and stakeholder management skills to collaborate effectively across departments and with external partners.
- Demonstrated ability to mentor and develop high-performing teams.
Compensation & Benefits:
- $180,000 to $225,000 annual based salary plus lucrative bonus
- Comprehensive health, dental, and vision insurance
- 401(k) with company match
- Paid time off and holidays
- Professional development opportunities
- Ability to work remotely
Salary : $180,000 - $225,000
