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Claims Director

Mai Placement
Spring, NY Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 5/28/2025

Claims Director

Spring Valley, NY (HYbrid is a possibility)

175-300K DOE plus Benefits

We are a rapidly growing Workers’ Compensation Carrier with a fast-paced, startup mindset , dedicated to delivering exceptional claims management, litigation support, and customer service . Our claims department prioritizes efficiency, accuracy, and compliance while ensuring the best outcomes for insureds and claimants.

As the Director of Claims Management , you will oversee the entire claims department , leading a team of adjusters, examiners, supervisors, and an associate director. This role is responsible for optimizing claims processes, training staff, and implementing new technology to improve efficiency. You will be hands-on in managing complex claims, ensuring compliance, and driving continuous improvements while maintaining a strong focus on team development and customer service .

This is an opportunity for a passionate, strategic leader to shape and elevate a growing claims operation in a highly collaborative and evolving environment .

Key Responsibilities :

  • Lead, develop, and manage the claims team, fostering a culture of high performance and accountability .
  • Implement and optimize claims-handling processes to ensure accuracy, efficiency, and superior customer service.
  • Train staff on best practices, workflows, and legal compliance.
  • Evaluate and refine processes to align with new claims software and industry changes.
  • Collaborate with insureds, claimants, and legal teams to ensure timely and fair resolutions.
  • Oversee complex claims cases , providing expert guidance on litigation, settlements, and cost control.
  • Monitor department KPIs and drive continuous improvement initiatives.
  • Work closely with other departments (legal, underwriting, customer service) to ensure seamless operations.

Ideal Candidate Profile

  • Experienced Leader – Proven ability to manage and mentor a claims team, fostering a culture of accountability and growth.
  • Workers’ Compensation Expert – Deep understanding of claims litigation, loss control, and compliance regulations.
  • Process-Oriented – Strong background in workflow optimization, efficiency improvements, and technology implementation.
  • Tech-Savvy – Comfortable with claims management software and leading new system integrations.
  • Strategic and Hands-On – Balances high-level strategy with day-to-day involvement in claims management.
  • Compassionate and People-Focused – Understands that leadership is about supporting and uplifting the team while driving performance.
  • Thrives in a Fast-Paced Environment – Adapts well to change and excels in a dynamic, non-corporate setting.
  • Minimum of 5 Years in Claims Management – Experience overseeing adjusters, examiners, and supervisors in a high-volume claims setting.
  • Excellent Communicator – Able to collaborate cross-functionally with legal, underwriting, and customer service teams.
  • Benefits :

  • 401(k) match (6%)
  • FSA (after 90 days)
  • Medical / Dental / Vision (after 30 days, 75% covered)
  • PTO (15 days) 5 sick days
  • Paid Holidays (Major Legal & Jewish 2 Floating)
  • Email Baila@maiplacement.com

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