Director of Claims Management

Why Work with Our Client?

• Great work-life balance!
• Market leader in commercial insurance and risk management!
• Opportunities for career growth and professional development!
• Competitive Compensation & Benefits, including health insurance, retirement plans, and more!
  
  

Job Summary

Our client is seeking a dynamic and experienced Account Manager to lead their Workers' Compensation (WC) Claims Department. This individual will oversee a team of claims adjusters, analysts, and support staff, developing and implementing effective strategies for claims processing, compliance, and service delivery. The ideal candidate will have a strong background in WC claims management, leadership experience, and the ability to collaborate across departments to ensure optimal results.

Key Responsibilities

• Lead and manage the WC claims department, including overseeing claims adjusters, analysts, and support staff.
• Develop and implement strategies for efficient WC claims processing, focusing on workflows, technology integration, and customer service.
• Provide feedback and collaborate with the WC claims system design team to improve the system's functionality for efficient claims adjudication.
• Ensure compliance with legal, regulatory, and company policies.
• Review and evaluate complex WC claims, providing guidance and making high-level decisions.
• Prepare reports and analyses for senior management, identifying trends and recommending improvements.
• Ensure timely and accurate settlement of WC claims while controlling costs and mitigating company risk.
• Develop training programs for claims team members to improve skills and maintain high service standards.
• Maintain and develop relationships with external partners, including vendors, legal counsel, and service providers.
• Collaborate with other departments, including underwriting, legal, and customer service, to improve cross-functional communication and operations.
• Monitor key performance indicators (KPIs) for continuous improvement within the department.
• Stay informed on industry trends, regulatory changes, and technology advancements that could affect claims management.
• Foster a positive, collaborative work environment to maintain high employee morale and retention.
  
  

Qualifications

• In-depth knowledge of WC insurance claims processes, regulations, and industry best practices.
• Strong leadership skills with a proven ability to manage, coach, and develop teams.
• Excellent problem-solving and decision-making abilities, particularly in complex WC claims scenarios.
• Exceptional communication and interpersonal skills with a collaborative mindset.
• Strong analytical skills and experience in data-driven decision-making and reporting.
• Proficiency in WC claims management software and other relevant tools.
• A Bachelor’s degree in Business, Insurance, Risk Management, or a related field (preferred).
• 10 years of experience in WC claims management or a related field, with at least 4 years in a leadership role.
  
  

Please submit your resume for consideration. Qualified candidates will be contacted directly.

Skills: claims management software,communication,compliance,wc claims management,problem-solving,data analysis,claims management,risk,leadership,interpersonal skills,cross-functional collaboration,wc,compensation,management