What are the responsibilities and job description for the Director of Claims Management position at Sonasoft IT Services LLC?
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: $175,000.00 - $285,000.00 per year
Schedule:
- 8 hour shift
Work Location: On the road
Salary : $175,000 - $285,000
