What are the responsibilities and job description for the Corporate Governance Director - Claims position at UFG Insurance?
UFG is currently hiring for a Corporate Governance Director - Claims who will be a detail-oriented professional with a strong understanding of property, casualty, and workers’ compensation claims. This role is primarily responsible for overseeing claims regulatory compliance and quality assurance, ensuring adherence to DOI regulations, Sarbanes-Oxley requirements, and internal compliance standards. Key responsibilities include managing DOI compliance requests and exams, evaluating policies and best practice to maintain regulatory alignment, and overseeing claims payment compliance. This role also provides strategic oversight of claims administration including authority management, entitlement audits, system access controls and Medicare compliance. Additionally, the director serves as the primary liaison with internal audit, leading claims involvement in audits, ensuring the development and execution of action plans, and tracking regulatory reporting and quality assurance initiatives.
Beyond compliance, this role provides critical oversight of shared services functions within the claim’s organization. This includes managing adjuster licensing and appointments, claim’s quality assurance program, subrogation, SIU, and vendor relationships in partnership with the Vendor Management office. This director also collaborates closely with Finance, Reinsurance, and claims leadership to oversee budget planning, vendor contract expenditures and travel budget allocations for the claim’s organization. This position requires strong analytical skills, regulatory expertise, and the ability to drive operational excellence across multiple disciplines within the claims function.
Responsibilities
Development and maintenance of the governance framework for the entire department including but not limited to:
Claims Regulatory Compliance/Quality Assurance
Active contributor to corporate initiatives and to claims strategic planning
Qualifications
Education:
Beyond compliance, this role provides critical oversight of shared services functions within the claim’s organization. This includes managing adjuster licensing and appointments, claim’s quality assurance program, subrogation, SIU, and vendor relationships in partnership with the Vendor Management office. This director also collaborates closely with Finance, Reinsurance, and claims leadership to oversee budget planning, vendor contract expenditures and travel budget allocations for the claim’s organization. This position requires strong analytical skills, regulatory expertise, and the ability to drive operational excellence across multiple disciplines within the claims function.
Responsibilities
Development and maintenance of the governance framework for the entire department including but not limited to:
Claims Regulatory Compliance/Quality Assurance
- DOI compliance requests and exams
- Evaluate Policies and Guidelines and Claims Best Practices to ensure compliance to DOI regulations
- Sarbanes Oxley Review/compliance (SOX)
- Payment oversight/compliance
- System Administration (authority oversight, entitlement audit and system access)
- Medicare Compliance
- Manage the relationship with Internal Audit operating as the direct point of contact signing off on the annual control workflows, oversight of Claims involvement in the audit process including the development of action plans and management responses to findings ensuring completion by the due dates
- Oversight of Claims regulatory reporting
- Quality Assurance program
- Adjuster Licensing and Appointments
- Subrogation
- SIU
- Vendor Oversight in partnership with Vendor Management Office
- Work with Vendor Management Office to vet new vendor requests, contract review, involvement in vendor playbook/catalog, approval and contract signing along with SOC review
- Reinsurance Oversight in partnership with Ceded Re and Finance
- Responsible for quality review process to control leakage, backup Property Director on Pillar reporting along with managing our reinsurance relationships
- Direct oversight of the entire budget for Claims working closely with Finance. Working closely with claims leadership peers to ensure transparency and adherence to budget
- Managing vendor contract spend
- Oversight of allocation of travel budget
Active contributor to corporate initiatives and to claims strategic planning
Qualifications
Education:
- Bachelor’s Degree Required
- Insurance designations such as CPCU, SCLA, AIC, CIC, and AIM preferred, or working toward within the first 2 years
- 10 years of experience in the Property & Casualty insurance industry, preferred
- 5 years in leadership role managing legal, regulatory and compliance requirements, preferred
- 5 years in a leadership role within a claim’s organization, preferred
- General office environment
- Frequently the job requires working irregular hours, evenings, or weekends
- Might be required to lift and/or carry up to 50lbs on occasion
- Excellent people & communication skills
- Adaptable & Resilient
- Ability to coach others to successful outcomes & to appropriately empower others via delegation
- Ability to effectively plan and execute a business strategy
- Ability to analyze data to identify trends and to resolve problems
- Industry knowledge, including the ability recognize emerging issues and understand the potential impact on our business
- Ability to adjust to varied jurisdictions and legal environments
- Demonstrated advanced technical proficiency
