Client Claims Director

We're Hiring: Client Claims Director
Remote

Are you a strategic, client-focused leader who thrives on elevating claims performance and shaping high-impact programs? Join us as our Client Claims Director, where you'll oversee a dedicated claims team and serve as the guiding force behind exceptional service delivery for one of our key clients.

Role Overview:
✅ Lead client-focused claims operations by enhancing programs, analyzing adjuster performance, and ensuring exceptional outcomes aligned with Client Special Handling Instructions and company Best Practices.
✅ Partner with adjusters, Team Leaders, and Service Center Managers to streamline workflows, improve staffing effectiveness, and oversee investigations, reserves, and end-to-end claim handling with accuracy and efficiency.
✅ Serve as the primary liaison between the Client and Service Centers-managing data reporting, coaching staff on service excellence, and ensuring proper utilization of essential resources such as Medical Management, Subrogation, SIU, and legal partners.

If you're a strategic, analytical, and collaborative leader who thrives on driving meaningful change and ensuring exceptional claim service, this is your opportunity to make a significant impact.

• College Degree preferred or education equivalent to a college degree or the equivalent experience in related work experience.
• Seven more years of progressive technical claim experience, including supervisory and/or management experience, demonstrating a high degree of judgment and discretion, is capable of providing adequate guidance and support on administrative and technical claim matters.
• Attainment of the Associate in Claims designation, and successful completion of, or active study for, I.I.A. MGT 43, and MGT 44, or the equivalent in related studies or work experience.
• Demonstrated ability to supervise the work of others.
• Demonstrates effective and diplomatic oral and written communication skills, and promotes a favorable company image to the public.

#LI-EM3

• Assists in the section, training and development of an effective and efficient staff.
• Monitors key metrics on a daily, weekly or monthly level as needed. Key metrics include general metrics as well as those specifically targeting client initiatives.
• Along with Account Executive, communicates Client's expectations and ensures compliance via interaction with Team Manager and Service Manager.
• Provides claim specific guidance to staff as applicable ensure proper investigation and timely equitable disposition of claims. Makes recommendations on reserves exceeding pre-determined authority level; conducts periodic reserve reviews to identify areas of concern and work with Team Manager to resolve.
• Analyzes files on a periodic basis to determine accuracy and completeness and to maintain control of quality of work.
• Works with Team Manager and Service Center Manager to ensure that claim personnel are knowledgeable on client special handling instructions, carrier requirements and work reflects same.
• Keeps VP of Claim Operations informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to SVP and VP of Claim Operations.
• Participates in special projects or performs duties in other areas as requested.
• Undertake reviews, based on predetermined criteria or as applicable, to ensure proper investigation and data collection.
• Works with staff to ensure training has taken place in the proper evaluation of claims from a legal, medical, and financial standpoint.
• Handle client concerns quickly and efficiently to resolution