Director, Claims Program Management, Property & Casualty

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Develop and implement the strategy for the P&C claims program, including the operational model, service standards, and annual objectives.

• Cultivate, mentor, and retain a high-performing team of program managers and specialists.

• Oversee financial, operational, customer, quality, compliance, and talent outcomes within the designated portfolio.

• Create governance structures for TPAs, MGAs/MGUs, independent adjusters, and other collaborators.

• Lead evaluations of operations, readiness for implementation, data mapping, staffing validation, control testing, disaster preparedness, and go-live governance.

• Perform annual or semi-annual audits of TPAs and MGAs/MGUs.

• Provide guidance on intricate, high-severity, coverage-sensitive, extra-contractual, catastrophic, litigated, and potentially systemic claims.

• Collaborate with Legal on counsel guidelines, litigation strategies, legal expenditures, panel performance, alternative dispute resolution, and vendor results.

• Ensure compliance with unfair claims practices legislation, licensing, data privacy, market conduct, sanctions, record retention, and internal controls.

• Maintain a risk-based audit program that encompasses coverage, investigation, reserving, payments, communications, litigation, subrogation, salvage, and compliance.

• Create dashboards and portfolio evaluations utilizing leading and lagging indicators.

• Enhance fraud referrals, subrogation, salvage, deductible, and aggregate tracking.

• Encourage prompt, clear, empathetic, and brand-consistent communication with customers and brokers.

• Collaborate with Underwriting, Actuarial, Legal, Compliance, Finance, Reinsurance, Distribution, and Technology.

⛳️ Requirements

• A Bachelor’s degree in insurance, risk management, business, finance, law, or equivalent experience.

• 10+ years of progressively responsible experience in P&C claims, with significant exposure to commercial or specialty casualty and/or property claims.

• 5+ years of experience in people leadership, program management, or delegated claims oversight within an insurance carrier, TPA, MGA/MGU, or a similar organization.

• Considerable experience with specialty products such as commercial general liability, commercial auto, property, professional liability, excess casualty, occupational accident, or other program business is preferred.

• Proven track record in managing complex and high-severity claims, litigation, reserves, coverage matters, audit programs, regulatory issues, and external claim partners.

• Proficient understanding of claims data, dashboards, financial metrics, system integrations, and technology-enabled process enhancements.

• Experience with claims platforms, business intelligence tools, and structured performance measures to inform operational decisions.

• Relevant insurance designations such as CPCU, AIC, SCLA, ARM, or similar are preferred.

• Willingness to travel for partner due diligence, governance reviews, partner onboarding, business meetings, and employee activities.

• Advanced proficiency in Microsoft Office tools – Outlook, Excel, Word, and PowerPoint.

• Capability to thrive in a fast-paced environment and adapt as necessary.

🏝️ Benefits

• Competitive compensation package.

• Generous 401K employer match.

• Employee Stock Purchase plan with employer matching.

• Generous Paid Time Off.

• Health, dental, and vision benefits.

• Wellness programs promoting physical, mental, and financial wellbeing.

• Tuition reimbursement.

• Industry-related certifications and professional training.

• Dynamic, ambitious, fun, and exciting work environment.

• Matching donation program.

• Volunteer opportunities.

• Employee-driven corporate giving program.