
Director of Claims
Posted Aug 19

Posted Aug 19
This is a fully remote position, open to applicants in United States.
• Lead, mentor, and supervise a team of claims adjusters responsible for Master Policy TLL and Contents Claims.
• Cultivate a collaborative and high-performance work environment.
• Provide continuous training and development opportunities for team members.
• Oversee the adjustment, processing, and resolution of intricate claims.
• Ensure that all claims are managed in compliance with regulatory standards and company policies.
• Review and authorize claims decisions and settlements.
• Maintain a comprehensive understanding of claims regulations, including notices, payments, and processing.
• Ensure adherence to state and federal regulations and guidelines.
• Stay informed about regulatory changes and implement necessary modifications to procedures.
• Address complex claim disputes and escalate issues when necessary.
• Manage DOI complaints, ensuring prompt and effective resolution.
• Represent the company in depositions and other legal proceedings as required.
• Develop and execute strategies to enhance departmental efficiency and effectiveness.
• Build and sustain strong relationships with external partners and stakeholders.
• Analyze and report on claims trends, performance metrics, and areas for improvement.
• Bachelor's degree in Business Administration, Insurance, Risk Management, or a related field.
• A minimum of 7-10 years of experience in claims adjustment, including at least 3-5 years in a managerial position.
• Relevant experience may substitute for educational requirements.
• Proven experience in managing a team of claims adjusters.
• Strong understanding of claims regulations, notices, payments, and processing.
• Demonstrated success in managing claim disputes, DOI complaints, and legal depositions.
• Exceptional leadership, communication, and interpersonal skills.
• Competitive salary and performance-based incentives.
• Comprehensive health, dental, and vision insurance.
• Retirement savings plan with company matching.
• Opportunities for professional growth and advancement.
• Generous paid time off and holiday schedule.
Clinical Outcomes Solutions
AbbVie
Alo Yoga
Advarra
Get handpicked remote jobs straight to your inbox weekly.