Job Description

Director of Workers Compensation Claims Management

Property and Casualty Insurance

Responsible for overseeing all aspects of workers' compensation claims management, ensuring efficiency, accuracy, and compliance with legal and regulatory standards. Develop and implement best practices, streamline processes, and leverage technology to enhance claims operations while maintaining a strong focus on cost control and risk mitigation. The ideal candidate will have deep industry expertise, strong leadership skills, and a commitment to fostering a high-performing team. They will collaborate both internally and externally to optimize claims handling and drive continuous improvement. Leads and manages a team of WC claims adjusters, providing guidance, training, and support. Monitors and evaluates the performance of WC claims adjusters, providing feedback and coaching as needed. 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.

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.

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