Captive Claims Director

Higginbotham•Bossier City, LA

4d•Hybrid

About The Position

The Claims Director is responsible for the strategic leadership, oversight, and management of the Captive Claims Department, ensuring consistent and effective claims advocacy and service delivery across the Captive portfolio. This position provides leadership and guidance to the claims team, participates in claim reviews, and oversees complex and high-exposure property and casualty claims. The Claims Director works closely with clients, carriers, third-party administrators, defense counsel, and other claims professionals to promote effective claims strategies, appropriate reserve management, and timely resolution. The position also monitors carrier and TPA performance, identifies claims trends and areas of concern, and escalates significant claims or service issues as appropriate.

Requirements

High School diploma is required
Active General Lines or Property & Casualty License required
Proficient with Microsoft Excel, Word, PowerPoint, and Outlook
8 years of experience in property and casualty claims in a commercial insurance environment
Experience in claims management processes

Nice To Haves

Bachelor’s degree preferred
Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable

Responsibilities

Assist with the development and implementation of innovative claims resolution processes
Continually search for process improvements and/or enhancements to workflow; make recommendations for change where appropriate
Create and manage some key metrics to improve claims processing
Assist clients with disputed claims resolutions, if escalation is desired/required
Identify areas on processes to eliminate potential E&O claims
Coordination of claims management process to improve customer satisfaction
Provide education of the claims process to the agency and client personnel
Review reporting process in Applied EPIC claims system by claims advocates
Manage notification process of new claim information
Respond to client and company requests for action and information on any claim-related matter
Complete monthly audits of a sampling of Advocate claim files to ensure established performance metrics and claim handling standards are being met, including review of applicable administrative activities.
Participate in establishing Wildly Important Goals that fall outside of the regular “day job” and into process improvement or large scale project completion