Claims Director – Workers’ Compensation & Liability - National Account

Ccmsi•Scottsdale, AZ

1d•$90,000 - $116,000•Hybrid

About The Position

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work® , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary The Director of Claims provides leadership and oversight for a dedicated national account, managing both Workers’ Compensation and Liability (multi-line) claims . This role supervises two Claims Managers and coordinates all claim functions within the dedicated unit. The Director ensures operational excellence, compliance, and client satisfaction while serving as a strategic partner to the Account Manager. This position offers an opportunity for advanced leadership development and may serve as a pathway to executive-level roles. When We Hire Claim Directors at CCMSI We look for leaders who understand that every claim represents a real person’s livelihood, take ownership of outcomes, and approach challenges as opportunities to deliver exceptional service.

Requirements

Bachelor’s degree or 15+ years of claims experience
Minimum 3 years of supervisory experience
Strong leadership, communication, and negotiation skills
Ability to manage complex, multi-line claims and lead a high-performing team
Proficiency in Microsoft Office programs
Reliable attendance and responsiveness to client needs

Nice To Haves

AIC, CPCU, or ARM designation preferred
Experience with national accounts and large-scale claim programs
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required
Strategic mindset with ability to drive process improvements and client satisfaction

Responsibilities

Establishes, implements, and monitors policies and procedures required to satisfy CCMSI, Clients/Carrier goals and objectives.
Assists in the hiring, training, monitoring, and discipline of claim staff, as requested.
Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.
Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims.
Negotiate any disputed bills or invoices for resolution, as appropriate.
Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
Develop financial projections for the Client as requested by Account Manager.
Determine the acceptability, quality and profitability of new and renewal business to achieve overall loss ratio objective.
Refers items outside of authority to management/carrier.
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
Direct handling of designated litigated and complex claims.
Informs management of activities and problems within assigned program/client.
Provide education, training and assist in the development of claim staff.
Review and maintain personal diary on claim system.
Supervision of all claim activity for specified accounts.
Supervise the activities of certain team members, as is appropriate.
Attend account Board Meetings, conduct file review meetings and/or training sessions with client, as requested.
Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
Performance appraisals and objective/goal setting and attainment of claim staff.
Remain current on all legislative activity (both federal and state), industry and market trends to ensure that all staff members are appropriately informed and understand the impact of these developments.
Develop revise and implement workflow processes to ensure efficiencies and provide oversight of individual caseloads, as appropriate.
Monitor compliance with Corporate Claim Handling Standards and special client handling instructions statutes, rules and regulations, and relative case law.

Benefits

6 weeks Paid Time Off (accrues throughout the year) + 10 paid holidays in your first year
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
Career growth: Internal training and advancement opportunities
Culture: A supportive, team-based work environment

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume