Client Claims Director
About The Position
This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise. The Client Claims Director will serve as the primary claims liaison for a designated client, driving program enhancements, client-specific directives, and claims process improvements. This role involves partnering with Adjusters, Team Leaders, Team Managers, and Service Center Managers to enhance claim quality, staffing strategies, operational efficiency, and claim outcomes. The Director will monitor claim performance through analytics, ensuring compliance with client Special Handling Instructions, Best Practices, and service expectations. Responsibilities include overseeing claim operations such as investigations, reserve management, workflow optimization, litigation management, and claim file audits. Additionally, the role involves coaching and educating claim staff on customer service, technical claim handling, supervision standards, reserve controls, data accuracy, and quality results. The Director will also manage client reporting and statistical data while ensuring effective utilization of Medical Management Services, Subrogation Vendors, SIU Services, Attorneys, and other program resources.
Requirements
- Serve as the primary claims liaison for a designated client, driving program enhancements, client-specific directives, and claims process improvements.
- Partner with Adjusters, Team Leaders, Team Managers, and Service Center Managers to enhance claim quality, staffing strategies, operational efficiency, and claim outcomes.
- Monitor claim performance through analytics, ensuring compliance with client Special Handling Instructions, Best Practices, and service expectations.
- Oversee claim operations, including investigations, reserve management, workflow optimization, litigation management, and claim file audits.
- Coach and educate claim staff on customer service, technical claim handling, supervision standards, reserve controls, data accuracy, and quality results.
- Manage client reporting and statistical data while ensuring effective utilization of Medical Management Services, Subrogation Vendors, SIU Services, Attorneys, and other program resources.
Responsibilities
- Serve as the primary claims liaison for a designated client, driving program enhancements, client-specific directives, and claims process improvements.
- Partner with Adjusters, Team Leaders, Team Managers, and Service Center Managers to enhance claim quality, staffing strategies, operational efficiency, and claim outcomes.
- Monitor claim performance through analytics, ensuring compliance with client Special Handling Instructions, Best Practices, and service expectations.
- Oversee claim operations, including investigations, reserve management, workflow optimization, litigation management, and claim file audits.
- Coach and educate claim staff on customer service, technical claim handling, supervision standards, reserve controls, data accuracy, and quality results.
- Manage client reporting and statistical data while ensuring effective utilization of Medical Management Services, Subrogation Vendors, SIU Services, Attorneys, and other program resources.
Benefits
- Medical, Dental and Vision Plans
- Prescription Drugs
- HSA, HRA, and FSA Accounts
- Paid Holidays, Vacation and Sick Leave
- 401(k) Retirement Plan
- Tuition Assistance
- Paid Parental Leave
- Supplemental Health Benefits
- Enhanced Mental Health Support
- Virtual Physical Therapy
- Caregiving Services
- Life Assistance Program
- Competitive base pay
- Bonus/Incentive Pay and other Performance-Based Rewards
- Training programs that promote continuous learning and career progression while enhancing job performance.
- Sustainability programs that give back to the communities in which we live and work.
- A culture of respect, collaboration, entrepreneurial spirit and inclusion.
- Generous Employee Referral Bonus Program
- Access to Multiple Employee Discounts
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
