Director, Claims Operations

Frankenmuth Insurance Company

13d

About The Position

Under limited supervision and with significant independent judgment, the Director, Claims Operations serves as head of the technical operations function of claims. The role oversees Claims Handling Guidelines for all lines of business, leads re-insurance operations, claims reporting and analysis, and manages personnel in the unit to achieve its goals. The Director provides technical oversight and management expertise across all lines of business, ensuring high-quality, appropriate, and timely claims outcomes, service excellence, and compliance with fair claims handling principles. The role also leads employees of a major organizational business unit, generally through subordinate leaders, and represents the technical claims function in company planning and operational activities.

Requirements

Ability to perform each essential duty satisfactorily.
Master’s degree (M.A.) or equivalent; or six to ten years of related experience and/or training; or an equivalent combination of education and experience.
Ability to work legally in the United States; visa sponsorship or support is not available, including for any U.S. permanent residency (green card) process.

Responsibilities

Implement and execute claim handling standards and strategy.
Ensure high-quality, appropriate, and timely claims outcomes, service excellence, and compliance with fair claims handling principles.
Provide guidance and direction on large or complex losses.
Maintain the claims audit program, focusing on claims outcomes and best practices.
Analyze claims trends to develop action plans, improve processes, and recommend best practices.
Manage vendors.
Manage re-insurance operations.
Manage claims reporting and analysis, project planning, and implementation.
Communicate vision and develop and recommend strategic and operational plans.
Organize and manage resources to achieve business results; train, coach, and lead staff.
Oversee and conduct performance management, including performance planning, appraisal, and subordinate development.
Recommend and implement employment actions, including hiring or termination, corrective action, promotions or demotions, and salary changes.
Represent the technical claims function in planning and operational activities as a member of the company management team.
Participate on the Corporate Planning Team.
May serve as a Business or Technical Sponsor on one or more tactical initiatives.
Perform other duties as assigned.