Director, Claims

Safety National•Saint Louis, MO

13h•Hybrid

About The Position

This leadership role in the Claims department oversees the handling of Workers’ Compensation claims within an assigned region. The Director will guide and develop Claims Managers and Analysts, manage complex claims from assignment through closure, evaluate coverage and exposure, establish reserves, negotiate settlements, coordinate litigation efforts, and help mitigate medical exposure. Responsibilities include providing direction to third-party administrators (TPAs), collaborating with internal partners to ensure effective claim handling according to procedures and authority levels, and ensuring the quality and consistency of the team’s claim handling. This involves assigning claims, conducting audits (desk and settlement reserve), completing performance appraisals, reviewing claims, and training new handlers. The role also involves overseeing aggregate claims, coordinating TPA audits, evaluating TPA performance, and supporting the approval process for new TPAs and self-administration requests. Collaboration with Underwriting on large losses, problem accounts, and jurisdictional developments is key, as is partnering with Medical Management, Audit, vendor partners, outside counsel, and other stakeholders. Travel for claim and TPA audits may be required based on business needs. This position offers a hybrid work schedule, requiring a minimum of 3 days per week in the St. Louis Corporate Office.

Requirements

A Bachelor’s Degree from an accredited college or university.
10 or more years of experience in Workers’ Compensation claims adjusting with an insurance carrier or Third-Party Administrator.
Motivated self-starter with the ability to work independently.
Strong organizational and analytical skills.
Excellent written and oral communication skills.
Proficiency with Excel, Word, and Microsoft Outlook applications.
Must be presently authorized to work in the U.S. without a requirement for work authorization sponsorship.

Nice To Haves

Experience adjusting Workers’ Compensation claims in multiple jurisdictions.
Protect the confidentiality, integrity and availability of information and technology assets against unauthorized disclosure, destruction and/or alteration, in accordance with Safety National policies, standards, and procedures.

Responsibilities

Oversee the handling of Workers’ Compensation claims within an assigned region.
Guide and develop Claims Managers and Analysts.
Manage complex claims from initial assignment through closure.
Evaluate coverage and exposure, establish reserves, and negotiate settlements.
Coordinate litigation efforts and help mitigate medical exposure.
Provide direction to third-party administrators.
Work closely with internal partners to ensure claims are handled effectively and in accordance with established procedures and authority levels.
Ensure the quality and consistency of the team’s claim handling.
Assign claims, conduct desk and settlement reserve audits, and complete performance appraisals.
Review open and closed claims and train new Claims handlers.
Oversee aggregate claims within the region.
Coordinate TPA audits and evaluate TPA performance.
Support the approval process for new TPAs and self-administration requests.
Collaborate with Underwriting on large losses, problem accounts, jurisdictional developments, and account-specific matters.
Partner with Medical Management, Audit, vendor partners, outside counsel, and other stakeholders to drive effective claim outcomes.