Director, Claims

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Director, Claims based in the United States.

This remote leadership role oversees complex claims management activities across multiple insurance coverage areas, including liability, cyber, property, and employment-related claims. The position plays a key role in shaping claims strategy, improving risk outcomes, and supporting operational excellence across a nationwide healthcare organization. The successful candidate will investigate high-impact claims, manage external partnerships, and provide insights that influence risk reduction initiatives. This role combines technical claims expertise, data analysis, stakeholder education, and team leadership. You will collaborate with internal teams, insurance carriers, legal partners, and operational leaders to strengthen claims processes and outcomes. The ideal candidate is a strategic thinker who can balance hands-on claims management with broader risk management objectives.

Accountabilities:: The Director, Claims will lead the management of complex claims processes while developing strategies to improve risk performance, reporting accuracy, and organizational awareness. This role requires strong collaboration across internal teams and external partners to ensure claims are handled effectively and aligned with business goals.

Oversee the reporting, investigation, and resolution of claims across General Liability, Professional Liability, Employment Practices Liability, Cyber, Property, and related coverage areas.

Manage claims within established corporate and operational deductibles or retention levels while ensuring timely documentation and follow-up.

Maintain accurate claims records within claims management systems and reporting platforms, producing insights and analysis to support decision-making.

Partner with internal teams to investigate incidents, conduct interviews, gather documentation, and support effective claim resolution.

Build and maintain strong relationships with insurance carriers, claims adjusters, defense attorneys, and external legal partners.

Provide guidance and training to employees on claims reporting procedures, risk awareness, and related policies.

Analyze claims trends, financial impacts, and performance metrics to identify opportunities for risk reduction and operational improvement.

Prepare executive-level reports and recommendations based on claims data, benchmarking, and loss analysis.

Lead regular claims review meetings with insurance partners and stakeholders to evaluate open claims and reserve positions.

Support actuarial reporting activities by collecting and maintaining historical claims data.

Manage and develop claims team members while promoting accountability, collaboration, and continuous improvement.

Requirements:

The ideal candidate brings extensive claims management experience, strong analytical capabilities, and the ability to influence stakeholders at all levels. This role requires a detail-oriented professional who can manage sensitive information, communicate effectively, and drive improvements in risk and claims operations.

Bachelor’s degree from an accredited institution required.

Minimum of six years of experience as a claims handler or claims management professional.

Professional Liability and Workers’ Compensation experience strongly preferred.

Experience managing complex claims investigations and working with insurance carriers and legal counsel.

Strong knowledge of claims processes, risk management principles, and insurance operations.

Advanced proficiency with Microsoft Excel and experience using financial reporting or claims management systems.

Ability to analyze data, identify trends, and translate findings into actionable recommendations.

Strong written and verbal communication skills with the ability to present information to executives, employees, vendors, and external partners.

Excellent organizational skills with the ability to manage multiple priorities and deadlines.

Strong problem-solving skills, sound judgment, and attention to detail.

High level of integrity and discretion when handling confidential information.

Ability to lead, influence, and collaborate effectively with diverse teams.

Flexibility to adjust schedules when business needs require occasional evening or weekend support.

Benefits:

The role offers a comprehensive benefits package designed to support employee health, financial security, and overall well-being.

Competitive compensation package.

Medical, dental, and vision insurance options.

Life insurance and disability coverage.

401(k) plan with company matching contributions.

Healthcare, dependent care, limited healthcare, transportation, and parking flexible spending accounts.

Health savings account options.

Paid time off program with accrual opportunities based on role and tenure.

Nine observed paid holidays.

Paid family leave benefits.

Professional growth, training, and career development opportunities.

Remote work flexibility.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether?    Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.     #LI-CL1