Captive Claims Director

The Claims Director is responsible for the strategic leadership, oversight, and management of the Captive Claims Department, ensuring consistent and effective claims advocacy and service delivery across the Captive portfolio. This position provides leadership and guidance to the claims team, participates in claim reviews, and oversees complex and high-exposure property and casualty claims. The Claims Director works closely with clients, carriers, third-party administrators, defense counsel, and other claims professionals to promote effective claims strategies, appropriate reserve management, and timely resolution. The position also monitors carrier and TPA performance, identifies claims trends and areas of concern, and escalates significant claims or service issues as appropriate.

Assist with the development and implementation of innovative claims resolution processes

Continually search for process improvements and/or enhancements to workflow; make recommendations for change where appropriate

Create and manage some key metrics to improve claims processing

Assist clients with disputed claims resolutions, if escalation is desired/required

Identify areas on processes to eliminate potential E&O claims

Coordination of claims management process to improve customer satisfaction

Provide education of the claims process to the agency and client personnel

Review reporting process in Applied EPIC claims system by claims advocates

Manage notification process of new claim information

Respond to client and company requests for action and information on any claim-related matter

Complete monthly audits of a sampling of Advocate claim files to ensure established performance metrics and claim handling standards are being met, including review of applicable administrative activities.

Participate in establishing Wildly Important Goals that fall outside of the regular “day job” and into process improvement or large scale project completion

Leadership : Display leadership skills and ability to motivate fellow employees

Ability to Analyze and Solve Problems : Skill in recognizing challenges, exploring options, and implementing effective solutions in a timely manner

Attention to Detail : A strong focus on completing tasks and projects accurately and thoroughly

Communication Skills : Capable of expressing ideas clearly in both verbal and written forms and engaging with various audiences

Timely Task Completion : Ability to finish tasks and projects efficiently, managing resources and priorities effectively

Team Collaboration : Willingness to work together with others, promoting teamwork and supporting shared goals

Client Focus : Dedication to understanding and addressing the needs of clients and stakeholders to ensure their satisfaction

Dependabilit y: Acknowledgment of the importance of being present and punctual.

Creative Thinkin g: Openness to suggesting new ideas and methods to improve processes and outcome

Organizational Skills : Capability to prioritize tasks and manage multiple projects simultaneously

Adaptability : Willingness to adjust to changing situations and priorities, showing resilience in a dynamic work environment

High School diploma is required, Bachelor’s degree preferred.

8 years of experience in property and casualty claims in a commercial insurance environment and experience in claims management processes

Active General Lines or Property & Casualty License required

Proficient with Microsoft Excel, Word, PowerPoint, and Outlook

Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable