Director of Claims Management - RB Professional Recruiting Services LLC : Job Details

Director of Claims Management

RB Professional Recruiting Services LLC

Job Location : Spring Valley,NY, USA

Posted on : 2025-08-20T07:25:23Z

Job Description :
RBPRSLLC is looking for candidates to fill the position of Director of Claims Management. On-Site position in Spring Valley, NY. No visa sponsorships supported, no agencies please. Top Reasons to Work with our client
  • Great work-life balance!
  • Market leader in commercial insurance and risk management!
  • Offer a wide range of career paths and opportunities for growth!
  • Competitive Compensation and Benefits: health insurance, retirement plans, and other benefits!
What you will be doing:
  • Lead and manage the WC claims department, including supervision of WC claims adjusters, analysts, and support staff.
  • Develop and implement strategies for efficient WC claims processing, including workflows, technologies, and customer service practices.
  • Collaborate closely with the WC claims system design team to provide insightful feedback, ensuring the system's functionality supports efficient and accurate claim adjudication.
  • Ensure adherence to legal, regulatory, and company-specific standards and policies.
  • Review and evaluate complex WC claims, providing guidance on high-level cases and decisions.
  • Oversee the preparation of WC claims reports and analysis for senior management, identifying trends and suggesting improvements.
  • Ensure accurate and timely settlement of WC claims while controlling costs and mitigating risk to the company.
  • Develop training programs for WC claims team members to enhance their skills and ensure high-quality service.
  • Establish and maintain relationships with external partners, such as third-party vendors, legal counsel, and service providers.
  • Collaborate with other departments (e.g., underwriting, legal, customer service) to streamline operations and improve cross-functional communication.
  • Monitor key performance indicators (KPIs) for the WC claims department and lead continuous improvement initiatives.
  • Stay updated on industry trends, technology advancements, and regulatory changes that could affect claims management.
  • Foster a positive and collaborative work culture within the department, ensuring high employee morale and retention.
Experience you will need:
  • In-depth knowledge of WC insurance claims processes, regulations, and industry best practices.
  • Strong leadership skills with the ability to manage, coach, and develop teams.
  • Excellent problem-solving and decision-making abilities, especially for complex WC claims scenarios.
  • Exceptional communication and interpersonal skills, with the ability to collaborate across departments.
  • Strong analytical skills with experience in data-driven decision-making and reporting.
  • Proficiency with WC claims management software and other relevant tools.
  • Bachelor's degree in Business, Insurance, Risk Management, or related field (preferred).
  • 10 years of experience in WC claims management or a related field with at least 4 years in a leadership role.
Salary: $175,000 - $285,000/year
Apply Now!
Similar Jobs ( 0)
-- View More Similar Jobs --