Director of Claims

3 weeks ago

Fond du Lac, United States Society Insurance Company Full time

**Job Information**

**Job Title**

Director of Claims (Work Comp)**Home Department**:
Claims**Employment Status**:
Exempt; Full-time**Schedule**:
40 hours/week with Flexible Scheduling Opportunities**Position Location**:
Flexible Remote Work/Hybrid Scheduling-
**_
Overview_**

Protecting our policyholders’ dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society.

Society Insurance is seeking a **Director of Claims** to lead our workers compensation claims team. This position will be responsible for the development and administration of policies, procedures, and management of all claims functions in order to achieve the company goals for loss adjustment expenses, claims severity, customer service, policyholder retention, and company profitability. The Director of Claims will set a positive cultural environment where integrity and ethics are unquestioned, customers are the prime focus, employee growth and engagement are present, and organizational excellence is the ultimate objective.

**_
About the Role_**
- Develops and manages the claims functions including but not limited to: claim compliance, claim and suit file audits, department training, external audits, adjuster manual updates, and other resource needs. Supports managers with complex coverage and loss questions.
- Contributes to the development and execution of overall claim direction for the company through strategic planning.
- Drives operational performance and delivers outstanding claims-related results including loss severity, loss adjustment expenses, and other claim metrics based on areas of focus assigned.
- Recommends action by reviewing and analyzing damages, coverage, and liability issues on large losses. Collaborates closely with the Underwriting, Risk Control, Actuary, and Sales departments by providing intel on claims trends.
- Establishes a culture of change acceptance through collaboration and support of Change Management efforts, ensuring the long-term success of the company.
- Oversees claims operations in collaboration with the Director of Claims-Technical and Shared Services by managing key metrics (i.e. expense ratio, loss ratio, closing ratio, subrogation recoveries, and reserving), claims process and workload, evaluating work results, enforcing guidelines, litigation strategy, and productivity standards.
- Collaborates with the VP and Chief Claims Officer and other department leaders to develop departmental strategic initiatives that are aligned with the company strategy; aligns staff, and drives execution of the strategy.
- Monitors regulatory and legislative issues related to claims handling and directs the implementation of policies and procedures that comply with regulatory and statutory guidelines and standards.
- Maintains working knowledge of state legal requirements and industry trends pertaining to claims and customer service.
- Develops staff by mentoring and providing technical training. Shares knowledge and expertise with claims staff and assists training program development.
- Supports an open and transparent environment where favorable change is embraced and where leadership abilities are recognized and encouraged.

**_
About Yo_**u**
- You enjoy coaching and developing others within a collaborative team environment.
- You are decisive and takes a systematic approach to continuous improvement initiatives.
- You enjoy empowering and motivating others to achieve their full potential.
- You encourage ownership of the company’s mission, goals, and values.
- You hold yourself accountable and am results driven.
- You enjoy analyzing, investigating, and using the facts to make decisions.

**_
What it Will Take_**
- Bachelor’s degree in business, insurance, economics, or related field.
- 8 years of demonstrated competency in workers compensation, property, auto, and casualty claims with some emphasis in commercial including strong knowledge of coverages, laws, and concepts.
- 5 years of experience in claims management role.
- Demonstrated history of initiative, collaboration, and plan execution.
- Proven track record of successful functional leadership of large, complex projects with multiple stakeholders and driving organization change.
- Recognized high-level designation(s). Examples include CPCU, AIC, CIC, ARM, AU, and ongoing industry education.
- Strong interpersonal skills, including the ability to mediate multiple perspectives and come to a resolution.
- Self-confidence to be assertive when taking a position and constructively resolving differences and building consensus among partners.
- 10+ years of prior claims management experience including strong knowledge of coverages, laws, and concepts highly desirable.

**_
What Society Can Offer_**
- Comprehensive Benefits Package:

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