Provide Strategic Leadership, Data Driven Decision Making, Operational Efficiencies, and Customer Focus
Develops and executes strategies that align audit, compliance, technical claims management, and support functions with organizational goals for claims performance
Drives initiatives that improve claim outcomes through process optimization and risk mitigation
Establishes metrics and KPIs to measure performance, operational efficiency, and compliance effectiveness
Leverages analytics and reporting tools to identify trends, gaps, and opportunities for improvement
Streamlines workflows and eliminates redundancies
Implements automation and technology solutions to enhance productivity and reduce cycle times
Monitors resource allocation and optimizes team performance
Ensures operational procedures support excellent customer experience while maintaining compliance and accuracy standards
Requirements
Bachelor’s degree required (or equivalent combination of education and experience)
Minimum 10+ years’ claims experience required
Experience leading and supervising claims professionals
Experience with diverse jurisdictions is highly desirable
Adjuster Certification may be required depending upon role and jurisdiction (must be obtained within 6 months of hire if needed)