Claims Director

CRC Group; United States; On-site; USD 140,000 - 180,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

AD&D

401(k) with company match

Paid time off

Holidays

Vacation

Sick days

New parent leave

Restricted stock units

Deferred compensation

Job summary

CRC Group is seeking a senior claims leader to oversee open claims and incident reports, liaise with carrier partners, brokers, insureds, and defense counsel, and translate claims intelligence into stronger underwriting decisions. The role drives portfolio performance and improved service across underwriting and risk management functions.

The position requires extensive leadership experience, deep claims process knowledge, and the ability to manage complex cases while ensuring regulatory

Qualifications

• 10+ years of experience in claims administration within the insurance industry.
• 5+ years of leadership experience in a claims management capacity.
• Proven track record of implementing strategic initiatives and process improvements in claims operations.

Responsibilities

• Develop and implement strategic plans and policies for claims operations to ensure compliance and efficiency.
• Provide leadership and guidance to claims managers and teams, fostering a culture of high performance and continuous improvement.
• Oversee complex claims cases and ensure resolution aligns with company standards and regulatory requirements.
• Monitor claims metrics to identify trends, assess performance, and recommend process improvements.
• Collaborate with underwriting and risk management teams to align claims handling with organizational objectives.
• Manage department budgets, resources, and staffing to optimize operational effectiveness.
• Ensure compliance with state and federal regulations governing claims practices.
• Build and maintain relationships with key stakeholders, including reinsurers, legal teams, and external vendors.

Skills

Leadership

Claims knowledge

Analytical skills

Communication skills

Budgeting

Regulatory knowledge

Stakeholder management

Job description

If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response).

Regular or Temporary:

Regular

Work Shift:

1st Shift (United States of America)

Please review the following job description:

The position is responsible for maintaining active oversight of open claims and/or incident reports, driving regular communication with carrier claims departments and adjusters, and ensuring significant claim developments are promptly communicated to Negley management and underwriting personnel. The position is expected to dig into open files, challenge claim handling when appropriate, identify issues requiring escalation, and maintain continuous visibility into claim status, litigation strategy, reserves, settlement activity, coverage concerns, and emerging loss trends. Also serves as Negley's primary claims liaison with carrier partners, brokers, insureds, defense counsel, and other stakeholders. The role ensures claims intelligence is consistently translated into stronger underwriting decisions, improved account management, better service, and enhanced long-term portfolio performance.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

• Develop and implement strategic plans and policies for claims operations to ensure compliance and efficiency.
• Provide leadership and guidance to claims managers and teams, fostering a culture of high performance and continuous improvement.
• Oversee complex claims cases and ensure resolution aligns with company standards and regulatory requirements.
• Monitor claims metrics to identify trends, assess performance, and recommend process improvements.
• Collaborate with underwriting and risk management teams to align claims handling with organizational objectives.
• Manage department budgets, resources, and staffing to optimize operational effectiveness.
• Ensure compliance with state and federal regulations governing claims practices.
• Build and maintain relationships with key stakeholders, including reinsurers, legal teams, and external vendors.

QUALIFICATIONS

Required Qualifications:

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• 10+ years of experience in claims administration within the insurance industry.
• 5+ years of leadership experience in a claims management capacity.
• Proven track record of implementing strategic initiatives and process improvements in claims operations.

FUNCTIONAL SKILLS

• Strong leadership and people management capabilities.
• Expert knowledge of claims processes, insurance regulations, and industry best practices.
• Analytical and problem-solving skills to address complex claims scenarios.
• Excellent communication and stakeholder management skills.
• Financial acumen with the ability to manage departmental budgets.
• Strategic thinking with a focus on operational efficiency and risk management.

General Description of Available Benefits for Eligible Employees of CRC Group:

At CRC Group, we're committed to supporting every aspect of teammates' well-being – physical, emotional, financial, social, and professional. Our best-in-class benefits program is designed to care for the whole you, offering a wide range of coverage and support. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. CRC Group also offers generous paid time off programs, including company holidays, vacation and sick days, new parent leave, and more. Eligible positions may also qualify for restricted stock units and/or a deferred compensation plan.

CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace.

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