Client Claims Director

Crawford & Company; Berkeley Heights, Northern (NJ, KY); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Excellent Benefits

Referral Bonus Program

Employee Discounts

Job summary

Crawford & Company, a global leader in claims management, seeks a Client Claims Director to drive program enhancements and client-specific directives. This role partners with Adjusters, Team Leaders, and Service Center Managers to improve claim quality, staffing, and outcomes.

The candidate will monitor performance with analytics, ensure adherence to client instructions, oversee investigations and audits, and coach staff on technical claim handling and customer service.

Responsibilities

• Serve as the primary claims liaison for a designated client.
• Partner with Adjusters, Team Leaders, Team Managers, and Service Center Managers to enhance claim quality, staffing strategies, operational efficiency, and claim outcomes.
• Monitor claim performance through analytics, ensuring compliance with client Special Handling Instructions, Best Practices, and service expectations.
• Oversee claim operations, including investigations, reserve management, workflow optimization, litigation management, and claim file audits.
• Coach and educate claim staff on customer service, technical claim handling, supervision standards, reserve controls, data accuracy, and quality results.
• Manage client reporting and statistical data while ensuring effective utilization of Medical Management Services, Subrogation Vendors, SIU Services, Attorneys, and other program resources.

Job description

We're Hiring: Client Claims Director

Business Segment: Broadspire

This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.

Why Join Crawford & Company?

• Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness
• Generous Employee Referral Bonus Program
• Access to Multiple Employee Discounts

Role Overview:

• Serve as the primary claims liaison for a designated client, driving program enhancements, client-specific directives, and claims process improvements.
• Partner with Adjusters, Team Leaders, Team Managers, and Service Center Managers to enhance claim quality, staffing strategies, operational efficiency, and claim outcomes.
• Monitor claim performance through analytics, ensuring compliance with client Special Handling Instructions, Best Practices, and service expectations.
• Oversee claim operations, including investigations, reserve management, workflow optimization, litigation management, and claim file audits.
• Coach and educate claim staff on customer service, technical claim handling, supervision standards, reserve controls, data accuracy, and quality results.
• Manage client reporting and statistical data while ensuring effective utilization of Medical Management Services, Subrogation Vendors, SIU Services, Attorneys, and other program resources.