Director, Claims Program Management, Property & Casualty, Remote

Crum & Forster

United States

A distancia

USD 180.000 - 240.000

Jornada completa

Hace 3 días
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Descripción de la vacante

Crum & Forster’s Accident & Health division seeks a Director of Property & Casualty Claims Program Management to lead the claims program strategy and governance across delegated portfolios. The role manages a team of program professionals and collaborates with TPAs, MGAs, underwriters, and other partners to optimize reserving, litigation, and performance outcomes.

The position requires cross-functional coordination with underwriting, actuarial, legal, compliance, finance, reinsurance,

Responsabilidades

  • Claims strategy and leadership: Set and execute the P&C claims program strategy, operating model, service standards, and annual priorities.
  • Talent and culture: Build, coach, and retain a high-performing team of program managers and specialists; set clear goals and develop capability.
  • Portfolio accountability: Own financial, operational, customer, quality, compliance, and talent outcomes across assigned.
  • Program governance: Establish a scalable governance framework for TPAs, MGAs/MGUs, independent adjusters, and other partners.
  • Partner due diligence and onboarding: Lead assessments, readiness, data mapping, staffing validation, testing, and go-live governance.
  • Claim oversight: Audit TPAs and related partners; guide complex and high-severity claims; report to leaders and reinsurers.
  • Litigation and vendor management: Guide counsel guidelines, strategy, and outcomes with Legal.
  • Regulatory and control environment: Ensure adherence to laws, licensing, privacy, and internal controls.
  • Quality assurance: Run audits on coverage, investigation, reserving, payments, and communication.

Conocimientos

Leadership
Claims program management
Governance
Stakeholder collaboration
Data and automation

Descripción del empleo

Crum & Forster Company Overview

Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.

Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.

C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum & Forster, please visit our website: www.cfins.com.

Job Description

Since 2000, Crum & Forster's Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.

In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions. Gross premium written in 2025 surpassed $2.4B. The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.

The Director, Property & Casualty Claims Program Management

The Director, Property & Casualty Claims Program Management is accountable for the carrier's claims strategy, governance, and performance across an assigned portfolio of delegated and partner-managed P&C programs. This leader manages a team of claims program professionals and establishes a consistent operating model for Third-Party Administrators, Managing General Agents and Underwriters, independent adjusters, and other service partners. The Director will translate enterprise objectives into measurable program outcomes, oversee complex and high-severity claims, strengthen reserving and litigation discipline, and modernize claims through data, automation, and process redesign. Working in a matrixed environment, this role partners closely with Underwriting, Actuarial, Legal, Compliance, Finance, Reinsurance, Distribution, and Technology to protect policyholders, control loss and expense performance, meet regulatory obligations, and support profitable growth.

What you will do for C&F:
  • Claims strategy and leadership: Set and execute the P&C claims program strategy, operating model, service standards, and annual priorities in alignment with underwriting appetite, actuarial assumptions, reinsurance requirements, and enterprise objectives.
  • Talent and culture: Build, coach, and retain a high-performing team of program managers and specialists; set clear goals, develop technical and leadership capability, manage performance and succession, and foster accountability, inclusion, curiosity, and continuous learning.
  • Portfolio accountability: Own financial, operational, customer, quality, compliance, and talent outcomes across assigned.
  • Program governance: Establish a scalable governance framework for TPAs, MGAs/MGUs, independent adjusters, and other partners, with clear authorities, claim referral assignments, timeliness and management protocols, service-level agreements, scorecards, issue escalation, and corrective-action plans.
  • Partner due diligence and onboarding: Lead operational assessments, implementation readiness, data mapping, staffing validation, control testing, catastrophe preparedness, and go-live governance for new and renewed programs.
  • Claim oversight: Conduct annual/bi-annual audits of TPAs, MGAs/MGUs, provide direction on complex, high-severity, coverage-sensitive, extra-contractual, catastrophe, litigated, and potentially systemic claims; ensure timely escalation and accurate reporting to senior management and reinsurers.
  • Litigation and vendor management: Partner with Legal to manage counsel guidelines, litigation strategy, legal spending, panel performance, alternative dispute resolution, and vendor outcomes.
  • Regulatory and control environment: Ensure adherence to state unfair claims practices laws, licensing, data privacy, market-conduct, sanctions, record-retention, and internal-control requirements; promptly address complaints and regulatory inquiries.
  • Quality assurance: Maintain a risk-based audit program that evaluates coverage, investigation, reserving, payments, communications, litigation handling, subrogation, salvage, and compliance; verify sustainable remediation.
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