Director, Client Claims & Operations

Crawford & Company; Peachtree Corners (GA); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Benefits program

Employee discounts

Referral bonus

Job summary

Crawford & Company is seeking a Client Claims Director to lead claims operations for a designated client. You will drive program enhancements, supervise staff, and coordinate with senior teams to optimize claim outcomes.

The role emphasizes analytics, adherence to client instructions, and effective use of resources across medical management, subrogation, and legal vendors. Strong leadership and communication are essential.

Qualifications

• College Degree preferred or education equivalent to a college degree or the equivalent experience in related work experience.
• Seven more years of progressive technical claim experience, including supervisory and/or management experience, demonstrating a high degree of judgment and discretion.
• Attainment of the Associate in Claims designation, and successful completion of, or active study for, I.I.A. MGT 43, and MGT 44, or the equivalent in related studies or work experience.
• Demonstrated ability to supervise the work of others.
• Demonstrates effective and diplomatic oral and written communication skills, and promotes a favorable company image to the public.

Responsibilities

• 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.

Skills

Leadership

Communication

Analytical thinking

Client liaison

Project coordination

Education

Bachelor's degree or higher

Associate in Claims designation

Job description

Crawford & Company is seeking a Client Claims Director to lead claims operations for a designated client. You will drive program enhancements, supervise staff, and coordinate with senior teams to optimize claim outcomes.

The role emphasizes analytics, adherence to client instructions, and effective use of resources across medical management, subrogation, and legal vendors. Strong leadership and communication are essential.