Director of Workers' Compensation Claims

Highview National Insurance Company; Village of Suffern (NY); On-site; USD 140,000 - 170,000; Full time

Job summary

Highview National Insurance Company is seeking an experienced, strategic Director of Claims to lead the Workers’ Compensation Claims Department. The role focuses on turning vision into action, building high-performing teams, and driving meaningful improvements in operations and outcomes.

The ideal candidate will have 10+ years in workers’ compensation claims, 5+ years in leadership, and a proven ability to manage complex, high-exposure claims across multiple jurisdictions.

Qualifications

• 10+ years of progressive Workers’ Compensation claims experience preferred.
• 5+ years of claims leadership experience.
• Strong technical knowledge of Workers’ Compensation claims, reserving, settlements, litigation, compliance, and high‑severity claims.
• Proven ability to build a successful claims operation.
• Strong leadership skills with demonstrated ability to delegate, develop leaders, and hold teams accountable for results.
• Experience developing SOPs, KPIs, workflows, and performance standards.
• Strong analytical, financial, and problem‑solving skills.
• Excellent communication and cross‑functional leadership skills.
• Multi‑jurisdictional Workers’ Compensation experience required.
• Carrier experience strongly preferred.

Responsibilities

• Lead the overall strategy, performance, and direction of the Workers’ Compensation Claims Department.
• Standardize claims practices, workflows, SOPs, authority levels, and performance expectations across the department.
• Build a stable, scalable operating structure with clear roles, accountability, and escalation paths.
• Lead, coach, and develop claims supervisors and team members while delegating day-to-day responsibilities effectively.
• Establish and monitor KPIs around claim outcomes, quality, productivity, compliance, reserves, closures, return-to-work, and other key performance areas.
• Establish consistent reserving, settlement, litigation, vendor management, and claims-handling practices.
• Provide strategic oversight of complex, high-exposure, and litigated claims.
• Use data and trends to identify issues, improve outcomes, control costs, and drive continuous improvement.
• Strengthen quality assurance, compliance, training, and performance management.
• Partner with Underwriting, Compliance, Risk Management, Finance, Operations, and executive leadership.
• Leverage technology, automation, and reporting to improve efficiency and visibility.
• Build a culture of accountability, collaboration, excellence, responsiveness, and ownership

Job description

Highview National Insurance Company is a growing workers’ compensation insurance carrier committed to excellence, collaboration, and exceptional service. We’re building a strong team where people are empowered to take ownership and make a meaningful impact.

We are seeking an experienced, strategic, and action-oriented Director of Claims to lead our Workers’ Compensation Claims Department. We are looking for a strategic thinker and strong operator who can turn vision into action, develop high-performing teams, strengthen operations, and drive meaningful results across the claims team.

Key Responsibilities

• Lead the overall strategy, performance, and direction of the Workers’ Compensation Claims Department.
• Standardize claims practices, workflows, SOPs, authority levels, and performance expectations across the department.
• Build a stable, scalable operating structure with clear roles, accountability, and escalation paths.
• Lead, coach, and develop claims supervisors and team members while delegating day-to-day responsibilities effectively.
• Establish and monitor KPIs around claim outcomes, quality, productivity, compliance, reserves, closures, return-to-work, and other key performance areas.
• Establish consistent reserving, settlement, litigation, vendor management, and claims-handling practices.
• Provide strategic oversight of complex, high-exposure, and litigated claims.
• Use data and trends to identify issues, improve outcomes, control costs, and drive continuous improvement.
• Strengthen quality assurance, compliance, training, and performance management.
• Partner with Underwriting, Compliance, Risk Management, Finance, Operations, and executive leadership.
• Leverage technology, automation, and reporting to improve efficiency and visibility.
• Build a culture of accountability, collaboration, excellence, responsiveness, and ownership

Qualifications

• 10+ years of progressive Workers’ Compensation claims experience preferred.
• 5+ years of claims leadership experience .
• Strong technical knowledge of Workers’ Compensation claims, reserving, settlements, litigation, compliance, and high‑severity claims.
• Proven ability to build a successful claims operation.
• Strong leadership skills with demonstrated ability to delegate, develop leaders, and hold teams accountable for results.
• Experience developing SOPs, KPIs, workflows, and performance standards.
• Strong analytical, financial, and problem‑solving skills.
• Excellent communication and cross‑functional leadership skills.
• Multi‑jurisdictional Workers’ Compensation experience required.
• Carrier experience strongly preferred.

Salary:

$140,000-$170,000 + Annual Bonus

We are an Equal Opportunity Employer

We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. We intend that all qualified applicants are given equal opportunity and that selection decisions be based on job‑related factors.