Director, WC Claims Operations & Analytics

AmTrust Financial Services, Inc.; United States; On-site; USD 150,000 - 210,000; Full time

Job summary

AmTrust Financial Services, Inc. is seeking a Director of Workers’ Compensation Claims Operations to translate data into actionable insights and rapid operational improvements.

You will lead real-time reporting, cross-functional problem solving, and scalable self-service analytics across the claims organization. You will collaborate with Analytics, IT, Shared Services, Product, and Data Science to align initiatives, drive automation, and ensure governance for AI-enabled capabilities in managed

Responsibilities

• Build and maintain real-time operational reporting to uncover trends, emerging risks, and performance opportunities across Workers’ Compensation Claims Operations and Managed Care.
• Design repeatable mechanisms that leverage field leaders and subject matter experts to interpret insights, validate hypotheses, and clearly explain root causes and key performance drivers; memorialize insights, key findings, and agreed-upon actions, and track action completion and impact across key spend categories.
• Support operations and claim leadership in exploring business problems and solutioning; lead cross-functional problem solving by developing practical tools, resources, and standard work that improve operational effectiveness, efficiency, and consistency.
• Package and communicate operational business insights (context, definitions, methodology, and key assumptions) to Claims Analytics for deeper enterprise-level analysis and broader insights, as needed.
• Continuously seek opportunities to collaborate with Claims Analytics and Reporting to replicate and scale operational reporting with stronger enterprise capabilities – standing up immediate, fit-for-purpose tools when needed while providing a clear blueprint of requirements to enable robust self-service data at the strategic, operational, and tactical levels.
• Support leadership in strengthening enterprise alignment and operational readiness by maintaining visibility to cross-functional initiatives (e.g., IT, Shared Services, Product, and Data Science) that materially impact Workers’ Compensation Claims Operations through an integrated roadmap (scope, owners, timelines, dependencies, and expected impact).
• Partner closely with Analytics, Reporting, and Shared Services to understand dependencies and improve operating rhythm; develop and communicate clear business requirements for work requests and enable enterprise analytics and reporting teams to better understand managed care data so they can build tools and resources that support data-driven decisions.
• Identify opportunities for automation and self-service; develop and implement solutions that streamline work, reduce manual effort, and improve quality and turnaround times; build mechanisms to track and report the impact of improvements.
• Partner with key stakeholders to design and implement AI-driven technologies tailored to Workers’ Compensation technical and operational needs – enhancing speed and quality of service delivery and making work easier for adjusters, while establishing best-in-class confidence in both AI outputs and the mechanisms that ensure qualified human judgment, action, and decisioning are applied appropriately.
• Source and develop talent to expand and diversify operational support capabilities for the managed care organization and broader claims organization.

Job description

AmTrust Financial Services, Inc. is seeking a Director of Workers’ Compensation Claims Operations to translate data into actionable insights and rapid operational improvements.

You will lead real-time reporting, cross-functional problem solving, and scalable self-service analytics across the claims organization. You will collaborate with Analytics, IT, Shared Services, Product, and Data Science to align initiatives, drive automation, and ensure governance for AI-enabled capabilities in managed