Remote Regional Workers' Compensation Claims Director

Questpro Consultants LLC; United States; Remote; USD 110,000 - 170,000; Full time

Benefits offered by this job

Remote flexibility

Medical, dental, and vision benefits

401(k) match

Company pension

Annual bonus

Generous PTO and holidays

Tuition reimbursement

Professional development support

Job summary

Questpro Consultants LLC is seeking a Regional Workers' Compensation Claims Director to lead a regional team delivering fair, timely, and customer-focused claim outcomes. This remote role supports profitability and regulatory compliance while partnering with underwriting, risk, and agents.

You will oversee complex claims, manage reserves, and guide a team of adjusters and counsel, with a focus on leadership development and innovation in claims operations.

Qualifications

• Bachelor's degree or equivalent in a relevant field.
• Ten years of workers' compensation claims handling experience in progressively responsible roles.
• Prior management experience; insurance designations are a plus (AIC, CIC, AIM, CPCU).

Responsibilities

• Lead and develop a regional Workers' Compensation claims team, ensuring timely, accurate, and customer-focused claim resolution.
• Provide guidance on coverage, compensability, reserving, loss exposure, and claim resolution strategies for complex and high-exposure claims.
• Monitor reserve adequacy and claim outcomes, ensuring compliance with reserving guidelines, best practices, subrogation, and recovery opportunities.
• Conduct claim file audits, approve claims within authority, and address customer or regulatory complaints.
• Oversee litigated claims, evaluating counsel performance, litigation strategy, settlement opportunities, and compliance with litigation guidelines.
• Manage relationships and performance of independent adjusters, legal counsel, and vendor partners.
• Recruit, coach, develop, and evaluate team members, including performance management and succession planning.
• Foster a collaborative, innovative, and inclusive culture across Claims and business partners.

Skills

Leadership

Analytical ability

Regulatory knowledge

Communication skills

Claims systems

Licensing

Travel willingness

Education

Bachelor's degree or equivalent

Job description

Questpro Consultants LLC is seeking a Regional Workers' Compensation Claims Director to lead a regional team delivering fair, timely, and customer-focused claim outcomes. This remote role supports profitability and regulatory compliance while partnering with underwriting, risk, and agents.

You will oversee complex claims, manage reserves, and guide a team of adjusters and counsel, with a focus on leadership development and innovation in claims operations.