Strategic Client Claims Director: Lead Quality & Efficiency

Crawford & Company; California (MO); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Excellent Crawford Benefits

Employee discounts

Job summary

Crawford & Company seeks a seasoned claims liaison leader to drive program enhancements, supervise staff, and ensure high-quality claim outcomes for a designated client. You will collaborate with adjusters, team leaders and managers to optimize staffing, operations, and compliance with client directives.

Responsibilities include monitoring performance metrics, guiding investigations, managing reserves, and overseeing audits while maintaining data accuracy and reporting.

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.

Responsibilities

• Assists in the section, training and development of an effective and efficient staff.
• Monitors key metrics on a daily, weekly or monthly level as needed. Key metrics include general metrics as well as those specifically targeting client initiatives.
• Along with Account Executive, communicates Client's expectations and ensures compliance via interaction with Team Manager and Service Manager.
• Provides claim specific guidance to staff as applicable ensure proper investigation and timely equitable disposition of claims. Makes recommendations on reserves exceeding pre-determined authority level; conducts periodic reserve reviews to identify areas of concern and work with Team Manager to resolve.
• Analyzes files on a periodic basis to determine accuracy and completeness and to maintain control of quality of work.
• Keeps VP of Claim Operations informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to SVP and VP of Claim Operations.
• Participates in special projects or performs duties in other areas as requested.
• Undertake reviews, based on predetermined criteria or as applicable, to ensure proper investigation and data collection.
• Works with staff to ensure training has taken place in the proper evaluation of claims from a legal, medical, and financial standpoint.
• Handle client concerns quickly and efficiently to resolution

Education

College Degree

Job description

Crawford & Company seeks a seasoned claims liaison leader to drive program enhancements, supervise staff, and ensure high-quality claim outcomes for a designated client. You will collaborate with adjusters, team leaders and managers to optimize staffing, operations, and compliance with client directives.

Responsibilities include monitoring performance metrics, guiding investigations, managing reserves, and overseeing audits while maintaining data accuracy and reporting.