Technical Director, Claims - Workers Compensation

National Black MBA Association; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

A leading company is seeking a Technical Director for their Workers Compensation team. This role focuses on ensuring compliance, managing audits, and enhancing claims operations. Ideal candidates will have extensive experience in claims management and a strong customer service orientation. Responsibilities include driving technical excellence, collaborating with Claims Directors, and developing best practices. The position offers flexibility for remote work and requires strong communication and analytical skills.

Qualifications

• Minimum of ten years in a claims operation role, including at least two in management.
• State licensing and claims certification required where applicable.

Responsibilities

• Drive workers’ compensation claims technical excellence across geographies.
• Analyze claims zone results and recommend process improvements.
• Manage associates, including performance management and training.

Skills

Attention to Detail

Communication

Organization

Customer Focus

Education

Undergraduate Degree

Post-Graduate Studies

Tools

Microsoft Suite

Job description

If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care.

Territory: The location of this position is flexible and open to virtual and/or remote based applicants.

What you can Expect: This opportunity is within the Workers Compensation team and will be responsible for facilitating compliance performance for the operation. Key responsibilities include ensuring adherence to regulatory requirements, managing and responding to state audits and exams, coordinating remediation plan activities, collaborating closely with the Regulatory Operations team, and acting as a liaison between state compliance authorities and the department. Additionally, the role involves utilizing internal and external reports and information to analyze performance and develop recommendations for improvement. Based on current team needs, this opportunity is an individual contributor role.

The ideal candidate will have:

• Strong understanding of Workers Compensation claims handling is highly preferred
• Compliance background preferred
• Great attention to detail, written/verbal communication, and organization skills

Job Description Summary: Do you have a strong desire to provide prompt, courteous, and fair service to customers? Are you a skilled investigator, negotiator, and communicator? If you thrive in an environment where you can problem-solve workers’ compensation claims resolution, while following processes that provide fair resolution, customer satisfaction, and cost management, then we want to hear from you! As a Technical Director, you’ll drive workers’ compensation claims technical activities and excellence. We’ll count on you to develop, implement, and distribute best practices for a specialty line(s) of business. In addition, you’ll compile and communicate trend information to field personnel and provide technical expertise on related specialties in complex coverage and service issues.

Key Responsibilities:

• Drive workers’ compensation claims technical excellence across geographies and serve as a technical resource to the field.
• Partner with Claims Directors on developing implementation plans for corporate, organizational, and regional initiatives, and help develop long-range, measurable goals and objectives.
• Communicate and assist with implementation of claims technical initiatives to the claim’s zones.
• Partner with industry leaders to promote industry and legislative changes that benefit stakeholders.
• Analyze claims zone results and recommend process or workflow improvements to Claims Directors.
• Deliver a positive customer service experience to internal and external customers.
• Resolve customer complaints according to best practices and monitor satisfaction to drive improvements.
• Identify, develop, and retain high potential/high performing associates for critical roles.
• Manage associates, including performance management, salary planning, training, workflow, and disciplinary actions.

May perform other responsibilities as assigned.

Reporting Relationships: Reports to Technical Claims AVP or Claims Director. May oversee field-based claims specialty personnel.

Typical Skills and Experiences:

• Undergraduate degree or post-graduate studies preferred.
• State licensing and claims certification required where applicable.
• Minimum of ten years in a claims operation role, including at least two in management.
• Extensive knowledge of claims practices, operations, and performance strategies.
• Excellent customer focus, communication, decision-making, and organizational skills.
• Proficiency with personal computers and software, including Microsoft Suite.

Values: Demonstrates Nationwide Values regularly and consistently.

Job Conditions:

• Exempt (not eligible for overtime).
• Normal office environment; may require extended hours, travel, and work during catastrophes.
• Background and credit checks required.

We encourage early applications; the position may close earlier if a suitable candidate is found.