Technical Director, Claims - Workers Compensation

Ohiox; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

A leading company in the insurance sector is seeking a Technical Director for their Workers Compensation team. This role involves driving claims technical excellence, ensuring compliance, and managing a team to deliver exceptional customer service. The ideal candidate will possess a strong background in claims operations and excellent communication skills.

Qualifications

• Strong understanding of Workers Compensation claims handling preferred.
• Compliance background preferred.
• Minimum of ten years in claims operation, including two in management.

Responsibilities

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

Skills

Attention to detail

Communication

Organization

Customer focus

Decision-making

Education

Undergraduate degree or higher

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. This is an individual contributor role based on current team needs.

The ideal candidate will have:

• Strong understanding of Workers Compensation claims handling (highly preferred)
• Compliance background (preferred)
• Great attention to detail, 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. You’ll develop, implement, and distribute best practices for a specialty line(s) of business, compile and communicate trend information to field personnel, and provide technical expertise on complex coverage and service issues.

Key Responsibilities:

1. Drive workers’ compensation claims technical excellence across geographies and serve as a technical resource.
2. Partner with Claims Directors on developing implementation plans and long-term goals.
3. Communicate and assist with the implementation of claims technical initiatives.
4. Collaborate with industry leaders to promote beneficial industry and legislative changes.
5. Analyze claims zone results and recommend process improvements.
6. Deliver a positive customer service experience and resolve complaints.
7. Identify, develop, and retain high-potential associates.
8. Manage associates, including performance, training, and organizational planning.

Reporting Relationships:

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

Typical Skills and Experiences:

• Undergraduate degree or higher preferred.
• State licensing and claims certification training required.
• Minimum of ten years in a claims operation, including two in management.
• Deep knowledge of claims practices, operations, and performance strategies.
• Excellent customer focus, communication, decision-making, and organizational skills.
• Proficiency with Microsoft Suite and data analysis.

Other Information:

Includes details on work conditions, benefits, equal opportunity statement, and legal notices.