Overview
Remote
$150000
Full Time
Job Details
The Worker’s compensation Claim Director is a remote and direct placement role. A valid California Adjuster’s License is required + NY and NJ would be preferred.
Overview:
The Workers' Compensation Claim Director is responsible for supervising a team of adjusters and directly managing complex and litigated National and California workers’ compensation claims. You’ll ensure that claims are handled in accordance with state laws, corporate claim standards, and specific client expectations.
Key Responsibilities:
Overview:
The Workers' Compensation Claim Director is responsible for supervising a team of adjusters and directly managing complex and litigated National and California workers’ compensation claims. You’ll ensure that claims are handled in accordance with state laws, corporate claim standards, and specific client expectations.
Key Responsibilities:
- Supervise all claim activity on designated accounts to ensure quality, timeliness, and compliance.
- Directly handle complex and litigated claims as needed.
- Review, assign, and mentor claims staff while providing ongoing technical support and development.
- Monitor and authorize claim payments and reserve accuracy within designated authority levels.
- Collaborate with vendors including legal counsel, medical case managers, and surveillance providers.
- Identify training needs and provide coaching to support adjuster performance.
- Ensure diary compliance, accurate documentation, and proactive claim management.
- Minimum 10 years of workers’ compensation claims experience, including 3 years in a supervisory or leadership capacity.
- Extensive knowledge of California WC regulations and claim best practices.
- Strong analytical, organizational, and interpersonal skills.
- A proactive, service-focused mindset with the ability to build trust and lead with influence.
- Bachelor’s degree preferred.
- Valid California Adjuster’s License required (or ability to obtain quickly).
- SIP certification preferred.
- Industry certifications such as AIC, CPCU, or ARM are a plus.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.