Claims Director
Core
Senior claims examiner handling complex workers' compensation cases involving severity exposures, litigation, and account management.
Role type
Senior IC claims director (workers' compensation)
Builds
Claims resolutions, reserve calculations, and settlement strategies for complex WC accounts.
Domain
Insurance / Workers' Compensation
Required skills
Workers' compensation claims handling, reserve analysis, litigation management, account management, negotiation, compliance knowledge, investigation direction, mentorship, financial accuracy, contract interpretation
Preferred skills
MSA structure expertise, subrogation knowledge, SIU collaboration, medical resource management, training development
Technologies
Internal claims systems, external legal/medical databases, financial modeling tools
Responsibilities
Manage senior examiner caseload with complex coverage and litigation issues; Conduct or direct high-level investigations with SIU; Calculate and present significant reserves and settlements; Mentor junior staff and identify training needs; Address compliance issues and exposures; Collaborate with medical resources on unusual injuries.
Seniority
Senior, hands-on IC