Claims Processing Director jobs in Missouri

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Claims Director
  • Safety National
  • St. Louis, MO FULL_TIME
  • Description

    Stop searching. Start growing. It's time to build a meaningful career where you can grow, your ideas can thrive, and you are recognized and valued. Join a team committed to your excellence, and apply to Safety National today!

    Ready for a rewarding career? Follow this link to view all of our available careers and apply:

    This opportunity is in the Claims Department.

    Our Claims department oversees both high-exposure workers' compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess and large deductible carrier, the high exposure claims we handle keep our group challenged, but the uniqueness provides plenty of growth opportunities.

    Role Description:

    In the role of Claims Director (internally known as "Director, Claims"), you will be responsible for handling assigned Excess Workers' Compensation claims from initial assignment to closure as well as supervising Claims Managers and Analysts within region.

    Your day-to-day responsibilities as Claims Director will include:

    • Directly or indirectly negotiating claim settlements as well as establishing and updating of reserves within established authority level with direct reporting to VP on settlements over authority limits.
    • Coordinating litigation efforts on claims to include selection of counsel and monitoring of counsel performance in accordance with department litigation guidelines.
    • Communicating with Underwriters regarding problem accounts, large losses, and specific TPA problems.
    • Direct or indirect involvement in the medical management of claims and utilizing Medical Management staff and vendor partners to mitigate medical exposure as needed.
    • Coordinating litigation management efforts on claims to include selection of counsel when appropriate, and the monitoring of counsel performance in accordance with department litigation guidelines.
    • Traveling on an "as needed" basis for claim audits including request for audits by Underwriting, problem accounts, TPAs, or claims with completion of report per department procedures.
    • Monitoring the performance and completion of annual performance appraisals for direct reports, managing the hiring and onboarding/training of new Claims Analyst(s) and Claims Manager(s) as well as coordinating on-going training of direct reports.

    If this role describes you, apply today!

    Qualifications:

    Education:

    • Bachelor's Degree for accredited college or university required.

    Required Qualifications:

    • Minimum 10 years' experience in Workers' Compensation claims adjusting with insurance carrier or Third Party Administrator required.
    • Must have strong organizational and analytical skills, as well as excellent written and oral communication skills.
    • Must be proficient with Excel, Work, and Microsoft Outlook applications.

    Preferred Qualifications:

    • Handling Excess Workers' Compensation claims a plus.
    • Experience adjusting claims in multiple jurisdictions a plus.

    Protect the confidentiality, integrity and availability of information and technology assets against unauthorized disclosure, destruction and/or alteration, in accordance with Safety National policies, standards, and procedures.

    Safety National is committed to fair, transparent pay and we strive to provide competitive, market-based compensation. In our vision to be First with Co-Workers, compensation is only one piece of the comprehensive total rewards package we offer. The target salary range for this position is $111,000 to $179,000. Compensation for the successful candidate will consider the candidate's particular combination of knowledge, skills, competencies, experience, and geographic location.

    Safety National is a leading specialty insurance and reinsurance provider. Our culture is built upon relationships, which allow us to demonstrate our expertise gained through our rich 80-year history. As a wholly-owned subsidiary of Tokio Marine, Inc., we appreciate the benefits and support provided by our affiliation with one of the top 10 insurance companies in the world.

    A Benefits Structure That Puts Employees First

    Safety National's approach to benefits reaches far beyond competitive fixed compensation. Instead, we construct a total rewards benefits package for each valued member of our team. Highlights include incentive award bonuses, an annual holiday bonus, and profit-sharing contributions. Other exceptional benefits include generous healthcare coverage, a 401(k) match, enhanced paid caregiver leave, and family-forming benefits for adoption, surrogacy, and fertility. We also promote balance by offering a hybrid working environment and several employee appreciation events throughout the year. Apply today to learn more about our total rewards approach.

    #LI-HYBRID






    Safety National Casualty Corporation is an Equal Opportunity Employer. It is the policy of Safety National to prohibit discrimination and harassment of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, age, sex, sexual orientation, pregnancy, national origin, disability, military status, veteran status, ancestry, citizenship, gender identity, genetic information or any other personal characteristic protected by applicable law. None of the questions in our application are intended to elicit information regarding any protected characteristics, nor imply any limitation, illegal preferences or discrimination based upon non-job related information or protected characteristics.

     

  • Just Posted

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Claims Director
  • SN Branding
  • Saint Louis, MO FULL_TIME
  • Stop searching. Start growing. It’s time to build a meaningful career where you can grow, your ideas can thrive, and you are recognized and valued. Join a team committed to your excellence, and apply ...
  • 2 Days Ago

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Director of Claims
  • Missouri Employers Mutual
  • Kansas, MO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual. At MEM, we’ve created a casual, values-driven work culture that’s making a positive impact on the way peop...
  • 5 Days Ago

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Director of Claims
  • Missouri Employers Mutual
  • Springfield, MO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual. At MEM, we’ve created a casual, values-driven work culture that’s making a positive impact on the way peop...
  • 5 Days Ago

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Director of Claims
  • Missouri Employers Mutual
  • Cape Girardeau, MO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual. At MEM, we’ve created a casual, values-driven work culture that’s making a positive impact on the way peop...
  • 5 Days Ago

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Director of Claims
  • Missouri Employers Mutual
  • Kansas, MO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual. At MEM, we’ve created a casual, values-driven work culture that’s making a positive impact on the way peop...
  • 5 Days Ago

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Director of Claims Management
  • MoveUp Consulting
  • Wooster, OH
  • Job Description Job Description Job Title: Director of Claims Management Location: REMOTE - Wooster, OH Company: MoveUp ...
  • 4/23/2024 12:00:00 AM

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Director of Claims
  • Masis Professional Group
  • Charlotte, NC
  • SUMMARY: Assists with the management of the claims department. Manages complex claim files and manages personnel in the ...
  • 4/22/2024 12:00:00 AM

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Claims Director - Maritime Liability
  • Chubb
  • Wilmington, DE
  • The Chubb North American Marine team services several business units within Chubb with a diverse book of marine business...
  • 4/22/2024 12:00:00 AM

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Director of Claims
  • Masis Professional Group
  • Charlotte, NC
  • SUMMARY: Assists with the management of the claims department. Manages complex claim files and manages personnel in the ...
  • 4/21/2024 12:00:00 AM

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Casualty Claims Director
  • Plymouth Rock Assurance
  • Boston, MA
  • Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA an...
  • 4/21/2024 12:00:00 AM

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Complex Claims Director, Excess
  • AIG
  • Jersey City, NJ
  • Complex Director- Excess Major Claims | Primary Severity Unit Who we are American International Group, Inc. (AIG) is a l...
  • 4/21/2024 12:00:00 AM

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Casualty Claims Director
  • Plymouth Rock Assurance
  • Boston, MA
  • Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA an...
  • 4/20/2024 12:00:00 AM

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Director of Claims Quality
  • Tandym Group
  • Jersey City, NJ
  • A health services organization in New York City is currently seeking an experienced professional to join their staff as ...
  • 4/19/2024 12:00:00 AM

Missouri is landlocked and borders eight different states as does its neighbor, Tennessee. No state in the U.S. touches more than eight. Missouri is bounded by Iowa on the north; by Illinois, Kentucky, and Tennessee across the Mississippi River on the east; on the south by Arkansas; and by Oklahoma, Kansas, and Nebraska (the last across the Missouri River) on the west. Whereas the northern and southern boundaries are straight lines, the Missouri Bootheel protrudes southerly into Arkansas. The two largest rivers are the Mississippi (which defines the eastern boundary of the state) and the Misso...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$151,156 to $203,124

Claims Processing Director in Cedar Rapids, IA
The Manager-Claims Process evaluates existing business processes, procedures, and results to identify variance, recommend best practices that ensure high quality/low cost outcomes, and gain alignment across the business.
January 22, 2020
Getting a clear picture of your claims processes is key to containing future costs.
December 23, 2019
Claims Processing Director in Salem, OR
To file a claim, you would need to call the claims department or stop by your local agent’s office.  Some insurance companies also accept claims filed over the Internet.  Regardless of how you submit the claim, the information required will be similar.
February 17, 2020
Claims Processing Director in Baltimore, MD
Officials said the advance work will allow the files to be assigned immediately to claims processors for a decision within 30 days.
February 21, 2020