Society Insurance is seeking a Director of Claims (Technical and Shared Services) to lead a team dedicated to providing shared resources to the Claims teams.

• Aligns roadmaps with agile teams to advance the quality and effectiveness of claims handling through data collection/analytics, continuous improvement, and efficiency gains. Establishes effective cost-containment programs and manages vendor relationships.
• Identifies, documents, and improves claim processes and technology needs through team and subject matter experts (SMEs). Works with claims business lead on items needed regarding technology or Continuous Improvement (CI).
• Functions as a key staff member in the planning and implementation of new business applications and integrations, major release updates, and changes in the claims center processes and structure.
• Engages claims leadership to establish project priorities across the department, understands key interdependencies among projects throughout the organization, and communicates testing needs.
• Aligns resources to effectively deliver a business-relevant solution within the constraints of scope, quality, time, and cost – to the business documented requirements and project vision.
• Supports and promotes agile planning methodologies as a valuable way to consistently create, deliver, and implement a business-relevant software solution.
• Works with Change Management to develop communication tools to highlight success stories while keeping the staff advised on claim-specific initiatives and/or training opportunities.
• Engages managers, claims business leads, and SMEs in the claims department to identify continuous improvement opportunities and streamlines current processes that will support future growth. Ensures alignment among claim units including upstream and downstream dependencies and communicates hurdles and resource needs.
• Develops and manages the claims functions including but not limited to: claim compliance, claim and suite file audits, department training, external audits, adjuster manual updates, and other resource needs. Supports team with complex coverage and loss questions.
• Develops and presents claims-related training programs. Oversees the creation and maintenance of training documentation and assists in training on claims system enhancements.
• Assists Claims Managers with monitoring of regulatory and compliance requirements for each state; assists implementation of requirements, and conducts claims staff training regarding requirements.
• Establishes project priorities and understands interdependencies throughout the organization. Oversees the day-to-day maintenance (break/fix) of department claims systems.
• Works with Commercial Underwriting and Sales regarding state expansion to determine the metro areas being targeted and identify how Claims will support growth and profitability.
• Seeks opportunities for straight through processing (STP) that will continue to advance the innovation and continuous improvement of Claims.
• Works with key team members and department SMEs to implement training plans for maintaining claims files and Medicare. Oversees auditing process that aligns with State and Federal Medicare and Fair Claims Practices of each state Society conducts business in.
• Supports an open and transparent environment, where new ideas surface easily, favorable change is embraced, and where leadership abilities are recognized and encouraged.
• Coaches and develops high potential employees through superior talent development plans.

About You

• You enjoy coaching and developing others within a collaborative team environment.
• You are decisive and takes a systematic approach to continuous improvement initiatives.
• You enjoy empowering and motivating others to achieve their full potential.
• You encourage ownership of the company’s mission, goals, and values.
• You hold yourself accountable and are results driven.
• You enjoy analyzing, investigating, and using the facts to make decisions.

What It Will Take

• Bachelor’s degree in business, insurance, economics, or related field.
• 8+ years of demonstrated competency in property, auto, and casualty claims with some emphasis in commercial including strong knowledge of coverages, laws, and concepts.
• 5+ years of experience in a claims management role.
• Demonstrated history of initiative, collaboration, and plan execution.
• Proven track record of successful functional leadership of large, complex projects with multiple stakeholders and driving organizational change.
• Recognized high-level designation(s). Examples include: CPCU, AIC, CIC, ARM, AU) and ongoing industry education.
• Strong interpersonal skills, including the ability to mediate multiple perspectives and come to a resolution.
• Self-confidence to be assertive when taking a position and constructively resolving differences and building consensus among partners.
• 5 years of experience in at least one of the following areas: workflow design and analysis, data collection and analytics, business analysis, and/or incorporating business intelligence concepts highly desirable.
• 15 years of demonstrated competency in a claims-handling role including strong knowledge of coverages, laws, and concepts high desirable.