Director, Claims - Claim Payment

Director, Claims - Claim Payment

Continental General - Austin, Texas

Looking to join a growing company dedicated to helping others? We offer that, plus competitive salaries, great culture, and a relaxed environment. This position allows for a hybrid work environment. Join our team to help make a difference in the lives of others!

About Continental General

Headquartered in Austin, Texas, Continental General was incorporated as a life, accident & health insurance company in 1961. Our family of companies and strategic partners provide administrative services to over 100,000 policyholders. We are committed to the continuous development of our infrastructure, processes, and our people. With each opportunity, we take a collaborative approach to address challenges and provide unique solutions.

Essential Job Functions:

• Responsible for activities and services of the department ensuring an efficient level of administration and that company standards and customer relationships are maintained.

• Provides file guidance for complex or high-risk claims.

  • • Assists/directs reviews to ensure consistency and compliance with regulations, client expectations, and SOPs.

  • Works toward the resolution of claim files, and attends arbitrations, mediations, dispositions, or trials as necessary.

  • May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.

  • Ensures that claim payments are issued in a timely and accurate manner.

  • Ensures that claims handling is conducted in compliance with applicable statues, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.

• Advises reporting staff on claim files and extends settlement authority as necessary after reviewing files.

• May establish reserves and make recommendations on reports for Corporate Claims or senior management.

• Coordinates the work activities within the unit. Responsible for day-to-day work and procedures. Assigns and checks work, as needed.

• Responsible for performance, development, and coaching of staff (i.e. - hiring, firing, performance management, salary increases, etc.). Provides training to new members of the team/unit.

• Provides tactical leadership and strategic direction to the unit.

• Works closely with Sr. Manager

• Plans and ensures that the unit meets budget and performance targets.

• Performs other duties as assigned.

Note: Applicants must be authorized to work for a U.S. employer without sponsorship. We are unable to sponsor or take over sponsorship of an Employment Visa at this time or at any time in the future.

Education: Bachelor’s Degree or equivalent experience

Field of Study: Liberal Arts, Business, or a related discipline

Experience: 10 or more years of related experience; including 4 or more years of supervisory experience

Scope of Job:

• Highest non-officer leadership level.

• Responsible for all teams, territories, regions, lines of business or profit centers.

• Has clear and distinct accountability for business results.

• This position is typically responsible for one territory, region, line of business or profit center.

• Relies on extensive experience and judgement to plan and accomplish goals.

• Typically has responsibility for a large group or several smaller groups.

• Career path progression may be AVP.

• Possesses good verbal and written communication skills.