Claims Director jobs in Orange, CA

Claims Director directs and oversees the operations of an insurance claims department to meet operational, financial, and service requirements. Establishes policies and procedures for the administration of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Director is responsible for the strategic processing and payment of claims. Maintains up-to-date- knowledge of legislation, regulations, and industry events which pertain to insurance claims. Additionally, Claims Director provides expert guidance and consultation to staff on the most complex claims. Requires a bachelor's degree. Typically reports to top management. The Claims 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 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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Director of Workers' Compensation Claims
  • AmTrust Financial
  • Irvine, CA FULL_TIME
  • Director of Workers' Compensation Claims
    Job Locations US-CA-Irvine
    Requisition ID 2024-16202 Category Claims - Workers Compensation Position Type Regular Full-Time
    Overview

    AmTrust Financial Services, a fast-growing commercial insurance company, is currently seeking an experienced and driven Workers' Compensation Claims Director in our Irvine, CA office. In this role, the WC Claims Director will be responsible for leading and managing all aspects of Claims responsibilities and working with the Claims Managers to manage and ensure the Workers' Compensation claims activities are being handled within the AmTrust Best Practices.

    The WC Claims Director is an integral part of the leadership team and is responsible for developing and maintaining professional customer and broker relations by identifying and meeting customer needs.

    Responsibilities
      Oversee all aspects of claims process, ensuring timely and accurate adjudication, driving improvements in efficiency and effectiveness which align with AmTrust's goals and objectives.
    • Lead, manage and develop a high-performing claims team, including recruitment, retention, training and career development.
    • Regularly uses data analytics to monitor team(s) performance, and develops strategies to drive operational effectiveness, and improve the overall performance of the organization.
    • Oversees compliance with state/local regulatory requirements by following company guidelines, and remains current on California Workers' Compensation laws, regulations or trends for line of business.
    • Develop and maintain collaborative business partnerships with internal and external resources while recognizing connections and inter-dependencies and maximizing relationships to effectively manage the operation. Supports AmTrust sales and marketing goals by participating with underwriting in sales activities including new business development.
    • Works with the managerial team to evaluate the performance of the claims staff at regular intervals.
    • Ensures that all AmTrust policies, procedures and controls are followed.
    Qualifications
    • BA/BS Degree
    • SIP certificate required.
    • Minimum of 5 years progressive management experience with a minimum of 7 years' experience in the handling or litigating of California Workers Compensation Claims
    • Proficient computer skills required to navigate our paperless claim file system.
    • Possesses a high level of technical claim and legal knowledge and skills.
    • Excellent communication skills both written and oral
    • Ability to professionally interact at a high level with parties both internal and external to AmTrust.
    • Easily adapts to changing situations requirements or priorities.
    • Ability to effectively influence others without damaging relationships.
    • Experience with computerized claims management and office systems.

    The salary range for this role is $125,000 - $150,000/year. This range is only applicable for jobs to be performed in California. Base pay offered may vary depending on, but not limited to education, experience, skills, geographic location, travel requirements, sales or revenue-based metrics. This range may be modified in the future.

    What We Offer

    AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

    AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

    AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

    Connect With Us!
    Not ready to apply? Connect with us for general consideration.

     

  • 19 Days Ago

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CA - Orange County - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Irvine, CA FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 30 Days Ago

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Auditor (Claims)
  • CalOptima
  • Orange, CA FULL_TIME
  • Job DetailsAuditor (Claims) Job Description Department(s): Delegation OversightReports to: Manager Audit & Oversight (Delegation)FLSA status: Non-ExemptSalary Grade: I - $61,000 - $99,110 Applications...
  • 19 Days Ago

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Manager, Claims
  • AmTrust Financial
  • Irvine, CA FULL_TIME
  • Manager, Claims Job Locations US-CA-Irvine Requisition ID 2024-16419 Category Claims - Workers Compensation Position Type Regular Full-Time Overview AmTrust Financial Services, a fast growing commerci...
  • 1 Month Ago

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Claims Trainer
  • UST
  • Aliso Viejo, CA FULL_TIME
  • Claims Trainer Lead I - BPM Who we are: UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our heal...
  • 30 Days Ago

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Claims Examiner
  • MS ACSC Management Services Inc
  • Costa Mesa, CA FULL_TIME
  • Claims Examiner The person in this role works directly with Claims management to communicate trends and patterns on high severity and complex claims. This individual provides guidance to management fo...
  • 1 Month Ago

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0 Claims Director jobs found in Orange, CA area

A
Director of Workers' Compensation Claims
  • AmTrust Financial Services, Inc.
  • Irvine, CA
  • OVERVIEW: AmTrust Financial Services, a fast-growing commercial insurance company, is currently seeking an experienced a...
  • 4/23/2024 12:00:00 AM

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Claims Specialist
  • Illumination Foundation
  • Santa Ana, CA
  • Job Description Job Description “Every person deserves compassion, dignity, and the safety of a place to call home.” Hom...
  • 4/23/2024 12:00:00 AM

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Medical Claims Examiner III
  • Ultimate Staffing
  • Long Beach, CA
  • Job Responsibilities: Manage and ensure compliance with provider contract obligations. Conduct quality audits of claims ...
  • 4/22/2024 12:00:00 AM

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Quality Compliance Nurse and Compliance Coordinator
  • Preferred IPA of California
  • Los Angeles, CA
  • Job Description Job Description Openings for both a Quality Compliance Nurse and a Compliance Coordinator. QUALITY COMPL...
  • 4/22/2024 12:00:00 AM

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Sr. Trade Compliance Specialist
  • Fabletics
  • El Segundo, CA
  • Fabletics Inc. is currently looking for a Sr. Trade Compliance Specialist. How Do You Fit In? The Sr. Trade Compliance S...
  • 4/22/2024 12:00:00 AM

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Director of Workers' Compensation Claims
  • Amtrust Financial Services Inc.
  • Irvine, CA
  • OVERVIEW: AmTrust Financial Services, a fast-growing commercial insurance company, is currently seeking an experienced a...
  • 4/21/2024 12:00:00 AM

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Claims Specialist
  • Illumination Foundation
  • Santa Ana, CA
  • "Every person deserves compassion, dignity, and the safety of a place to call home." Homelessness is the largest social ...
  • 4/21/2024 12:00:00 AM

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Medical Claims Examiner III
  • Ultimate Staffing
  • Long Beach, CA
  • Job Responsibilities: Manage and ensure compliance with provider contract obligations. Conduct quality audits of claims ...
  • 4/21/2024 12:00:00 AM

Orange is a city located in Orange County, California. It is approximately 3 miles (4.8 kilometers) north of the county seat, Santa Ana. Orange is unusual in this region because many of the homes in its Old Town District were built before 1920. While many other cities in the region demolished such houses in the 1960s, Orange decided to preserve them. The small city of Villa Park is surrounded by the city of Orange. The population was 139,812 as of 2014. The city has a total area of 25.2 square miles (65 km2), 24.8 square miles (64 km2) of which is land and 0.4 square miles (1.0 km2) of which i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Director jobs
$203,442 to $294,244
Orange, California area prices
were up 3.0% from a year ago

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