RBPRSLLC is looking for candidates to fill the position of Director of Claims Management. On-Site position in Spring Valley, NY. No visa sponsorships supported, no agencies please.

Top Reasons to Work with our client

• Great work-life balance!
• Market leader in commercial insurance and risk management!
• Offer a wide range of career paths and opportunities for growth!
• Competitive Compensation and Benefits: health insurance, retirement plans, and other benefits!

What you will be doing:

• Lead and manage the WC claims department, including supervision of WC claims adjusters, analysts, and support staff.
• Develop and implement strategies for efficient WC claims processing, including workflows, technologies, and customer service practices.
• Collaborate closely with the WC claims system design team to provide insightful feedback, ensuring the system's functionality supports efficient and accurate claim adjudication.
• Ensure adherence to legal, regulatory, and company-specific standards and policies.
• Review and evaluate complex WC claims, providing guidance on high-level cases and decisions.
• Oversee the preparation of WC claims reports and analysis for senior management, identifying trends and suggesting improvements.
• Ensure accurate and timely settlement of WC claims while controlling costs and mitigating risk to the company.
• Develop training programs for WC claims team members to enhance their skills and ensure high-quality service.
• Establish and maintain relationships with external partners, such as third-party vendors, legal counsel, and service providers.
• Collaborate with other departments (e.g., underwriting, legal, customer service) to streamline operations and improve cross-functional communication.
• Monitor key performance indicators (KPIs) for the WC claims department and lead continuous improvement initiatives.
• Stay updated on industry trends, technology advancements, and regulatory changes that could affect claims management.
• Foster a positive and collaborative work culture within the department, ensuring high employee morale and retention.

Experience you will need:

• In-depth knowledge of WC insurance claims processes, regulations, and industry best practices.
• Strong leadership skills with the ability to manage, coach, and develop teams.
• Excellent problem-solving and decision-making abilities, especially for complex WC claims scenarios.
• Exceptional communication and interpersonal skills, with the ability to collaborate across departments.
• Strong analytical skills with experience in data-driven decision-making and reporting.
• Proficiency with WC claims management software and other relevant tools.
• Bachelor's degree in Business, Insurance, Risk Management, or related field (preferred).
• 10 years of experience in WC claims management or a related field with at least 4 years in a leadership role.

Salary: $175,000 - $285,000/year