Claims Director, Casualty (Remote, US)

 Posted an hour ago
     
⭐ 10+ years experience
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AI Summary

The Claims Director will design and lead the Auto Casualty Claims Team, focusing on optimizing processes for complex casualty and bodily injury claims. This role involves managing operational metrics, integrating specialized vendors, and collaborating with technology and product teams to enhance claims infrastructure.

Position Overview

Openly is seeking a visionary Claims Director to design, implement, and lead our new Auto Casualty Claims Team. Your mission will be to redefine the handling of complex casualty claims, pushing the boundaries of efficiency, fairness, and policyholder satisfaction within the industry. This role will also lead the Property Liability and Litigation team.  This pivotal role reports directly to the VP of Claims.

Strategic Responsibility

You will be accountable for optimizing the entire Auto Casualty claims handling process. This involves the strategic integration of specialized vendors, leveraging advanced technology, developing innovative and legally sound process flows, ensuring unwavering regulatory compliance, and establishing a top-tier internal desk adjustment team expert in bodily injury. You will be responsible for building this critical claims process infrastructure from its very inception.

Core Responsibilities:

  • Partner strategically with the Claims Director, Auto Physical Damage on cross-functional initiatives and shared vendor relationships to optimize overall claims operations.

  • Designing the foundational structure and processes for all Auto and/or Casualty claims.

  • Contributing to the development of the operational strategy and vision for the Openly Claims organization.

  • Managing claim outcomes to meet operational metric targets, including loss dollars, loss adjustment expenses, claim average cycle time, customer experience, employee experience, and regulatory compliance.

  • Collaborating with Vendor Management and Technology Teams to evaluate and select vendor partners.

  • Establishing and implementing segmentation rules for claim routing to optimize the use of technology, personnel, and vendors.

  • Partnering with the Data Strategy team to design key operational metrics and automated reporting for enhanced transparency and data-driven decision-making.

  • Providing policy and claims feedback in collaboration with the Insurance Product team.

  • Representing Openly at claims industry events and forums.

  • Cultivate a strong culture of teamwork and shared accountability within the Casualty claims team and across the broader organization, championing effective communication and problem-solving with all internal and external partners.

  • Maintaining a comprehensive understanding of industry trends, regulatory changes, and technological advancements.

Qualifications:

  • Minimum of 10 years of progressive leadership experience in property & casualty insurance claims roles, with a proven ascent in responsibility.

  • At least 6 years of experience leading and optimizing Auto Casualty claims teams, with a demonstrated track record of achieving strong operational results.

  • Strong technical knowledge and demonstrated expertise in managing Complex Bodily Injury claims, including advanced claim handling strategies, negotiation tactics, and litigation management.

  • Proven ability to design, staff, and lead high-performing claims teams.

  • Demonstrated passion for leadership, coaching, and talent development.

  • Proven track record of strategic planning and budget management.

  • Excellent interpersonal and project management skills, with the ability to communicate and collaborate effectively across all organizational levels.

  • Strong analytical and problem-solving abilities.

  • Comfortable operating in ambiguous environments and addressing complex business challenges.

  • Results-oriented with strong decision-making capabilities.

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