Claims Director

Job Description

Job Description

A prominent Michigan-based organization in the insurance sector is looking for a dynamic Claims Director . This position is ideal for an experienced leader with expertise in claims management, litigation oversight, and operational strategy.

Responsibilities:

Responsible for overseeing all operations of the Assigned Claims Program and related organizational tasks. Serves as a member of the senior leadership team, providing strategic and day-to-day oversight of claims functions, litigation, servicing insurers, third-party administrators (TPAs), vendors, and staff. Manages multi-million-dollar budgets, ensures compliance with regulations, and supports the executive team with personnel, technology, and policy initiatives. This role involves managing litigation processes, supervising claims activities, and ensuring compliance with industry regulations and organizational standards. The ideal candidate will possess strong leadership skills, a deep understanding of insurance claims, and expertise in litigation management.

• Direct daily operations of the assigned claims unit, including staff management, workflow, and quality control.
• Develop and manage program budgets, expenses, and financial reporting.
• Oversee litigation strategy, appeal processes, and counsel/vendor partnerships.
• Monitor servicing insurers and TPAs to ensure compliance, performance, and effective claims handling.
• Lead committees, task forces, and organizational initiatives, including No-Fault Reform strategy.
• Provide training, coaching, performance management, and employee engagement initiatives for staff.
• Oversee technology and IT projects supporting claims operations.
• Represent the organization in litigation, industry groups, and external committees as needed.
• Ensure policies, procedures, and statutory requirements are up to date and enforced.
• Review vendor contracts, legal billing, and claims documents to ensure accuracy and compliance.
• Support the executive director and collaborate with leadership on organizational strategy and initiatives.

Requirements:

• Bachelor’s degree (or equivalent experience in assigned claims/related field)
• 5+ years of relevant experience
• Supervisory experience
• Strong knowledge of assigned claims rules, manuals, and procedures
• Ability to interpret and apply Michigan statutes
• Skilled in organizing information and making sound decisions on claims, litigation, staffing, and workflow
• Experience planning and managing complex projects
• Strong written and verbal communication skills, including preparing and presenting reports to leadership and committees