dan
Claims Director
Durham, North Carolina · Director · Full-time
Sponsorship not specifiedDetected 7 days ago
Project ManagementForecastingBudgetingCustomer SupportLeadershipCommunicationProblem SolvingAdaptabilityMicrosoft OfficeUnderwritingClaims Management
About the role
- This role ensures timely, accurate, and compliant claims handling while promoting exceptional customer service, effective risk management, and continuous operational improvement.
- Oversee the intake, investigation, evaluation, reserving, and resolution of claims.
- Establish department goals, KPIs, and performance standards.
Responsibilities
- Lead and inspire a service-focused team.
- Manage complex, high exposure, litigated, or escalated claims
- Develop and implement claims handling strategies, workflows, and best practices.
- Identify operational, legal, and financial risks within the claims process and implement corrective actions.
- Maintain positive relationships with insureds, brokers, members, partners, and external stakeholders.
- Collaborate cross-functionally with underwriting, operations, finance, and customer service teams.
- Superior project management skills with proven ability to plan, lead and track projects from concept through implementation
- Ability to manage timelines and milestones to ensure timely reporting and closures
Requirements
- Bachelor's degree or equivalent experience required
- Valid adjusters license or ability to obtain such
Skills
- Knowledge of the scuba diving industry
- Deep knowledge and experience with captive insurance companies, risk retention groups, accident and health and trip/travel programs
- Knowledge of Trip/Travel Insurance
- Excellent interpersonal communication, organization, and management skills
- Self-motivated with strong attention to details and problem-solving skills
- Proficient with Microsoft Office Suite and experienced or adaptable to claims management platforms
Benefits
- Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable.
- Assist in the development and implementation of reservation of rights letters, coverage position letters, and claims procedures.
Company info
- Ensure claims are handled in accordance with policy provisions, company guidelines, regulatory requirements, and industry standards.
This listing is sourced directly from dan's careers page and normalized into a canonical job model.