Claims Director jobs in Raleigh, NC

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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Claims Director- General Liability
  • Atlantic Casualty Insurance Company
  • Raleigh, NC FULL_TIME
  • Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been certified a “Great Place to Work” for the last 3 years and on Fortune’s “Best Place to Work” list of the top 100 best small and medium companies to work.

    With offices in Goldsboro, NC; Hartford, CT; Scottsdale, AZ; Richmond, VA; Atlantic Casualty has authority in fifty states and Washington, DC. We value our employees and believe embracing diversity of thought aides in fostering a culture of belonging; where all are seen, heard, and valued. At Atlantic Casualty, we are family! We care about our associates physical, emotional, and professional health and emphasize wellness benefits, charity, and training programs offered. We offer employee development opportunities through Cornerstone Learning Management System, Franklin Covey, the Institutes and Pluralsight.

    Benefits of Atlantic Casualty include:

    • Health, Dental, Vision, and Pet Insurance
    • 401(k) Plan Company Match
    • Student Loan Assistance and Tuition Reimbursement
    • Parental Leave
    • Career Growth and Opportunities for Promotions

    Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.

    www.atlanticcasualty.net/about-acic/our-careers/


    SUMMARY:
    Assists with the management of the claims department. Manages complex claim files and manages personnel in the unit to assure claim processing in a prompt, professional and efficient manner in accordance with company guidelines and procedures. Reviews claim files.

    ESSENTIAL DUTIES AND RESPONSIBILITIES:
    • Responsible for hiring, coaching, training, and evaluating claims managers.
    • Responsible for the implementation of new directives and initiatives.
    • Responsible for establishing and managing yearly performance goals.
    • Responsible for assisting with the implementation of new operating systems.
    • Aid the VP in managing the claims department with duties as assigned.
    • Assist and direct the examiners/adjusters in the proper investigation of coverage and liability issues and extend settlement authority to the examiners / adjusters to effect accurate, timely, cost-effective claims handling.
    • May manage the claims support staff as needed.
    • Gives technical direction to both managers and staff adjusters
    • Administratively responsible for supervising managers.
    • Manages the use of independent adjusters and maintains the approved list of vendors.
    • Manage litigation, rental, subrogation, and salvage to ensure cost effective returns.
    • Furnish appropriate weekly and monthly management reports.
    • Ensure Large Loss Reports and Reinsurance Reports are completed as needed.
    • Assist in training and developing staff.
    • Read and interpret insurance contracts.
    • Conduct monthly quality control reviews of adjusters’ claim files as needed.
    • Ensure employee objectives, performance and evaluations are consistent with department goals and objectives.
    • Manage full responsibility regarding training and development of staff, managing performance, resolving conflicts and problems, distributing work, checking work.
    • Make recommendations regarding hiring, salary increases, terminating employees, promoting employees.
    • Daily contact with the VP Claims, examiners, adjusters, insureds, claimants, attorneys, vendors, agents, and department managers.
    • Maintain contact with auditors and government / regulatory agencies.
    • Deal with and have access to information that is important and must be kept confidential.
    • Perform other similar or related duties as assigned.

    REQUIRED EDUCATION / EXPERIENCE:
    • Four-year degree from an accredited institution.

    • Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.

    • Basic understanding of accounting principles, construction, underwriting, marketing, and auto physical damage estimating.

    • Ten years successful claims handling including advanced skills in coverage, investigation, negotiation, salvage, and subrogation. Three to five years’ experience as a supervisor or Manager.

    • Three to five years’ experience with multi-line claims with heavy emphasis on Commercial GL is a plus.

    • Three to five years’ experience with multi-state responsibilities is a plus.

    • Excess and Surplus lines experience is a plus.


    REQUIRED SKILLS:
    • Knowledge of medical terms and legal issues.

    • Excellent computer skills.

    • Advanced communication skills are required to understand, interpret, and convey technical information.

    • Excellent time management skills.

    • Knowledge of the litigation process and procedures.

    • Knowledge of coverage, investigation, negotiation, salvage, subrogation, construction, and auto physical damage.

    • A resident adjuster’s license in North Carolina.

    • A non-resident adjuster’s license where required in the states where we do business.


    MENTAL REQUIREMENTS:
    Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions in written or diagram form. Reasoning; dealing with problems involving a few variables in standard situations.

    PHYSICAL REQUIREMENTS:
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may infrequently lift and/or move up to 25 pounds, sometimes as much as 50 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

    WORK ENVIRONMENT:
    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Works indoors at a cubicle with a computer. The noise level in the work environment is usually moderate. Works primarily indoors. Requires the ability to drive a vehicle, overnight travel, and occasional air travel.

    TRAVEL:
    5%

    "Atlantic Casualty Insurance Company is an equal opportunity employer"
  • 23 Days Ago

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Claims Director- General Liability
  • Atlantic Casualty Insurance Company
  • Goldsboro, NC FULL_TIME
  • Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been c...
  • 23 Days Ago

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Claims Director - Property
  • Atlantic Casualty Insurance Company
  • Goldsboro, NC FULL_TIME
  • Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been c...
  • 1 Month Ago

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Claims Specialist
  • Primeritus Financial Services Inc
  • Raleigh, NC FULL_TIME
  • Primeritus Financial Services is a national provider of repossession management, remarketing, titled, and skip tracing services to the automotive finance industry in the United States and Puerto Rico....
  • Just Posted

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Claims Consultant
  • Curi
  • Raleigh, NC FULL_TIME
  • TITLEClaims Consultant LOCATIONRemote About Us Curi is a full-service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and th...
  • 2 Days Ago

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Claims Facilitator
  • Erie Insurance
  • Cary, NC FULL_TIME
  • Division or Field Office: Customer Service Division Department of Position: Zone Operations Dept Work from: Raleigh, NC Branch Office Salary Range: $38,562.00 - $61,600.00 * salary range is for this l...
  • 3 Days Ago

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0 Claims Director jobs found in Raleigh, NC area

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson LLP
  • Raleigh, NC
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/25/2024 12:00:00 AM

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Director of Specialty Bill Review Services - Remote
  • Rising Medical Solutions
  • Raleigh, NC
  • As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strate...
  • 4/25/2024 12:00:00 AM

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Licensed Insurance Agent (100% Commission)
  • Weyenberg Group
  • Raleigh, NC
  • Job Description Job Description Remote or In-Person (Hybrid Position to Work from Home or Anywhere in the Country) Are y...
  • 4/25/2024 12:00:00 AM

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Software Development Director
  • General Dynamics Information Technology
  • Raleigh, NC
  • The NCMMIS program built and operates the NC Tracks system, a multi-payer claims adjudication system for the State of No...
  • 4/25/2024 12:00:00 AM

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Associate Director, Access & Reimbursement - Oncology - REMOTE
  • Proclinical Staffing
  • Raleigh, NC
  • Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote Proclinical Staffing is seeking an Associate ...
  • 4/25/2024 12:00:00 AM

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Senior Estimator - MEP Commercial Construction Projects
  • Bernhard
  • Raleigh, NC
  • Bernhard’s core mission is delivering innovative engineering, construction, and energy solutions that empower our client...
  • 4/23/2024 12:00:00 AM

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Marketing Administrator
  • LS Tractor USA
  • Raleigh, NC
  • Job Title: Administrative Assistant, Marketing Department: Marketing Department Supervisor: Director of Marketing Locati...
  • 4/23/2024 12:00:00 AM

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson Llp
  • Raleigh, NC
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/22/2024 12:00:00 AM

According to the United States Census Bureau, Raleigh occupies a total area of 144.0 square miles (373.0 km2), of which 142 square miles (369 km2) is land and 0.97 square miles (2.5 km2), or 0.76%, is covered by water. The Neuse River flows through the northeast end of the city. Raleigh is located in the northeast central region of North Carolina, where the Piedmont and Atlantic Coastal Plain regions meet. This area is known as the "fall line" because it marks the elevation inland at which waterfalls begin to appear in creeks and rivers. As a result, most of Raleigh features gently rolling hil...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Director jobs
$179,346 to $259,393
Raleigh, North Carolina area prices
were up 1.5% from a year ago

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Conducts audits of the claims process to include coverage analysis, investigation, valuation, scope, estimate, reserving and the accurate disposition of claims.
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