Claims Processing Director jobs in Richmond, VA

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing 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 Processing 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 - Property
  • Atlantic Casualty Insurance Company
  • Richmond, VA 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:

    The Claims Director 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 AVP 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.
    • They have full responsibility regarding training and development of staff, managing performance, resolving conflicts and problems, distributing work, checking work.
    • They make recommendations regarding hiring, salary increases, terminating employees, promoting employees.
    • They have daily contact with the AVP Claims, examiners, adjusters, insureds, claimants, attorneys, vendors, agents, and department managers.
    • They will have contact with auditors and government / regulatory agencies.
    • They 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.
    • Five to ten years’ experience with first party property and Commercial Property claims. Ocean/Inland Marine claims handing experience 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 first party property coverage 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 the Appraisal process.
    • A current/active resident adjuster’s license in State of residence.
    • 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%

    Job Type: Full-time

    Pay: $110,000.00 - $150,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Flexible schedule
    • Flexible spending account
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Parental leave
    • Professional development assistance
    • Referral program
    • Relocation assistance
    • Retirement plan
    • Tuition reimbursement
    • Vision insurance

    Schedule:

    • Monday to Friday

    Supplemental pay types:

    • Bonus opportunities

    Experience:

    • Property Claims Management: 5 years (Required)

    Ability to Relocate:

    • Richmond, VA: Relocate before starting work (Required)

    Work Location: Hybrid remote in Richmond, VA

  • 1 Month Ago

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Workers Compensation Adjuster
  • TheBest Claims Solutions
  • Richmond, VA FULL_TIME
  • Workers Compensation Adjuster RICHMOND, VA 23218 $70,000 - $85,000 PER YEAR, DEPENDING ON EXPERIENCE Job Description Our client is looking to add a full time Workers Compensation Adjuster to their sta...
  • 1 Month Ago

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Claims Examiner (Property Claims)
  • Kinsale Insurance
  • Richmond, VA FULL_TIME
  • Kinsale is an Excess & Surplus lines insurer specializing in hard-to-place, small to medium sized commercial accounts. Kinsale is eligible in all states and writes a variety of Property, Casualty and ...
  • 1 Month Ago

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Claims Examiner (Property Claims)
  • Kinsale Management, Inc.
  • Richmond, VA FULL_TIME
  • Kinsale is an Excess & Surplus lines insurer specializing in hard-to-place, small to medium sized commercial accounts. Kinsale is eligible in all states and writes a variety of Property, Casualty and ...
  • 1 Month Ago

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Claims Trainer
  • Virginia Farm Bureau
  • Goochland, VA FULL_TIME
  • POSITION SUMMARY: Identify, develop, and implement training programs that are consistent with creating high performers for all positions in the claims department. Position: Full Time, Salaried opportu...
  • 19 Days Ago

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Claims Supervisor
  • Erie Insurance
  • Richmond, VA FULL_TIME
  • Division or Field Office: Richmond Branch Office Department of Position: Claims Department Work from: Remote Salary Range: $85,247.00 - $136,175.00 * salary range is for this level and may vary based ...
  • Just Posted

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0 Claims Processing Director jobs found in Richmond, VA area

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Senior Analyst, Global Underwriting Risk Management
  • Markel Corporation
  • Richmond, VA
  • What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The ...
  • 4/26/2024 12:00:00 AM

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Executive Director - Benefits
  • The Teamsters Joint Council 83 Health & Welfare And Pension Funds
  • University Of Richmond, VA
  • The Teamsters Joint Council 83 Health & Welfare and Pension Funds (the Funds), located in Richmond, VA, are currently se...
  • 4/26/2024 12:00:00 AM

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Hybrid-Litigation Specialist-Richmond VA
  • Masis Professional Group
  • University Of Richmond, VA
  • MPG's national client is seeking 4 Litigation Specialists - full-time opportunities. Location - Hybrid in various locati...
  • 4/26/2024 12:00:00 AM

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Pharmacy Quality Assurance Specialist
  • Elevance Health
  • Richmond, VA
  • Description Pharmacy Quality Assurance Specialist Location: This position will work a hybrid model (remote and office). ...
  • 4/26/2024 12:00:00 AM

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SHIFT MANAGER
  • Ace Parking Inc.
  • Richmond, VA
  • ** SHIFT MANAGER** **Job Category****:** Operations **Requisition Number****:** SHIFT013807 Showing 1 location **Job Det...
  • 4/24/2024 12:00:00 AM

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Senior Director - Inland Marine Product Line Leadership
  • Markel Corporation
  • Richmond, VA
  • What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The ...
  • 4/24/2024 12:00:00 AM

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Executive Director - Benefits
  • The Teamsters Joint Council 83 Health & Welfare and Pension Funds
  • Richmond, VA
  • The Teamsters Joint Council 83 Health & Welfare and Pension Funds (“the Funds”), located in Richmond, VA, are currently ...
  • 4/23/2024 12:00:00 AM

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Collections Team Lead - Central
  • UHS
  • Richmond, VA
  • Responsibilities One of the nation's largest and most respected providers of hospital and healthcare services, Universal...
  • 4/22/2024 12:00:00 AM

Richmond (/ˈrɪtʃmənd/) is the capital of the Commonwealth of Virginia in the United States. It is the center of the Richmond Metropolitan Statistical Area (MSA) and the Greater Richmond Region. Richmond was incorporated in 1742 and has been an independent city since 1871. As of the 2010 census, the city's population was 204,214; in 2016, the population was estimated to be 223,170, making Richmond the fourth-most populous city in Virginia. The Richmond Metropolitan Area has a population of 1,260,029, the third-most populous metro in the state. Richmond is located at the fall line of the James R...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$154,328 to $207,387
Richmond, Virginia area prices
were up 1.2% from a year ago

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