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Higginbotham

Captive Claims Director

Posted 29 Days Ago
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Remote or Hybrid
Hiring Remotely in United States
Senior level
Remote or Hybrid
Hiring Remotely in United States
Senior level
Leads the Captive Claims Department, supervising 8–10 employees and overseeing complex property and casualty claims. Develops claims strategies, manages reserves and resolution processes, monitors carrier and TPA performance, audits claim files, analyzes metrics and trends, supports clients with disputes, and drives workflow improvements. Requires frequent overnight travel and collaboration with clients, insurers, TPAs, attorneys, and claims professionals.
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Position Summary: The Claims Director is responsible for the strategic leadership, oversight, and management of the Captive Claims Department, ensuring consistent and effective claims advocacy and service delivery across the Captive portfolio. This position provides leadership and guidance to the claims team, participates in claim reviews, and oversees complex and high-exposure property and casualty claims. The Claims Director works closely with clients, carriers, third-party administrators, defense counsel, and other claims professionals to promote effective claims strategies, appropriate reserve management, and timely resolution. The position also monitors carrier and TPA performance, identifies claims trends and areas of concern, and escalates significant claims or service issues as appropriate.

Supervisory Responsibilities: Direct supervisory responsibilities for 8-10 team members

Essential Tasks:

  • Assist with the development and implementation of innovative claims resolution processes
  • Continually search for process improvements and/or enhancements to workflow; make recommendations for change where appropriate
  • Create and manage some key metrics to improve claims processing
  • Assist clients with disputed claims resolutions, if escalation is desired/required
  • Identify areas on processes to eliminate potential E&O claims
  • Coordination of claims management process to improve customer satisfaction
  • Provide education of the claims process to the agency and client personnel
  • Review reporting process in Applied EPIC claims system by claims advocates
  • Manage notification process of new claim information
  • Respond to client and company requests for action and information on any claim-related matter
  • Complete monthly audits of a sampling of Advocate claim files to ensure established performance metrics and claim handling standards are being met, including review of applicable administrative activities.
  • Participate in establishing Wildly Important Goals that fall outside of the regular “day job” and into process improvement or large scale project completion

Core Competencies:

  • Leadership: Display leadership skills and ability to motivate fellow employees
  • Ability to Analyze and Solve Problems: Skill in recognizing challenges, exploring options, and implementing effective solutions in a timely manner
  • Attention to Detail: A strong focus on completing tasks and projects accurately and thoroughly
  • Communication Skills: Capable of expressing ideas clearly in both verbal and written forms and engaging with various audiences
  • Timely Task Completion: Ability to finish tasks and projects efficiently, managing resources and priorities effectively
  • Team Collaboration: Willingness to work together with others, promoting teamwork and supporting shared goals
  • Client Focus: Dedication to understanding and addressing the needs of clients and stakeholders to ensure their satisfaction
  • Dependability: Acknowledgment of the importance of being present and punctual.
  • Creative Thinking: Openness to suggesting new ideas and methods to improve processes and outcome
  • Organizational Skills: Capability to prioritize tasks and manage multiple projects simultaneously
  • Adaptability: Willingness to adjust to changing situations and priorities, showing resilience in a dynamic work environment

Experience and Education:

  • High School diploma is required, Bachelor’s degree preferred.
  • 8 years of experience in property and casualty claims in a commercial insurance environment and experience in claims management processes

Licensing and Credentials:

  • Active General Lines or Property & Casualty License required

Systems:

  • Proficient with Microsoft Excel, Word, PowerPoint, and Outlook
  • Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable

Location:

  • This role will be based out of our Bossier City, LA office and can be either an in office, hybrid, or fully remote role. 

Physical Requirements:

  • Frequent overnight travel required, some trips will be outside of normal business hours
  • Ability to lift 25 pounds
  • Repeated use of sight to read documents and computer screens
  • Repeated use of hearing and speech to communicate on telephone and in person
  • Repetitive hand movements, such as keyboarding, writing, 10-key
  • Walking, bending, sitting, reaching and stretching in all directions

Benefits & Compensation: 

  • Higginbotham offers medical, dental, vision, prescription drug coverage, 401K, equity incentive plan as well as multiple supplemental benefits for physical, emotional, and financial wellbeing. 
  • Employee Wellness Program 
  • Company paid holidays, plus PTO 

Notice to Recruiters and Staffing Agencies: To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham.  Please do not contact or send unsolicited potential placements to our team members.

*Applications will be accepted until the position is filled 

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Higginbotham Cypress, California, USA Office

25282 Northwest Frwy, Suite 170, Cypress, United States, 77429

Higginbotham Irvine, California, USA Office

2 Park Plaza, Suite 320, Irvine, United States, 92614

Higginbotham Los Angeles, California, USA Office

10960 Wilshire Blvd, 5th Floor, Los Angeles, United States, 90024

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