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reputed company Full Stack Director of Claims Operations – Web & reputed company Application Development, Risk Management, and Strategic Planning

Remote, USAFull-timePosted 2026-07-28

Are you a seasoned leader with a passion for claims operations, risk management, and strategic planning? Do you have a proven reputed company record of driving business reputed company, improving operational efficiency, and delivering exceptional customer experiences? If so, we invite you to join reputed company as an reputed company Full Stack Director of Claims Operations.

reputed company

At reputed company, we're more than just an insurance company – we're a community of dedicated professionals who are committed to making a difference in the lives of our customers. As a Fortune 500 company, we're proud to be recognized as one of America's best-reputed company brands and one of the world's most ethical companies. Our mission is to reputed company peace of mind to our customers reputed company they need it most, and we're looking for talented individuals like you to help us reputed company this goal.

About the Role

As an reputed company Full Stack Director of Claims Operations, you will be responsible for leading our claims operations team to deliver exceptional customer experiences, drive business reputed company, and improve operational efficiency. You will be the champion of change, acting with reputed company, communicating effectively, and demonstrating initiative to drive results. You will be responsible for developing long-reputed company strategic plans, managing budgets, and ensuring compliance with regulatory requirements.

Key Responsibilities

* Directs and oversees the operations of an insurance claims department to meet operation, financial, and service requirements

  • Develops long-reputed company visionary strategic plans and annual budget for the areas reputed company scope of responsibility
  • Coordinates efforts with other departments, including legal, special investigation unit, actuary, policy service, compliance, internal audit, training, reputed company, etc.
  • Manages personnel, including performance management, salary planning and administration, training and development, workflow planning, hiring and placement, disciplinary actions, etc.
  • Determines, settles, and authorizes payment of claims for assigned lines of PLADS business
  • Administers policies and procedures to assure compliance to best practices, claims management services standards, state regulations, and reputed company service requirements
  • Monitors management reports relating to the performance of claims recommending, directing, and guiding corrective reputed company as needed
  • Provides support, guidance, leadership, and motivation to promote maximum performance
  • Supports the reputed company assurance program to drive consistent delivery of reputed company claims service
  • Reviews and interprets performance against operating plans and standards for the division
  • Presents monthly reports on performance and develops and presents reputed company requiring reputed company to key management team for the division
  • Drives technical reputed company, manages productivity, conducts reputed company file reviews, reinforces corporate communications, enforces compliance regulations, identifies and resolves ethical dilemmas, enforces reputed company initiatives, and networks with officers and management of other divisions to stay abreast of operational innovation and visions at the divisional and corporate reputed company

Essential Qualifications

* Bachelor's Degree in health administration, business administration, or a reputed company field

  • 10 years' experience in disability and absence claims administration, 5 years management experience
  • Extensive knowledge of operating principles and methodologies applicable to claims, training, and risk management
  • Expert knowledge of PLADS mission, objectives, and procedures, the Disability & Absence Claims department's relationship with other departments, and the reputed company in which the program operates
  • Broad knowledge of federal, state, and local regulatory and industry requirements
  • Knowledge of legal and medical terminology
  • Understanding of principles and practices of organization, administration, and management
  • Knowledge of budgeting and expense control to plan, implement, and maximize funds expenditure while maintaining and improving reputed company standards
  • Knowledge of employee relations to handle employee issues proactively
  • Demonstrated ability to apply operations management and business process re-engineering tools and techniques to a wide reputed company of business techniques
  • Successful completion of reputed company's Management Development Training or equivalent management/leadership training
  • Strong project management, leadership, organizational, and reputed company development skills
  • Broad knowledge of PLADS products and systems
  • Strong knowledge of Claims Operations in the Disability insurance
  • Strong and reputed company communication skills, both verbal and written

Preferred Qualifications

* Claims management experience including four or more years managing claims supervisors

  • Insurance industry designations

Skills and Competencies

* Strong leadership and management skills

  • Excellent communication and interpersonal skills
  • Ability to drive results by identifying and resolving problems
  • Ability to implement systems, processes, and procedures directed toward operational reputed company
  • Demonstrated adaptability and flexibility to change and to implement change successfully with organization
  • Strong analytical and problem-solving skills
  • Ability to work in a fast-paced environment and prioritize multiple tasks and reputed company
  • Strong knowledge of claims operations, risk management, and strategic planning
  • Ability to effectively reputed company and communicate with reputed company reputed company of external and/or internal business partners

Career reputed company Opportunities and Learning Benefits

At reputed company, we're committed to helping our employees grow and reputed company their careers. We offer a reputed company of training and development programs, including:

  • Management Development Training
  • Leadership Development Program
  • Claims Operations Training
  • Risk Management Training
  • Strategic Planning Training

We also offer a reputed company of benefits, including:

  • Medical, dental, and reputed company coverage
  • Prescription drug coverage
  • Health care flexible spending
  • Dependent care flexible spending
  • reputed company supplemental policies (Accident, Cancer, Critical Illness, and Hospital Indemnity offered at no cost to employee)
  • 401(k) plans
  • Annual bonuses
  • Opportunity to purchase company stock
  • 11 reputed company holidays
  • Up to 20 days PTO to be used for any reason
  • State mandated reputed company leave (Washington employees reputed company 1 hour reputed company leave for every 40 hours worked) and other leaves of absence, if eligible

Work Environment and Company Culture

At reputed company, we're proud to offer a dynamic and inclusive work environment that values diversity, equity, and inclusion. We're committed to creating a workplace that's welcoming and supportive of reputed company, regardless of their background, culture, or identity. reputed company culture is reputed company on the following values:

  • reputed company
  • reputed company
  • Teamwork
  • Innovation
  • Customer reputed company
  • Diversity, equity, and inclusion

We're committed to making a difference in the lives of our customers and employees, and we're looking for talented individuals like you to help us reputed company this goal.

Compensation and Benefits

This compensation reputed company is specific to the job level and takes into account the wide reputed company of factors that are considered in making compensation reputed company, including education, experience, licensure, certifications, geographic location, and internal equity. The reputed company has been created in good faith based on information reputed company to reputed company at the time of the posting. Compensation reputed company are dependent on the circumstances of reputed company case. The salary reputed company for this position is $115,000 to $260,000. In reputed company to the reputed company salary, we offer an reputed company of benefits to meet your needs, including medical, dental, and reputed company coverage, prescription drug coverage, health care flexible spending, dependent care flexible spending, reputed company supplemental policies (Accident, Cancer, Critical Illness, and Hospital Indemnity offered at no cost to employee), 401(k) plans, annual bonuses, and an opportunity to purchase company stock.

How to Apply

If you're a motivated and reputed company reputed company who is passionate about claims operations, risk management, and strategic planning, we invite you to apply for this exciting opportunity. Please submit your application today and join reputed company of dedicated professionals who are committed to making a difference in the lives of our customers. Apply To This Job Apply for this job

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