Director of Resolutions(Claims) Operations jobs in United States
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United Educators · 1 day ago

Director of Resolutions(Claims) Operations

United Educators (UE) is a member-owned liability insurer serving educational institutions across the United States. The Director of Resolutions (Claims) Operations will lead claims operations, drive strategic initiatives, and optimize efficiency while managing a team of professionals to ensure high-quality claims handling and financial oversight.

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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Define and manage performance metrics to evaluate and monitor success of claims operations and expense management strategies
Drive innovation in claims handling by maximizing new and existing technology platforms, automation solutions to improve quality and timeliness of outcomes
Lead change management of new products, new processes or other expansions across all claim functions
Coordinate Department’s role in enterprise strategic projects
Oversee the day-to-day operations of the claim financials and claim technical support teams
Ensure timely and accurate claim resolution and documentation in accordance with policy terms, regulations and internal guidelines and procedures
Implement coordinated intake, triage and workload distribution methods to optimize and manage resource allocation
Develop and promote claim management protocols that drive efficiency and consistency
Collaborate with finance, accounting and actuary to support accurate reserve forecasting and loss trend analysis
Analyze and report on financial impacts of claim outcomes identifying cost containment opportunities
Oversee payment, invoicing and financial escalations
Primary responsibility for the development of data reports needed for day-to-day Resolutions needs, in collaboration with the data science team
Evaluate procedures, processes and implement changes to improve Department’s operational efficiency
Leverage data analytics to identify risks, exposures and opportunities for underwriting feedback
Work with Associate Vice President for Resolutions Litigation Management & Legal Operations in overall management of Operations, claims system development, and claims data analytics
Build, lead and mentor high performing team of professionals including managers, technical specialists
Establish clear performance expectations and career development paths, fostering a culture of accountability, empowerment and growth
Drive employee engagement, fostering communication and transparency
Stay current on industry trends, regulatory developments and emerging technologies to proactively adapt claims strategies
Participate, as appropriate, in conferences and seminars to maintain current knowledge of claims related technologies

Qualification

Claims Operations ManagementData AnalyticsChange ManagementTeam LeadershipInsurance RegulationsProcess ManagementFinancial OversightClaims TechnologyProject ManagementMicrosoft Office SuiteSalesforceSharePointPowerBICoaching SkillsCommunication Skills

Required

Bachelor's degree in business, risk management, insurance or related field required
Possesses 8–12 years of progressively responsible experience, including over seven years in insurance claims or claims operations with an emphasis on process management and workflow optimization, and a minimum of five years leading multidisciplinary teams to foster cross-departmental collaboration
Strong understanding of insurance regulations, fair claims handling practices and privacy laws
Familiarity with claims technology applications, data analytics tools and document management systems
Demonstrated ability to analyze claim data to identify trends and expense management opportunities
Proven success partnering across departments to drive operational improvement and business alignment
Skilled in coaching and developing diverse teams while fostering a performance-driven culture
Demonstrated capability to prioritize, manage multiple projects and responsibilities, and meet deadlines
Highly organized, detail-oriented, self-directed, and able to complete projects with limited supervision
Comfortable presenting complex operational and financial topics to leadership, non-technical business partners and external stakeholders
Proficient in Microsoft Office Suite, Salesforce, and SharePoint

Preferred

Master's Degree or professional certifications (e.g. AINS, Lean Six Sigma, PMP, CMSP)
Experience with PowerBI

Benefits

Health Insurance — We offer subsidized plan options with an optional pre-tax Health Savings Account (HSA), including an annual employer contribution and investment options. The plans offer a prescription benefit and telehealth
Dental Insurance — Two plan levels are available, depending on needs
Vision Insurance —We offer in- and out-of-network options; Lasik discounts are available.
401(k) — UE makes a 3% safe harbor non-elective contribution beginning the first of the month after date of hire; these funds are vested immediately. After one year of service, employees receive a 7% profit sharing non-elective contribution, as well as become eligible for a matched contribution of 25% of the first 5% employee deferral. Employees can make pre-tax contributions or taxed (Roth) salary reductions. Catch-up contributions for employees 50 years old and over. Employer contributions are fully vested immediately
Life Insurance — UE pays for Basic Life Insurance, and employees have the option to apply for additional Voluntary coverage
Short- and Long-Term Disability Insurance — We offer coverage in the event employees are unable to work for a period of time
For the first two years of employment, employees accrue PTO at 24 days per year. At the beginning of the third year of service, employees accrue 30 days per year of PTO
11 paid holidays annually including Juneteenth and an employee choice floating holiday
Bonus eligibility is based on salary earned and performance for the year
Hybrid environment - employees are typically in the office 2-3 days per week after the initial training period
Inclusive and supportive culture that embraces diversity and provides opportunities for all to succeed
Monthly lunches and various social events throughout the year
Opportunities to join the Social Committee, Employee Resource Groups (ERGs), and Inclusion, Diversity, and Equity Alliance (IDEA)

Company

United Educators

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United Educators specializes in extending its services for schools and colleges seeking financial protection for their educational mission.

H1B Sponsorship

United Educators has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (2)
2023 (4)
2022 (3)
2021 (4)
2020 (2)

Funding

Current Stage
Growth Stage

Leadership Team

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Richard Mills
President and Chief Executive Officer
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Michael Horning
V.P. and CFO
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Company data provided by crunchbase