Trustmark · 2 days ago

Director, Claims (Remote)

United States

Full-time

Remote

Director/Executive

8+ years exp

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Responsibilities

Drives strategic direction of the entire claims function, including innovation, and ensuring the highest standards of service and compliance.

Establishes and monitors key performance indicators and metrics to measure departmental performance. Identifies trends, develops and implements plans to improve results and processes while delivering excellence in cost and service.

Conducts settlement discussions, or mediations when appropriate as well as travel as necessary to meet and/or negotiate with claimants and legal representatives. Provides sign-off approval of highly complex or high-dollar claims.

Fosters a culture of continuous improvement and innovation within the claims organization.

Works with Claims Compliance Liaison to ensure correct interpretation of new statutory and federal regulations are properly inserted into claims workflow. Reviews audits reports to ensure compliance and reports to Leadership. Makes changes to improve quality.

Oversees department’s support projects. Manages multiple cross-functional projects by assigning resources, working on timelines and implementing schedules to complete project timeline.

Analyzes savings and tracks post implementation results of change in product, process, or projects.

Qualification

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Claims ProcessingClaims AdjudicationCompliance ManagementProcess ImprovementPerformance MetricsProject ManagementContinuous ImprovementStatutory RegulationsCross-Functional Collaboration