Claims Director-TPA Oversight
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Job Location:
Chicago, IL - USA
Monthly Salary:
$ 120000 - 150000
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Job Description
Claims Director TPA Oversight
A leading Property & Casualty insurance carrier is seeking an experienced Claims Director to oversee Third-Party Administrator (TPA) relationships. This role is responsible for ensuring operational excellence regulatory compliance and strategic alignment with organizational claims objectives.
Compensation Package
- $120000 to $150000/year total compensation (based on experience)
- Annual bonus potential
- Comprehensive benefits package (health dental vision 401k etc.)
- Opportunities for professional development and advancement
Job Description
- Oversee relationships with assigned TPAs ensuring compliance with company guidelines service level agreements and regulatory requirements.
- Monitor and evaluate TPA performance metrics including claims quality timeliness and expense management.
- Collaborate with TPAs to implement process improvements claim strategies and operational initiatives.
- Provide leadership guidance and escalation support for complex claims issues.
- Partner with internal claims leadership underwriting and actuarial teams to ensure alignment on business objectives and portfolio performance.
- Conduct regular audits and reviews to ensure claims practices comply with company standards and applicable regulations.
- Develop and deliver performance reports trend analysis and recommendations to senior leadership.
- Participate in strategic planning and assist in TPA selection contract negotiation and renewals.
Requirements
- Bachelors degree in Insurance Risk Management Business or related field; advanced degree preferred.
- Minimum 10 years of claims experience within the insurance industry including significant experience managing TPAs.
- Strong knowledge of P&C insurance claims operations including liability property workers compensation and commercial lines.
- Proven leadership and team management experience.
- Excellent analytical negotiation and communication skills.
- Experience with claims technology systems and reporting tools.
- Ability to influence and collaborate with internal and external stakeholders.
Disclaimer: Please note that this job description may not cover all duties responsibilities or aspects of the role and it is subject to modification at the employers discretion.
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Required Experience:
Director
Key Skills
- Corporate Paralegal
- Baan
- IT Sales and Marketing
- Civil Quality Control
- Activex
- Jboss
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