- Omaha, Nebraska, United States
- On-site
- Full-time · Director
- 10+ years
The Director, Claims Operations provides strategic leadership and oversight for claims operations across WoodmenLife, ensuring the timely, accurate, and compliant administration of claims across the product portfolio.
Responsibilities
- Provide strategic leadership and oversight of claims operations, ensuring timely, accurate, consistent, and compliant claims administration.
- Establish operational priorities, service standards, quality expectations, and performance metrics that drive operational performance, customer satisfaction, and continuous improvement.
- Direct claims adjudication activities and provides oversight of complex, contestable, litigated, and other high-risk claims, partnering with Legal and other subject matter experts as needed.
- Review and provides direction on escalated claims and serves as the organization's representative in legal proceedings, depositions, arbitrations, and other claims-related matters when required.
- Lead quality assurance and control programs to ensure compliance with contractual obligations, regulatory requirements, and internal policies.
Requirements
- Bachelor’s degree required
- Nice to have: Life insurance knowledge
- Nice to have: Annuities knowledge
- Nice to have: Settlement options knowledge
- Nice to have: Professional insurance industry designation (FLMI, CLU, ChFC, FALU, AALU, or similar)