Claims Director – Workers’ Compensation & Liability - National Account

Claims Director – Workers’ Compensation & Liability - National Account

Join to apply for the Claims Director – Workers’ Compensation & Liability - National Account role at CCMSI.

Position Title:

Director, Claims

Location:

Scottsdale, AZ
Work Arrangement:
Hybrid

Schedule:

Monday–Friday, 8:00 AM to 4:30 PM
Salary Range: $90,000–$116,000

Build Your Career With Purpose  CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately‑owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.

We are a certified Great Place to Work®, and our employee‑owners are empowered to grow, collaborate, and make meaningful contributions every day.

The Director of Claims provides leadership and oversight for a dedicated national account, managing both Workers’ Compensation and Liability (multi-line) claims. This role supervises two Claims Managers and coordinates all claim functions within the dedicated unit. The Director ensures operational excellence, compliance, and client satisfaction while serving as a strategic partner to the Account Manager. This position offers an opportunity for advanced leadership development and may serve as a pathway to executive‑level roles.

• Establish, implement, and monitor policies and procedures required to satisfy CCMSI, Clients/Carrier goals and objectives.
• Assist in the hiring, training, monitoring, and discipline of claim staff.
• Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and applicable laws.
• Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
• Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
• Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims; negotiate any disputed bills or invoices for resolution.
• Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
• Develop financial projections for the Client as requested by Account Manager.
• Determine the acceptability, quality and profitability of new and renewal business to achieve overall loss ratio objective; refer items outside of authority to management/carrier.
• Negotiate settlements in accordance with Corporate Claim Standards, client specific handling instructions and state laws when appropriate.
• Direct handling of designated litigated and complex claims.
• Inform management of activities and problems within assigned program/client.
• Provide education, training and assist in the development of claim staff.
• Review and maintain personal diary on claim system.
• Supervision of all claim activity for specified accounts; supervise team members as appropriate.
• Attend account Board Meetings, conduct file review meetings and/or training sessions with client as requested.
• Attend and participate at hearings, mediations, and informal legal conferences as appropriate.
• Conduct performance appraisals and objective/goal setting, attainment of claim staff.
• Remain current on all legislative activity (federal and state), industry and market trends to ensure staff members are appropriately informed.
• Develop, revise and implement workflow processes to ensure efficiencies and provide oversight of individual caseloads.
• Monitor compliance with Corporate Claim Handling Standards and special client handling instructions, statutes, rules and regulations, and relevant case law.

Required:

• Bachelor’s degree or 15+ years of claims experience
• Minimum 3 years of supervisory experience
• Strong leadership, communication, and negotiation skills
• Abilit…