Director, Claims Program Management – Occupational Risk

🔥 1 minute ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $91k - $171.1k / year

⏰ Full Time

🔴 Lead

📋 Program Manager

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Crum & Forster

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🛡️ Insurance

⚕️ Healthcare Insurance

Insurance • Healthcare Insurance

Crum & Forster (C&F) is a leading national property & casualty insurance company with a large, diversified specialty platform. Established in 1822, C&F provides specialty and standard commercial lines insurance products through its admitted and surplus lines insurance companies. With a written premium of $5. 3 billion as of 2023, C&F has an A. M. Best financial strength rating of “A” (Excellent). The company prides itself on creative, flexible, and client-focused solutions, recognized for superior customer service, claims, and risk engineering services. C&F employs over 2000 people across the United States and has earned several workplace awards for its employee-first focus and commitment to diversity, equity, and inclusion. C&F is part of Fairfax Financial Holdings Limited, engaged in property and casualty insurance and reinsurance.

📋 Description

• Set and execute the Occupational Risk claims program strategy, operating model, service standards, and annual priorities • Build, coach, and retain a high-performing team of program managers and specialists • Own financial, operational, customer, quality, compliance, and talent outcomes across the assigned portfolio • Establish governance frameworks for TPAs, MGAs/MGUs, independent adjusters, and other service partners • Lead operational assessments, implementation readiness, data mapping, staffing validation, control testing, catastrophe preparedness, and go-live governance • Conduct annual or bi-annual audits of TPAs and MGAs/MGUs • Provide direction on complex, high-severity, coverage-sensitive, and litigated claims • Partner with Legal on counsel guidelines, litigation strategy, legal spending, panel performance, alternative dispute resolution, and vendor outcomes • Maintain compliance with state unfair claims practices requirements, Texas Non-Subscriber and benefit-plan obligations, licensing standards, privacy expectations, market conduct, record retention, and internal policies • Maintain a risk-based audit program covering coverage, investigation, reserving, payments, communications, litigation handling, subrogation, salvage, and compliance • Develop dashboards and portfolio reviews using leading and lagging indicators • Strengthen fraud referrals, subrogation, salvage, deductible, and aggregate tracking • Promote timely, clear, empathetic, and brand-consistent customer and broker communication • Partner cross-functionally with Underwriting, Actuarial, Legal, Compliance, Finance, Reinsurance, Distribution, and Technology

🎯 Requirements

• Bachelor’s degree in insurance, risk management, business, finance, law, or a related field • 10+ years of progressively responsible commercial or specialty claims experience, including meaningful leadership accountability • 5+ years of people leadership, program management, or delegated claims oversight experience within an insurance carrier, TPA, MGA/MGU, or comparable organization • Substantial experience in Occupational Accident and Texas Non-Subscriber business; familiarity with Employer’s Liability, General Liability, Auto Liability, Physical Damage, or related occupational risk products strongly preferred • Demonstrated capability in complex claims, litigation management, reserving, audits, regulatory response, partner remediation, and executive reporting • Experience using claims platforms, business intelligence tools, and structured performance measures to drive operational decisions • Relevant adjuster licenses, certifications, or continuing education required by jurisdiction or assignment • Ability to travel for partner due diligence, governance reviews, partner onboarding, business meetings and employee activities • Advanced knowledge of Microsoft Office tools – Outlook, Excel, Word and PowerPoint • Ability to work in a fast-paced environment and adaptable

🏖️ Benefits

• Competitive compensation package • Generous 401K employer match • Employee Stock Purchase plan with employer matching • Generous Paid Time Off • Health, dental, and vision benefits • Wellness programs focused on physical, mental, and financial wellbeing • Tuition reimbursement • Industry-related certifications and professional training • Dynamic, ambitious, fun and exciting work environment • Matching donation program • Volunteer opportunities • Employee-driven corporate giving program