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Claims Director Jobs in Raleigh, NC (NOW HIRING)

Divers Alert Network

Claims Director

Durham, NC · On-site

Director, Claims FLSA: Exempt, Full Time DEPARTMENT: Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONALSUMMARY: Responsible for the strategic ...

DAN

Claims Director

Durham, NC · On-site

$130K/yr

Director, Claims FLSA: Exempt, Full Time DEPARTMENT: Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONALSUMMARY: Responsible for the strategic ...

Divers Alert Network

Claims Director

Durham, NC · On-site

Director, Claims FLSA: Exempt, Full Time DEPARTMENT: Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONALSUMMARY: Responsible for the strategic ...

DAN

Claims Director

Durham, NC · Hybrid

Director, Claims FLSA: Exempt, Full Time DEPARTMENT: Claims WORKSITE: 6 West Colony Place, Durham, NC REPORTS TO: EVP, Insurance Operations OCCUPATIONALSUMMARY: Responsible for the strategic ...

Iatinsurancegroup

Claims Major Case Director

Raleigh, NC · On-site +1

$92K - $130K/yr

IAT Insurance Group has an immediate need for a Major Case Unit Director that can report to one of ... This role is a true complex claims handling role that is tasked with managing those claims that are ...

Elevance Health

Claims Representative I

Durham, NC

$16.23 - $24.36/hr

Works under direct supervision. * Relies on others for instruction, guidance, and direction. * Work is reviewed for technical accuracy and soundness. * Codes and processes claims forms for payment ...

Elevance Health

Claims Representative I

Durham, NC

$16.23 - $24.36/hr

Works under direct supervision. * Relies on others for instruction, guidance, and direction. * Work is reviewed for technical accuracy and soundness. * Codes and processes claims forms for payment ...

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Claims Director information

See Raleigh, NC salary details

$81.2K

$123.3K

$173K

How much do claims director jobs pay per year?

As of Aug 3, 2026, the average yearly pay for claims director in Raleigh, NC is $123,330.00, according to ZipRecruiter salary data. Most workers in this role earn between $102,500.00 and $137,100.00 per year, depending on experience, location, and employer.

How does a Claims Director typically collaborate with other departments to resolve complex claims issues?

A Claims Director often works closely with legal, underwriting, risk management, and customer service teams to resolve complex claims. This collaboration ensures that claims are handled efficiently, comply with regulatory requirements, and align with company policy. The Claims Director may lead cross-functional meetings, provide strategic input, and coordinate investigations, especially on high-value or disputed claims. Effective communication and teamwork are essential to balance the interests of the company and the policyholder while mitigating risk.

What are the key skills and qualifications needed to thrive as a Claims Director, and why are they important?

To thrive as a Claims Director, you need extensive experience in claims management, strong analytical abilities, and typically a bachelor's degree in business, insurance, or a related field. Familiarity with claims processing software, regulatory compliance systems, and often industry certifications such as CPCU or AIC are important. Leadership, strategic thinking, and excellent communication skills set outstanding Claims Directors apart. These competencies are crucial for ensuring efficient claims operations, regulatory adherence, and effective team management within insurance organizations.

What Does a Claims Director Do?

A claims director oversees the daily and long-term operations of an insurance claims department. In this career, you guide the department, establishing uniform policies on insurance coverage and claims for a variety of situations, such as personal injuries, property damage, or casualty loss, based on appraisal information and verification of claims by other insurance specialists. Although your duties and responsibilities are mostly in a managerial capacity, you may advise subordinates or take over claims that are particularly complex. You also represent the department and company and ensure that customers receive excellent service.

What are Claims Directors?

Claims Directors are senior professionals responsible for overseeing the claims department within an insurance company or similar organization. They develop and implement policies, manage claims staff, and ensure that claims are processed efficiently and in compliance with regulations. Their role includes analyzing claim trends, handling complex or escalated cases, and working to minimize company risk. Claims Directors also collaborate with other departments to improve customer satisfaction and operational effectiveness.
More about Claims Director jobs
What are the most commonly searched types of Claims jobs in Raleigh, NC? The most popular types of Claims jobs in Raleigh, NC are:
What are popular job titles related to Claims Director jobs in Raleigh, NC? For Claims Director jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Claims Director jobs in Raleigh, NC look for? The top searched job categories for Claims Director jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Claims Director jobs? Cities near Raleigh, NC with the most Claims Director job openings:
Claims Director jobs near you
Infographic showing various Claims Director job openings in Raleigh, NC as of July 2026, with employment types broken down into 85% Full Time, 11% Part Time, 1% Temporary, and 3% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $123,337 per year, or $59.3 per hour.

Claims Director

Divers Alert Network

Durham, NC • On-site

Other

Posted 19 days ago

Job description

Salary: Up to 130,000

TITLE: Director, Claims

FLSA: Exempt, Full Time

DEPARTMENT: Claims

WORKSITE: 6 West Colony Place, Durham, NC

REPORTS TO: EVP, Insurance Operations


OCCUPATIONALSUMMARY:

Responsible for the strategic leadership, operational management, and oversight of the organizations claims department. This role ensures timely, accurate, and compliant claims handling while promoting exceptional customer service, effective risk management, and continuous operational improvement. The Director of Claims leads claims staff, develops departmental processes and performance standards, manages complex and escalated claims matters, and collaborates with internal and external stakeholders to support organizational objectives.


DUTIES/RESPONSIBILITIES:

  • Lead and inspire a service-focused team.
  • Oversee the intake, investigation, evaluation, reserving, and resolution of claims.
  • Ensure claims are handled in accordance with policy provisions, company guidelines, regulatory requirements, and industry standards.
  • Manage complex, high exposure, litigated, or escalated claims
  • Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable.
  • Develop and implement claims handling strategies, workflows, and best practices.
  • Establish department goals, KPIs, and performance standards.
  • Oversee quality assurance and audit processes for claims handling activities.
  • Identify operational, legal, and financial risks within the claims process and implement corrective actions.
  • Assist in the development and implementation of reservation of rights letters, coverage position letters, and claims procedures.
  • Monitor claim reserves, loss trends, and financial exposure.
  • Assist with budgeting and forecasting related to claims operations.
  • Ensure appropriate expense management and vendor performance standards.
  • Maintain positive relationships with insureds, brokers, members, partners, and external stakeholders.
  • Collaborate cross-functionally with underwriting, operations, finance, and customer service teams.
  • Provide claims reporting and operational updates to executive leadership.
  • Other duties as assigned.


EDUCATION

  • Bachelors degree or equivalent experience required
  • 10+ years of relevant claims experience
  • 2+ years leadership within a claims management role
  • Valid adjusters license or ability to obtain such


REQUIRED KNOWLEDGE, SKILLS & ABILITIES

  • Knowledge of the scuba diving industry
  • Deep knowledge and experience with captive insurance companies, risk retention groups, accident and health and trip/travel programs
  • Knowledge of Trip/Travel Insurance
  • Excellent interpersonal communication, organization, and management skills
  • Superior project management skills with proven ability to plan, lead and track projects from concept through implementation
  • Ability to manage timelines and milestones to ensure timely reporting and closures
  • Self-motivated with strong attention to details and problem-solving skills
  • Proficient with Microsoft Office Suite and experienced or adaptable to claims management platforms

Hybrid work arrangement is available with this role, 2 days remote and 3 days in office, post the 90-day probationary period.