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Direct Claims Jobs in Utah (NOW HIRING)

UT ยท On-site

... claims performance and operational developments. * Prepare and deliver professional presentations and reports to executives, directors and other key decision-makers. * Lead the development ...

Risk Claims Manager

Salt Lake City, UT ยท Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation ... Direct Reports: Yes COMPANY OVERVIEW CrossCountry Freight Solutions (CCFS) is an exceptional ...

The Property Claims Adjuster assesses property damage, reviews policy coverage, gathers and ... includes direct communication with policyholders, claimants, agents, witnesses, vendors ...

The Property Claims Adjuster assesses property damage, reviews policy coverage, gathers and ... includes direct communication with policyholders, claimants, agents, witnesses, vendors ...

The Property Claims Adjuster assesses property damage, reviews policy coverage, gathers and ... includes direct communication with policyholders, claimants, agents, witnesses, vendors ...

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Direct Claims information

What are direct claims?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are some common challenges faced by professionals in Direct Claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

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

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What cities in Utah are hiring for Direct Claims jobs? Cities in Utah with the most Direct Claims job openings:
Director of Claims Commercial Liability

Director of Claims Commercial Liability

The Jacobson Group

UT โ€ข On-site

Other

Posted 2 days ago


Job description

Job Description:

The individual in this role is responsible for providing strategic leadership, technical direction and operational oversight of commercial general liability claims operations. This position leads claims strategy, performance management, technical standards and operational excellence while ensuring effective claim outcomes, regulatory compliance and alignment with organizational objectives.

Responsibilities:

  • Lead the commercial general liability claims function, including strategy, performance and technical standards.

  • Establish and implement claims handling strategies, policies and procedures to ensure consistent, high-quality outcomes.

  • Monitor and manage claim reserves, settlement authority, and expense controls to support financial performance and profitability.

  • Oversee relationships with vendors, defense counsel and third-party administrators to ensure effective claim outcomes.

  • Partner with underwriting, actuarial, finance and risk management teams to align claims strategies with business objectives.

  • Analyze claims data, loss trends, and emerging risks to drive continuous improvement and proactive risk mitigation.

  • Ensure compliance with applicable state and federal regulatory requirements.

  • Communicate key claims trends, performance indicators, and emerging risks to leadership and internal stakeholders.

  • Serve as a liaison to internal business partners to facilitate effective communication regarding claims performance and operational developments.

  • Prepare and deliver professional presentations and reports to executives, directors and other key decision-makers.

  • Lead the development, engagement, retention and performance of a high-performing claims team.

  • Provide technical leadership, direction and support across the claims organization.

Requirements

  • Bachelorโ€™s degree; advanced degree or Juris Doctor (strongly preferred)

  • 10+ years of experience in commercial general liability claims, injury claims and coverage analysis

  • Demonstrated leadership and people management experience

  • Strong expertise in litigation management, coverage analysis, litigation strategy, complex claims handling and regulatory compliance

  • Experience utilizing claims analytics, identifying trends and implementing operational improvement initiatives

  • Excellent communication, negotiation, presentation and decision-making skills

Contact:

Alexandira Van Riper avanriper@jacobsongroup.com