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Director Claims Operations Jobs in Michigan (NOW HIRING)

USAA

Manager, Claims Operations - APD (Field)

Detroit, MI · On-site +1

$103K - $197K/yr

Claims Operations Managers may travel outside of their local territory to respond to claims in ... years of direct team lead, supervisory or management experience. * Experience using and ...

USAA

Manager, Claims Operations - APD (Field)

Detroit, MI · On-site +1

$103K - $197K/yr

Claims Operations Managers may travel outside of their local territory to respond to claims in ... years of direct team lead, supervisory or management experience. * Experience using and ...

Liberty Mutual

Senior Claims Specialist

Detroit, MI

$129K/yr

... direct policyholder interaction when additional expertise is needed. This position is ideal for ... May be called upon for catastrophe duty, may assist in management of catastrophe operation, Quality ...

Liberty Mutual

Senior Claims Specialist

Detroit, MI · On-site

... direct policyholder interaction when additional expertise is needed. This position is ideal for ... May be called upon for catastrophe duty, may assist in management of catastrophe operation, Quality ...

Sedgwick

VP Care Team Operations

Southfield, MI · On-site

Partners with the care team and claims operations support teams to develop and implement process ... Ensures direct reports understand and can articulate client needs, processes, and practices of the ...

Sedgwick

VP Care Team Operations

Southfield, MI · On-site

Partners with the care team and claims operations support teams to develop and implement process ... Ensures direct reports understand and can articulate client needs, processes, and practices of the ...

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All JobsClaims Operations JobsDirector Claims Operations JobsDirector Claims Operations Jobs in Michigan

Director Claims Operations information

See Michigan salary details

$29.6K

$93.9K

$156.5K

How much do director claims operations jobs pay per year?

As of Aug 11, 2026, the average yearly pay for director claims operations in Michigan is $93,854.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,800.00 and $118,100.00 per year, depending on experience, location, and employer.

What does a director claims operations do?

A Director of Claims Operations oversees the end-to-end claims process, ensuring efficiency, accuracy, and compliance with regulations. They develop and implement strategies to improve claims handling, manage team performance, and optimize workflow processes. Additionally, they collaborate with other departments to enhance customer service and minimize risk exposure. This role requires strong leadership, analytical skills, and knowledge of industry best practices.

What are the typical team dynamics and collaboration responsibilities for a director claims operations?

As a Director Claims Operations, you’ll lead cross-functional teams of claims managers, adjusters, and support staff, often working closely with underwriters, legal, and compliance departments. Collaboration is key, as you’ll facilitate communication between departments to streamline claims handling, resolve complex cases, and implement process improvements. Directors frequently mentor team leaders, coordinate training efforts, and contribute to strategic initiatives that impact the overall claims workflow. This role offers the opportunity to influence company-wide insurance practices and can serve as a stepping stone to higher executive leadership positions within the organization.

What are the key skills and qualifications needed to thrive in the director claims operations position, and why are they important?

Success as a Director Claims Operations requires strong leadership, in-depth knowledge of insurance claims processes, and a bachelor’s degree (often in business, insurance, or a related field), with many employers preferring advanced degrees or significant industry experience. Familiarity with claims management systems, data analysis tools, and regulatory compliance software, as well as certifications like AIC (Associate in Claims), are highly valued. Exceptional organizational, problem-solving, and interpersonal skills are critical for effectively managing teams and fostering cross-departmental collaboration. These competencies enable operational efficiency, ensure regulatory compliance, and help drive both customer satisfaction and financial performance within the organization.

What are the most commonly searched types of Claims Operations jobs in Michigan? The most popular types of Claims Operations jobs in Michigan are:
What are popular job titles related to Director Claims Operations jobs in Michigan? For Director Claims Operations jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Director Claims Operations jobs in Michigan look for? The top searched job categories for Director Claims Operations jobs in Michigan are:
What cities in Michigan are hiring for Director Claims Operations jobs? Cities in Michigan with the most Director Claims Operations job openings:
Director Claims Operations jobs near you
Infographic showing various Director Claims Operations job openings in Michigan as of August 2026, with employment types broken down into 83% Full Time, 12% Part Time, 2% Temporary, and 3% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $93,854 per year, or $45.1 per hour.

Director Claims Administration

Corewell Health

Grand Rapids, MI • On-site

Full-time

Medical, Retirement

Re-posted 22 days ago

Corewell Health rating

7.0

Company rating: 7.0 out of 10

Based on 775 frontline employees who took The Breakroom Quiz

416th of 887 rated healthcare providers

Job description

Job Summary - Director, Claims Administration
The Director of Claims Administration is responsible for the accurate, timely and efficient adjudication and payment of claims for all product lines at Priority Health. The leader is accountable for claim inventory, claim speed to process, claim auto adjudication rate, claim examiner quality scores, coordination of benefits savings, and third party liability savings.
Essential Functions - Director, Claims Administration
  • Lead and develop a high performing claims adjudication team. Assure proper staffing levels.
  • Implement goals setting, monitoring and achieving service-levels, medical trend management savings, and unit costs.
  • Ensure functions to meet or exceed corporate standards for accuracy and timeliness of claim payment.
  • Foster and maintain relationships with other departments to ensure that claims processes and procedures efficiently support other departments, products and overall customer service. Service on corporate committees as directed.
  • Initiate process improvement and cost-saving measures. Foster an environment that allows for continuous improvement.
  • Develop multi-year roadmaps and meet targets for unit costs, service levels, coaching and development, and other goals as developed.
  • Effectively communicate issues and concerns through verbal and written communications. Effectively communicate operational issues and concerns to leadership.
  • Ensure compliance with state and federal rules and regulations such as HIPAA, Department of Labor, ERISA, Michigan HMO Legislation, Medicaid, MiChild and Medicare.

Qualifications - Director, Claims Administration
  • Required Bachelor's Degree or equivalent education and experience

  • 10 years of relevant experience Prior management experience Required
  • 2 years of relevant experience Prior claims administration management experience Preferred
  • Health care plan claims experience strongly preferred.

Physical Demands - Director, Claims Administration
  • Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs

  • Waist to Waist > 5 lbs: Seldom up to 10 lbs
  • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
  • Waist to Overhead > 5 lbs: Seldom up to 10 lbs
  • Bilateral Carry > 5 lbs: Seldom up to 10 lbs
  • Unilateral Carry > 5 lbs: Seldom up to 10 lbs
  • Pushing Force > 5 lbs: Seldom up to 10 lbs
  • Pulling Force > 5 lbs: Seldom up to 10 lbs
  • Sitting: Frequently
  • Standing: Occasionally
  • Walking: Occasionally
  • Forward Bend - Standing: Seldom
  • Forward Bend - Sitting: Occasionally
  • Trunk Rotation - Standing: Seldom
  • Trunk Rotation - Sitting: Occasionally
  • Reach - Above Shoulder: Seldom
  • Reach - at Shoulder or Below: Seldom
  • Handling: Occasionally
  • Forceful Grip > 5 lbs: Seldom
  • Forceful Pinch > 2 lbs: Seldom
  • Finger/Hand Dexterity: Frequently

How Corewell Health cares for you
  • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
  • On-demand pay program powered by Payactiv
  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
  • Optional identity theft protection, home and auto insurance
  • Traditional and Roth retirement options with service contribution and match savings
  • Eligibility for benefits is determined by employment type and status

Primary Location
SITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids
Department Name
Quality and Payment Integrity Administration - PH Managed Benefits
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
9:00 a.m. to 5:00 p.m.
Days Worked
Monday through Friday
Weekend Frequency
N/A
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.

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