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Director Claims Operations Jobs (NOW HIRING)

Safety National

Director, Claims

Saint Louis, MO · On-site

You will lead regional claims operations by directing claim assignments, conducting quality reviews and audits, overseeing aggregate claim administration, monitoring reserve and settlement authority ...

CoAction

Director, Claims Solutions

Morristown, NJ · On-site

Role Overview The IT Director, Claims Solutions, is responsible for owning and delivering all ... Translate Claims operational needs into technical solutions * Support specialty insurance lines (e ...

CoAction

Director, Claims Solutions

Morristown, NJ · On-site

Role Overview The IT Director, Claims Solutions, is responsible for owning and delivering all ... Translate Claims operational needs into technical solutions * Support specialty insurance lines (e ...

Amalgamated Life

Director, Claims

White Plains, NY · On-site

A Disability Claims Director oversees the process of reviewing and managing disability claims ... operational efficiency through strong analytical and communication skills. * The Director will ...

CYNET SYSTEMS

Director Claims

Las Vegas, NV · On-site

$150K - $160K/yr

Responsible for overall operations management for all assigned locations/offices. * Establishes policy and procedures to assure compliance to best practices, claims management services standards ...

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Director Claims Operations information

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$34K

$107.7K

$179.5K

How much do director claims operations jobs pay per year?

As of Jun 29, 2026, the average yearly pay for director claims operations in the United States is $107,680.00, according to ZipRecruiter salary data. Most workers in this role earn between $75,500.00 and $135,500.00 per year, depending on experience, location, and employer.

What does a Director of 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.

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Director Claims Operations jobs near you
Senior Director of Claims Delegation

Senior Director of Claims Delegation

Village Care

Manhattan, NY • On-site

$153K - $173K/yr

Full-time

Posted 13 days ago

Job description

Position: Senior Director of Claims Delegation
Location: Hybrid (Must Reside in NY/NJ/CT)
Work Schedule: Monday - Friday, 9:00am - 5:00pm
Compensation: $153,978.55 - $173,225.87
Our Organization
VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services.
Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.
Role Summary
The Senior Director Claims Delegation provides strategic oversight of claims delegation and claims operations projects to ensure timely, accurate adjudication and strong regulatory alignment. This senior leader drives cross-functional execution, strengthens controls, and elevates performance against service expectations.
Key responsibilities include leading claims-related initiatives end to end; setting project priorities across internal and external workstreams; expanding claims reviews and audits in line with VillageCare policy, NYS Prompt Pay, DOH, and CMS; delivering monthly status reporting to Finance leadership and updates to senior leaders; partnering with Utilization Management on authorization-driven changes impacting claims; monitoring claims metrics against SLAs; directing root-cause analysis for processing risks; serving as claims data steward during migration efforts; and recruiting, coaching, and developing a team of managers, specialists, and analysts.
Qualifications:
- Bachelor's degree
- 10+ years in claims operations (5+ in healthcare)
- 5+ years managing staff
If you're ready to lead complex claims delegation work with integrity and precision, apply today.
How Your Day Flows
Your day typically starts with a review of overnight claims dashboards and open action logs, followed by brief check-ins with managers to confirm priorities and remove blockers. You'll spend focused time validating audit findings, reconciling trends against SLAs, and preparing clear rollups for monthly Finance reporting.
Midday, you'll partner with Utilization Management leaders to align authorization changes with downstream claims outcomes, then join working sessions with Business Intelligence and Compliance to confirm definitions, controls, and reporting logic. Afternoons often include reviewing project timelines, escalating risks with practical options, and guiding data-migration decisions as the claims data steward.
Throughout the day, you'll maintain steady communication across Network Management and Member Services to ensure issues are triaged, documented, and resolved with speed and accuracy.

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