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Director Claims Operations Jobs (NOW HIRING)

Our client, a well-established client, is seeking a Disability Claims Director. * Location: White ... Drive process improvements and support operational efficiency within claims operations * Provide ...

This position partners closely with claims operations, sales, marketing, finance, and executive leadership to embed solutions into workflows, strengthen client value, and drive adoption across the ...

Responsibilities Lead process improvement initiatives within the department to achieve operational ... Provide direct oversight of claims quality assurance and recovery program to ensure productivity ...

Responsibilities Lead process improvement initiatives within the department to achieve operational ... Provide direct oversight of claims quality assurance and recovery program to ensure productivity ...

This position partners closely with claims operations, sales, marketing, finance, and executive leadership to embed solutions into workflows, strengthen client value, and drive adoption across the ...

This position partners closely with claims operations, sales, marketing, finance, and executive leadership to embed solutions into workflows, strengthen client value, and drive adoption across the ...

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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.

More about Director Claims Operations jobs
What cities are hiring for Director Claims Operations jobs? Cities with the most Director Claims Operations job openings:
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Senior Director of Claims Operations

Senior Director of Claims Operations

Sidecar Health

Houston, TX

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago


Job description

Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and accessible for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen.

The passionate people who make up Sidecar Health's team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. And they all have one thing in common—the desire to fix a broken system and make it more personalized, affordable, and transparent.

If you want to use your talents to transform healthcare in the United States, come join us!

The Opportunity

As Director of Claims Operations for Sidecar Health, you will own and scale the engine that delivers our core promise to members. This team is responsible for all member-facing and provider-facing claims operations, clinical programs, and claims automation strategy – powering a consumer-driven major medical insurance model that's redefining how Americans access and pay for care.

This is a high-stakes, high-opportunity role at an inflection point: we're expanding into new markets, deepening our AI-enabled automation stack, and building the claims infrastructure to support a rapidly growing membership base. You will lead a multidisciplinary team, shape the technology roadmap alongside Product and Engineering, and drive the operational excellence and compliance rigor that our members and the business depend on.

If you have a proven track record in health insurance claims leadership and a history of using AI and automation to transform operations — not just optimize them — we want to talk.

What You'll Do

Build & Lead a High-Performance Claims Operation (50%)

  • Lead and scale a multidisciplinary Claims Operations team — spanning claims adjudication, quality, operations, and clinical — to drive accurate, timely claims processing and an exceptional member experience
  • Foster a culture of metrics-driven continuous improvement, accountability, and high performance across all Claims functions
  • Develop future leaders within the team and build the bench for a growing, complex operation

Drive AI, Automation, and Operational Transformation (30%)

  • Identify, prioritize, and lead automation that meaningfully increases end-to-end auto-adjudication rate, reduces claims processing time, and improves quality / accuracy
  • Partner with Product and Engineering to shape the roadmap for claims technology —acting as a strategic voice, not just an operator
  • Lead change management efforts as the team adopts new tools, workflows, and ways of working
  • Build and maintain governance structures that support scalable, compliant, and data-informed operations

Own Claims Strategy & Business Outcomes (20%)

  • Align claims operations with Sidecar Health's broader business objectives — including continued growth, sustainable MLR, and an obsessive focus on member experience
  • Drive payment accuracy, fraud prevention, and claims spend optimization through proactive stakeholder management and cross-functional initiatives
  • Translate operational data into strategic insights and recommendations for senior leadership
  • Mitigate operational and regulatory risk while maintaining full compliance with healthcare regulations
  • Own budget development and resource allocation, ensuring alignment with organizational priorities

What You'll Bring

  • 15+ years of operations experience, including 5+ years in healthcare
  • 8+ years in senior leadership roles, leading large teams in complex environments
  • Experience operating in a high-growth, tech-enabled health insurance or benefits company preferred
  • Comfort with data — able to build and interpret operational dashboards and hold teams to metric-based goals
  • Proven ability to lead through ambiguity, manage cross-functional stakeholders, and drive change in fast-moving environments
  • Strong financial acumen — experience owning budget, headcount planning, and cost-per-claim targets
  • Demonstrated results deploying AI or automation in a claims or complex operations environment

What You'll Get

  • Competitive salary, bonus opportunity, and equity package
  • Comprehensive Medical, Dental, and Vision benefits
  • A 401k retirement plan
  • Paid vacation and company holidays
  • Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.

Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.