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Insurance Claims Director Jobs in Raleigh, NC (NOW HIRING)

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 ...

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 ...

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 ...

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Insurance Claims Director information

See Raleigh, NC salary details

$81.2K

$123.3K

$173K

How much do insurance claims director jobs pay per year?

As of Sep 7, 2026, the average yearly pay for insurance claims director in Raleigh, NC is $123,337.00, according to ZipRecruiter salary data. Most workers in this role earn between $102,600.00 and $137,100.00 per year, depending on experience, location, and employer.

What does an insurance claims director do?

An Insurance Claims Director oversees the entire claims department, managing teams that process insurance claims from start to finish. They develop and implement policies to ensure fair, efficient, and compliant claims handling. The director monitors the performance of claims staff, resolves complex or high-value claims, and works to improve customer satisfaction. Additionally, they collaborate with other departments and stay updated on industry regulations to minimize risk for the company.

What are the key skills and qualifications needed to thrive as an insurance claims director?

To thrive as an Insurance Claims Director, you need deep knowledge of insurance policies, claims management processes, and strong leadership abilities, usually supported by a bachelor's degree and extensive industry experience. Familiarity with claims management software, regulatory compliance systems, and sometimes certifications like AIC (Associate in Claims) are commonly required. Excellent communication, analytical thinking, and conflict resolution are crucial soft skills for managing teams and resolving complex claims. These competencies ensure efficient claims operations, regulatory adherence, and high customer satisfaction in a demanding environment.

What are some common challenges faced by an insurance claims director, and how are they typically addressed?

Insurance Claims Directors often encounter challenges such as managing large, complex claims, ensuring regulatory compliance, and balancing customer satisfaction with organizational policies. They address these by implementing efficient claims processes, fostering clear communication between teams, and staying updated on industry regulations. Additionally, they lead and mentor claims teams to maintain high performance and develop strategies to resolve disputes or escalations effectively. Collaboration with legal, underwriting, and risk management departments is crucial to ensure well-informed and fair claim resolutions.

What is the difference between Insurance Claims Director vs Insurance Claims Manager?

AspectInsurance Claims DirectorInsurance Claims Manager
ResponsibilitiesOversees entire claims department, develops strategies, manages senior staffManages daily claims operations, supervises claims adjusters and staff
Required CredentialsTypically requires a bachelor's degree, extensive claims experience, leadership skillsRequires a bachelor's degree, claims experience, supervisory skills
Work EnvironmentOffice-based, strategic planning, high-level decision makingOffice-based, operational management, team supervision
Industry UsageCommonly used in large insurance companies and corporationsUsed across various insurance firms, including smaller agencies

The Insurance Claims Director focuses on strategic leadership and overall department management, while the Insurance Claims Manager handles daily operations and team supervision. Both roles require relevant claims experience and leadership skills, but the director's role is more strategic and senior-level.

What are the most commonly searched types of Insurance Claims jobs in Raleigh, NC?

The most popular types of Insurance Claims jobs in Raleigh, NC are:

Insurance Claims Director jobs near you
Infographic showing various Insurance Claims Director job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 17% Part Time, and 6% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $123,330 per year, or $59.3 per hour.

Claims Director

DAN

Durham, NC • On-site

$130K/yr

Full-time

Re-posted 24 days ago

Key responsibilities

  • Oversee the intake, investigation, evaluation, reserving, and resolution of claims.

  • Manage complex, high exposure, litigated, or escalated claims and approve significant coverage determinations, settlement authority, and denial recommendations.

  • Develop and implement claims handling strategies, workflows, and best practices, and monitor claim reserves, loss trends, and financial exposure.

Job description

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 organization's 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
  • Bachelor's 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.

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