Claims Director

About the Position

Title: Director, Claims

Location: Durham, North Carolina (Hybrid)

Employment Type: Full Time

Salary: Up to $130,000 per year

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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.

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Requirements

• Education: Bachelor’s degree or equivalent experience required.
• Experience: 10+ years of relevant claims experience.
• Leadership: 2+ years leadership within a claims management role.
• License: Valid adjusters license or ability to obtain such.

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Core Skills

• 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.

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We Offer

• Competitive salary up to $130,000 per year.
• Hybrid work arrangement (2 days remote and 3 days in office, post the 90-day probationary period).

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About the Company

Divers Alert Network (DAN) is a leading organization dedicated to the safety and well-being of divers worldwide. We are committed to providing exceptional service and support to our members and partners.