Top 92 Claims director Jobs in North Carolina

Claims Director
Divers Alert Network (DAN) —Durham, NC
- Up to $130,000 a year
- Full-time
- Hybrid work
- Office
- Bachelor's degree
- Organizational skills
Director of Claims, Workers' Compensation
Builders Mutual —Raleigh, NC
- Full-time
- Hybrid work
- 5 years
- Bachelor's degree
- Travel
Quick Apply
Associate Director, PBM Client Services
Healthcare Support —Charlotte, NC
- $136,000 - $179,000 a year
- Monday to Friday
- Hybrid work
- 6 years
- Office
- Analysis skills
- Health savings account
- AD&D insurance
Quick Apply
14d
Claims Director
MegaCorp Logistics —Wilmington, NC
- $125,000 - $150,000 a year
- ERP systems
- Office
- High school diploma or GED
- Disability insurance
- Health insurance
Claims Director
Divers Alert Network —Durham, NC
- Up to $130,000 a year
- Full-time
- Hybrid work
- Office
- Bachelor's degree
- Organizational skills
Quick Apply
Director , Product Management - AI Claims Platform
CVS Health —Raleigh, NC
- $144,200 - $288,400 a year
- Full-time
- Computer Science
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Senior Director of AI in Teaching and Learning
University of North Carolina System —Raleigh, NC
- Full-time
- Hybrid work
- 7 years
- Doctoral degree
- Office
11d
Director of Benefits Shared Services
University of North Carolina System —Raleigh, NC
- Full-time
- Hybrid work
- Office
- University
- Bachelor's degree
- Disability insurance
- Dental insurance
Director of Field Claims - Federal Workers' Compensation
AIG —Charlotte, NC
- Email
- Office
- Analysis skills
- Mentoring
- Health insurance
Quick Apply
Director of Teaching Fellows
University of North Carolina System —Raleigh, NC
- Full-time
- Hybrid work
- School experience
- Office
- 3 years
Lead Director, Stop Loss Relationship Management
CVS Health —Raleigh, NC
- $100,000 - $231,540 a year
- Full-time
- Bachelor's degree
- Fair chance
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Assistant Director of Rehabilitation Physical Therapist
Laurel Park Rehabilitation and Healthcare Center —Elizabeth City, NC
- Full-time
- Bachelor of Science
- Physical & Rehabilitation Medicine
- Mid-level
- Paid time off
- Flexible schedule
Quick Apply
Director of Contracts
NATIONAL OnDemand, Inc. —Burlington, NC
- Full-time
- Marketing
- Writing skills
- 11+ years
- Disability insurance
- Health insurance
Quick Apply
1d
Director of Underwriting
Builders Mutual —Raleigh, NC
- Full-time
- Hybrid work
- Office
- Finance
- Bachelor's degree
- Paid time off
Quick Apply
Market Director, Patient Safety & Risk Management
AdventHealth Hendersonville —Hendersonville, NC
- $106,227.26 - $197,587.77 a year
- Full-time
- RN License
- Hospital
- Computer literacy
- Paid parental leave
- Disability insurance
Site Director, Clinical Risk Management
Duke Health —Durham, NC
- Full-time
- Nursing
- Hospital
- Master's degree
Loss Control - Field Director
The Cincinnati Insurance Companies —Charlotte, NC
- $65,000 - $130,000 a year
- Remote
- 5 years
- Engineering
- Senior level
Director, Sourcing and Operational Risk Management
Electric Power Research Institute —Charlotte, NC
- $175,000 - $210,000 a year
- Full-time
- Writing skills
- Office
- Finance
- Paid holidays
- Disability insurance
Lead Director, Healthcare Medicaid Risk Adjustment Analytics
CVS Health —North Carolina
- $100,000 - $231,540 a year
- Full-time
- Remote
- 3 years
- SQL
- Bachelor's degree
- Health insurance
- Dental insurance
Lead Director, Risk Adjustment Performance Reporting and Insights
CVS Health —North Carolina
- $100,000 - $231,540 a year
- Full-time
- Remote
- Computer Science
- Bachelor's degree
- Mentoring
- Health insurance
- Dental insurance
8d

I want to receive the latest job alert for claims director in north carolina

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims director jobs near north carolina

Physical Therapist jobs in Elizabeth City, NC

Director Of Risk Management jobs in Charlotte, NC

Senior Director Of Learning And Development jobs in Raleigh, NC

Director Of Product Management jobs in Raleigh, NC

Underwriter jobs in Raleigh, NC

Head Of Project Management jobs in Raleigh, NC

Director jobs in Durham, NC

Director jobs in Raleigh, NC

Director Of Risk Management jobs in Durham, NC

Director Of Client Services jobs in Charlotte, NC

Director jobs in Wilmington, NC

Director jobs in Burlington, NC

Physical Therapist jobs in Des Moines, IA

Physical Therapist jobs in Bergen County, NJ

Respiratory Therapist jobs in Wilmington, NC

Physical Education Teacher jobs in Michigan

Physical Therapist jobs in Las Vegas, NV

Physical Therapist jobs in Elk Grove, CA

Occupational Therapist jobs in Atlanta, GA

Physical Therapy Aide jobs in Pasadena, CA

Claims Director

Divers Alert Network (DAN)
Durham, NC

Apply Now

Job Details

Full-time
Up to $130,000 a year

Qualifications

Stakeholder relationship building

Full Job Description

TITLE: Director, Claims

FLSA: Exempt, Full Time

DEPARTMENT: Claims

WORKSITE: 6 West Colony Place, Durham, NC

REPORTS TO: EVP, Insurance Operations

OCCUPATIONAL SUMMARY:

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.

EDUCATION

Bachelor’s degree or equivalent experience required
10+ years of relevant claims experience
2+ years leadership within a claims management role

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.

Apply Now

Refine Your Search

claims director jobs in north carolina

Claims Director

Director of Claims, Workers' Compensation

Associate Director, PBM Client Services

Claims Director

Claims Director

Director , Product Management - AI Claims Platform

Senior Director of AI in Teaching and Learning

Director of Benefits Shared Services

Director of Field Claims - Federal Workers' Compensation

Director of Teaching Fellows

Lead Director, Stop Loss Relationship Management

Assistant Director of Rehabilitation Physical Therapist

Director of Contracts

Director of Underwriting

Market Director, Patient Safety & Risk Management

Site Director, Clinical Risk Management

Loss Control - Field Director

Director, Sourcing and Operational Risk Management

Lead Director, Healthcare Medicaid Risk Adjustment Analytics

Lead Director, Risk Adjustment Performance Reporting and Insights

I want to receive the latest job alert for claims director in north carolina

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected