Job Description

Technical Claims Director, Property & Casualty

Job Summary

Seeking a highly skilled and experienced Technical Claims Director, Property & Casualty to join a growing Claims Compliance and Quality Assurance team. This is a critical role for an accomplished insurance claims compliance professional or attorney with deep knowledge of insurance claims regulations, processes, and technology. You will play a pivotal role in safeguarding the organization from regulatory risks, ensuring compliance, and driving continuous improvement in claims handling practices.

Compensation Package

• Salary Range: $130,000 - $180,000 per year (based on experience and qualifications).
• Benefits Include:
  • 401(k) with competitive company matching.

Responsibilities

As the Technical Claims Director, you will:

• Manage and maintain a 50-state claims database.
• Monitor legislation, DOI bulletins, court decisions, and statutory changes; manage backlog and implement targeted compliance training.
• Develop and oversee controls related to Medicare, OFAC, Child Support Lien Network, and other federal protocols.
• Collaborate with Claims Technical, Legal, and IT teams to design controls and workflows aligned with regulatory requirements.
• Lead responses to regulatory inquiries and complaints.
• Deliver training and provide legal support to internal teams and vendors.
• Develop audit programs and dashboards to monitor compliance effectiveness.
• Oversee and support technology-related compliance integrations.
• Provide executive reporting, trends analysis, and regulatory insights.

Qualifications/Requirements

• 10+ years of experience in claims compliance, insurance regulation, or legal operations.
• A degree in law, risk management, or a related field is required; J.D. is highly preferred.
• Advanced insurance compliance certifications (e.g., CPCU, CIPP, CAMS, CRCM) are a plus.
• Strong understanding of claims handling regulations, Medicare protocols, and market conduct standards.
• Experience managing compliance in a 50-state claims environment across multiple lines of business.
• Knowledge of Medicare Secondary Payer requirements and Section 111 reporting.
• Strong research and policy writing skills.
• Excellent collaboration, project management, and problem-solving abilities.
• Experience with regulatory audit preparation and response.

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