Director of Claims

Job Description

The Director of Claims, reporting to the Senior Director of Insurance & Claims, is responsible for independent

management and decision making for claims in assigned lines of coverage and within parameters of assigned

financial authority. Relevant lines of coverage may include Professional Liability, Workers’ Compensation, Auto,

Property and Cyber. The Director of Claims may also provide technical and strategic guidance to other members of the Claim Team including Claim Manager, Claim Analyst and Claim Intake Specialist. The Director will have direct people management responsibilities.

Company Overview: Envision Healthcare is a leading national medical group focused on delivering high-quality care to patients when and where they need it most. You’ll find clinicians and clinical support professionals across the nation who are proud to call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

Benefits: At Envision Healthcare, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right ones for you and your family. Best of all, qualifying employees are eligible to enroll from day one, so you can rest easy knowing you and your loved ones are protected. Envision Healthcare offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits offered include but not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs.

Paid Time Off: Envision Healthcare offers paid time off, 9 observed holidays and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

Responsibilities

• Directs employees by supporting, coaching, training, assisting with time management and performing evaluations; should conduct regular meetings with all direct reports.
• Leads the planning and execution of the claims management strategy, aligning department objectives with organizational priorities. Develops, communicates, and implements best-in-class claims practices that optimize outcomes and minimize total cost of risk.
• Provides oversight and strategic guidance on high-severity, high-complexity claims. Sets standards for appropriate reserving and settlement strategies, leveraging advanced financial authority to support business objectives.
• Directs legal strategy in partnership with external counsel to ensure optimal positioning for dispute resolution and litigation management. Evaluates the performance of legal partners and recommends changes to improve results and reduce legal spend.
• Establishes relationships with 3rd Party Administrator (TPA) and carriers, ensuring performance aligns with policy terms and organizational goals.
• Oversees quarterly reserve reviews with carriers, driving alignment with financial and risk targets.
• Leads training programs for business unit leaders on claims reporting protocols and policy coverage, to ensure consistent risk handling.
• Oversees claims system accuracy and reporting standards to support audits and executive reporting.
• Leads the designs and delivery of claims reporting and trend analysis for leadership, integrating carrierprovided loss data to identify adverse patterns, quantify financial impact, and drive enterprise-wide risk mitigation strategies.
• Performs other duties as assigned.
  
  

Qualifications

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.

• Able to work and lead well under pressure
• Excellent communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
  
  

Education/Experience

• Bachelor’s Degree in relevant field required.
• Law Degree preferred.
• Minimum 10 years of experience handling 3rd party and/or 1st party claims for carrier, TPA or self-insured institution required
  
  

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify .

Envision Healthcare is an Equal Opportunity Employer.

JOB INFO

Job Identification 1224

Job Category : DIRECTOR GENERAL PERSONNEL

Posting Date : 2025-05-28T16:29:46+00:00

Job Schedule : Full time

Locations : United States