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Director of Claims

United States, White Plains Employment contract 85000.00 - 95000.00 USD / Year · Job Posted May 16, 2026
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Job Description

Our client, a well-established client, is seeking a Disability Claims Director.

Job Responsibility

  • Oversee the end-to-end disability claims process, ensuring accurate, timely, and compliant claim adjudication
  • Review medical records, policy provisions, and financial documentation to determine eligibility and benefit entitlement
  • Coordinate with providers and employers to gather necessary information
  • Communicate with claimants regarding claim status and decisions in a professional and empathetic manner
  • Ensure compliance with contractual, regulatory, and internal policy requirements
  • Identify potential fraud indicators and escalate appropriately
  • Resolve complex claim issues and support appeals as needed
  • Drive process improvements and support operational efficiency within claims operations
  • Provide guidance and oversight to claims staff to ensure quality and consistency

Requirements

  • Extensive experience in disability claims or insurance claims operations
  • Strong knowledge of disability insurance policies, medical documentation, and regulatory requirements
  • Ability to interpret complex claim and contract information to make accurate determinations
  • Excellent communication and customer service skills with a strong attention to detail
  • Experience working with claims systems and managing multiple complex cases
  • Bachelor’s degree preferred or equivalent experience
  • Leadership experience in claims operations strongly preferred

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