Director of Credit Claims

Job Description

Job Description

The Director of Credit Claims is a critical leadership position responsible for ensuring that the company's credit claims operation delivers technically sound claims decisions, disciplined financial outcomes, regulatory compliance, exceptional service, and actionable intelligence back to the business.

The position requires an experienced claims leader who can operate effectively at both the strategic executive level and the technical claim-file level, while building a high-performing organization capable of managing complex and evolving credit-related risks.

The Director of Credit Claims is responsible for the strategic leadership, management, and performance of the company's credit claims operation. This position provides direction and oversight for the investigation, evaluation, resolution, and management of credit-related claims while ensuring claims are handled accurately, efficiently, consistently, and in accordance with policy provisions, regulatory requirements, company guidelines, and established service standards.

The Director will lead a team of claims professionals and serve as a key partner to Underwriting, Legal, Compliance, Finance, Risk Management, and senior leadership. The position is responsible for establishing claims strategy, managing severity and loss costs, identifying trends and emerging exposures, strengthening claims controls, and delivering an exceptional customer and business-partner experience.

The successful candidate will combine strong technical claims expertise with financial acumen, leadership capability, analytical skills, and a demonstrated ability to manage complex claims.

Qualifications:

• Bachelor's degree in Business, Finance, Risk Management, Insurance, or a related field preferred.
• 10+ years of progressive insurance claims experience, including significant experience managing complex or specialty claims.
• 5+ years of claims leadership/management experience, preferably at the manager, senior manager, or director level.
• ARM, CPCU, AIC, SCLA, or other relevant professional designation.
• Strong knowledge of insurance policy interpretation, coverage analysis, claims investigation, reserving, litigation, and settlement practices.
• Strong understanding of insurance regulations and claims-handling requirements.
• Demonstrated financial and analytical capabilities.
• Experience managing internal claims teams and external service providers.

Primary Job Functions:

Strategy & Leadership

• Develop and execute the overall strategy for the Credit Claims function consistent with corporate objectives.
• Establish clear claims handling standards, authority levels, procedures, and performance expectations.
• Provide leadership and technical direction on claims.
• Establish a culture of accountability, ownership, collaboration, and continuous improvement.
• Identify opportunities to improve claims outcomes, cycle time, customer service, and operational efficiency.
• Establish and monitor key performance indicators (KPIs) for the Credit Claims organization.

Claims Management

• Ensure claims are investigated, evaluated, reserved, negotiated, and resolved appropriately.

Regulatory & Compliance

• Ensure claims practices comply with applicable state and federal laws, regulations, and insurance requirements.
• Partner with Compliance and Legal on regulatory inquiries, complaints, market conduct matters, and Department of Insurance issues.
• Establish controls designed to minimize regulatory and claims-handling risk.
• Ensure timely and appropriate responses to consumer complaints, regulatory inquiries, and other escalated matters.
• Stay current on changes in claims-related laws, regulations, and industry practices.

The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.

Additional Information:

Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more.

Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting.

This position may be staffed at the Sr. Manager or Director level depending on the candidate's experience level. 

Job Posting Disclaimer:

Fortegra has recently been made aware of unauthorized communications regarding career opportunities by individuals not associated with Fortegra or our recruitment team. Fortegra will only contact you from the Fortegra domain address (@fortegra.com). If you receive a message from someone posing as a Fortegra recruiter via text message, WhatsApp, Telegram or other messaging platform, please report it as phishing and block the sender.

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