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PROGRAM MANAGER II, STATE COMPENSATION INSURANCE FUND

California State Jobs

Claims Regulatory DirectorState Fund is seeking a strategic, forward-thinking Claims Regulatory Director to lead our regulatory program within the Claims Medical & Regulatory Division (CMRD). This executive leader serves as the organization's trusted regulatory authority, leveraging deep industry expertise to influence strategy, drive meaningful change, and solve complex business challenges. The Director continuously monitors evolving laws, regulations, industry trends, and emerging issues to ensure State Fund remains at the forefront of regulatory excellence while advancing our mission to provide fairly priced workers' compensation insurance, help make California workplaces safer, and support injured workers on their path to recovery.The Director will:Lead development and implementation of claims regulatory policies, procedures, and governance standards to ensure statewide consistency and compliance.Provide strategic direction on regulatory issues, risk identification, mitigation planning, and operational decision-making.Lead cross-functional initiatives that strengthen claims quality, support operational excellence, and improve customer outcomes.Conduct extensive reviews and impact analysis of all emerging trends and patterns.Provide accurate, complete and timely data analysis to support organization wide evidence-based decision making, using critical/forward thinking and intellectual curiosity.Represent State Fund with regulators, industry organizations, and external partners, communicating regulatory positions and organizational priorities.Lead and develop a team of regulatory managers and subject matter experts, fostering a collaborative, high-performance culture.This position may be filled in any State Fund location, which may include the following: Bakersfield, Eureka, Fresno, Oxnard, Pasadena, Pleasanton, Redding, Glendale, Rohnert Park, Sacramento, San Diego, Stockton, or Vacaville. The successful candidate should possess the following qualifications:Proficient knowledge of and direct experience in California workers' compensation laws, regulations, trends, practices and the CA Labor CodeProficient knowledge of Claims Regional Office/Corporate policies/procedures relating to claims adjusting and supportProficient knowledge of current management principles and practices, Human Resources management and supervision as well as equal opportunity employment principlesWorking knowledge of project management principles to oversee efficient completion of work unit tasksSkill/Ability to design, plan, and implement policies, procedures, and work-flow processesWorking knowledge of standard Claims software, applications, software development lifecycle and technology initiatives.Experience leading large-scale operations and driving consistent performance outcomes (internal & external with vendors)Supervisory/managerial experience leading a high functioning team in a fast-paced environmentDesign and implement initiatives to continually improve efficiency and produce service quality (internal & external with vendors)Strong customer service skills, including negotiation and conflict management to uphold and ensure that operations meet the highest ethical standardsExcellent written and oral communication skills, and proficiency to speak in front of large groupsAbility to manage multiple projects, tasks and prioritiesYou will find additional information about the job in the Duty Statement.

Vacancy posted 4 days ago
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