Director, Claims Triage
$132.29k - $155.86kArgonaut Management Services, Inc
Job Description Business Title(s): Director, Claims Triage Employment Type: Full-Time FLSA Status: Exempt Location: In-Office (Richmond, VA; Omaha, NE; Albany, NY; Chicago, IL; Los Angeles, CA; Houston, TX; New York, NY) Summary: We are looking for a highly capable Claims Triage Director to join our Claims team and work from either our Richmond, VA or Omaha, NE offices. Alternatively, we can also fill this role in our offices in Albany, NY, Chicago, IL, Los Angeles, CA, Houston, TX, or New York, NY. The Director, Claims Triage leads a nationwide triage operation, managing a fast‑paced team responsible for the time‑sensitive intake and accurate routing of workers' compensation, liability, and property claims. This role drives a best‑in‑class triage model by setting performance metrics, improving processes and technology, and partnering with Claims leadership to ensure efficiency, compliance, and achievement of business goals. The Director also oversees budgeting, talent development, and stakeholder relationships to maintain a high‑performing, customer‑focused team. This is a 100% in‑office position. Candidates must be able to work on‑site at a designated company office during standard business hours. Essential Responsibilities Manage a team of 3 Senior Triage Specialists along with a Triage Team Lead who manages a team of 4 Triage specialists responsible for claim intake, assignment, and preliminary information gathering and decision making. The team has accountability for internal and external customers throughout the U.S. Hours of operation are 7 am–7 pm Eastern Time, which may sometimes require a presence in the office during non‑standard office hours. Currently the department triages claims for workers’ compensation, liability, inland marine, and property claims for both the United States and Bermuda. Establish, refine and evolve best‑in‑class Triage claim management program operating characteristics, measurement criteria, and meaningful metrics benchmarking. Drive continuous improvement through initiatives involving employees, processes and technology. Lead the implementation of a Large Language Model (LLM) that will transform the way this team performs its work. Working with the SVP – Global Claims Operations partner with key Claims Management to develop plans aimed at achieving efficiencies so that incoming claims are triaged correctly and quickly assigned to the appropriate department and the Triage department can meet its Critical Success Goals and the company can meet both growth and profitability targets. Create and maintain a positive working relationship with all direct reports, peers, and other claims department managers to ensure the Triage Department operations add value and meet or exceed the needs of internal stakeholders and are compliant with set expectations. Manage expenditures for the Triage Department to budget/plan. Support the professional claims selection process to retain claims professionals that consistently demonstrate appropriate technical expertise, maturity and a professional commitment to excellence and customer service. Conduct Development Reviews and engage direct reports in developmental and skill‑building opportunities. Train and mentor staff. Act as a role model demonstrating belief in, and commitment to, the aspiration values of Argo Group, continuing to build and lead a value‑based organization committed to long‑term success. Qualifications / Experience Required Proven people management experience, advanced knowledge of triage claims and process improvement, and an exceptional customer service focus, typically obtained through: Minimum 7 years claims operations experience, including 4 years in a People Leadership capacity. Prior experience as a claims adjuster is helpful. Bachelor's degree required, or four additional years of claims operations experience in addition to the 7 mentioned above. Six Sigma Black Belt certification strongly preferred. A combination of experience, technical and strategic skills, and practical know‑how to oversee the design, building, and management of an AI system based on LLM that is reliable, adaptable, and works well. Experience setting up processes for tracking AI performance, analyzing errors, and using feedback to continuously improve the quality and reliability. Ability to create structured and clear prompts to guide the AI model to deliver accurate and reliable results. Must have good business acumen (understand how an insurance company works and makes money, including how this role impacts both Argo Group's and our customers' ability to be profitable). Proven leadership capabilities with sound influence in dealing with challenging situations. Independent decision maker – takes full responsibility for making decisions and consequences associated with decisions. Recognized as a leader within the organization that provides advice and guidance to others. Polished and professional written and verbal communication skills with the ability to build consensus both internally and externally. The ability to read and write English fluently is required. Strong customer service focus. Strong analytical and presentation skills. A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by: Finding a way to achieve success through adversity. Being solution (not problem) focused. Thinking with a global mindset first. Client focus – the ability to effectively determine specific client needs and to provide value‑added solutions. Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis. Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking. Ability to build commitment both internally and externally. Ability to communicate corporate vision and to gain support for your views, opinions and decisions. A team builder, someone who understands that success is dependent upon the performance of the team and not individual team members. Creates strong morale and spirit within the team: shares wins and celebrates success as a team. Ability to establish mentoring relationships with key employees and participate in the development of succession and training plans for critical positions. Ability to develop and communicate claim management reports for accurate and timely reflection of support staff performance and impact on the claims department. Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast‑paced environment that is evolving constantly. Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information. Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines. Preferred Qualifications The ability to read and write Spanish fluently is considered a plus. Salary Range Albany and Chicago: $132,294 – $155,856 Los Angeles and New York City: $144,126 – $170,136 Base salary ranges are location‑specific. All employees are eligible for an annual bonus based on company and individual performance and receive a generous benefits package. Benefits and Compensation We offer a competitive compensation package, performance‑based incentives, and a comprehensive benefits program including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities. Equal Opportunity Employer We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical), including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics. #J-18808-Ljbffr Argonaut Management Services, Inc
- Argonaut Management Services, Inc is looking for a Director, Claims Triage to lead a national triage operation from Albany, NY or other office locations. The role involves driving performance metrics, managing a skilled team, and ensuring compliance with business goals....ClaimsWork at office
$132.29k - $155.86k
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly‑... ...subsidiaries of Clearbrook Group Holdings Inc. Job Title Director, Claims Triage Employment Details Full‑Time, Exempt, In‑Office Summary...ClaimsFull timeWork at officeFlexible hours- Argonaut Management Services, Inc is seeking a Senior Triage Specialist for their Albany office. In this role, you will handle claims processing while providing clerical support to ensure efficient claims management. Candidates with a strong focus on customer service and...ClaimsWork at office
$32.32 - $37.71 per hour
Argo Group is looking for a Senior Triage Specialist to join its Commercial Claims team in Albany, NY. This is an 100% in-office position focused on managing fast-track commercial claims from initial intake through resolution. Candidates must have strong customer service...ClaimsHourly payWork at office- Argo Group is seeking a Bilingual Claims Intake/FNOL/Triage Specialist to join our team in Albany, New York. This full-time position demands fluency in both English and Spanish, along with a solid background in customer service and insurance. The successful candidate will...ClaimsFull time
- Versant Health, Inc. is seeking a Director of Configuration in Troy, NY. The role involves leading the organization’s benefit configuration and claims platform operations, ensuring scalability and quality while aligning with organizational strategies. The successful applicant...ClaimsFlexible hours
$186.49k - $278.88k
...are seeking an innovative and strategic leader to serve as the Director, U.S. Neuroscience Pipeline & Established Brand Marketing. This... ...equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are...ClaimsTemporary workLocal areaFlexible hours$29.29 - $33.88 per hour
Argonaut Management Services, Inc is seeking a Bilingual Claims Intake/FNOL/Triage Specialist to work in Albany, New York. This role involves managing new claims, providing clerical support to claims adjusters, and ensuring effective communication in both English and Spanish...ClaimsHourly pay$73k - $111k
...and acumen of Operations leaders to enable development and coaching of Technicians. Key Performance Indicators ESR Rate Claims Rate Escalation Rate, time(days) on escalation Material Usage/FSP Compliance Rate Material Cost Revenue % CVC NPS...ClaimsFull timePart timeWork at officeLocal areaImmediate startFlexible hours$200k - $225k
Restructuring Director, Alvarez & Marsal Detroit Office About Alvarez & Marsal (A&M) is a global consulting firm with over 10,000 entrepreneurial... ..., liquidation analysis, credit agreement negotiations, and claims processing. Assessing key business operational performance...ClaimsPart timeWork experience placementWork at officeFlexible hours- Director, Configuration What are we looking for? The Director, Configuration provides strategic leadership and direction for the organization’s benefit configuration and claims platform operations across all core systems. This role is accountable for the multi-year configuration...ClaimsWork at officeFlexible hours
$131k - $147k
Director - Configuration Versant Health is a leading administrator of managed vision care serving millions of members nationwide. The Director... ...leadership over the organization’s benefit configuration and claims platform operations, ensuring scalability, quality, compliance,...ClaimsWork at officeFree visaFlexible hours$73k - $111k
...knowledge and acumen of Operations leaders to enable development and coaching of technicians. Key Performance Indicators ESR Rate Claims Rate Escalation Rate, time(days) on escalation Material Usage/FSP Compliance Rate Material Cost Revenue % CVC NPS Customer...ClaimsFull timeLocal areaFlexible hours$185.76k - $334.32k
...distribution ecosystems. Strong understanding of policy administration systems (PAS) and the surrounding technology landscape (billing, claims, CRM, data, actuarial platforms). Familiarity with leading core platforms (e.g., Vantage, FAST, ALIP, Sapiens, etc.) and...ClaimsMinimum wageFull timePart timeLocal areaImmediate startRemote work$72.4k - $97k
...barred from submitting candidates. In the absence of a signed fee agreement AND proper resume submission, PCG does not recognize any claim on a candidate by a third party, will consider unsolicited resumes the property of the company and reserves the right to engage and...ClaimsFor contractorsWork experience placementFlexible hours$29.37 - $34.18 per hour
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities... ...Group Holdings Inc. Job Title Senior Triage Specialist (Senior Claims Intake / FNOL... ...be involved. This position reports to the Director of Triage, who is based in Colorado. What...ClaimsHourly payTraineeshipWork at officeLocal areaMonday to Friday$153.7k - $229.77k
Associate Director, Field Strategy, Nephrology/Immunology Position overview: The Associate Director, Field Strategy plays a critical role... ...fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent...ClaimsTemporary workLocal areaFlexible hours$26.76 - $30.8 per hour
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ...Job Description Business Title(s): Bilingual Claims Intake/FNOL/Triage Specialist Employment Type: Full-Time FLSA Status: Non-Exempt...ClaimsHourly payFull timeTraineeshipWork experience placementWork at officeLocal area$169.22k - $253k
...key opinion leaders (KOLs). Responsibilities Data Integration & Management Explore and analyze common pharmaceuticals data (e.g., claims) as well as novel data sets based on lab and EHR systems. Work with Omnichannel Data Engineer to Integrate data from multiple sources...ClaimsTemporary workLocal areaRemote workFlexible hours$142.6k - $261.5k
...globe are investing heavily in technology-enabled transformation programs. A number of solution "hot spots" exist today, such as in claims, underwriting, policy and billing. Our ambition is to be the C-suite advisor for insurance technology-enabled transformation...ClaimsWork experience placementSummer holidayFlexible hours$22.48 - $30.42 per hour
...‑related inquiries, leave eligibility, process steps, timelines, and expectations. Provide light support for workers’ compensation claims, including coordination with HR, Payroll, carriers, or TPAs, tracking claim status, and ensuring proper documentation. ADA Accommodations...ClaimsFull timeTemporary workLocal area- ...IOOV) Albany, NY | Full-Time | On-Site Reports To: Fiscal Director Build the Systems That Support the People Driving Change... ...administrators Manage escalations related to benefits, COBRA, and claims Leave Administration & Compliance Administer FMLA, ADA,...ClaimsFull timeWork at office
- A leading health insurance provider is seeking a dedicated claims analyst to review and process Stop Loss claims. This role requires 5 years of relevant experience and expertise in health insurance claims management. The successful candidate will build client relationships...Claims
- Hancock Claims Consultants is seeking a RoofField Inspector in Albany, NY. This independent contractor position involves assessing steep roofs and performing underwriting inspections. The ideal candidate will navigate various weather conditions and utilize technology for...ClaimsFor contractors
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$128k - $268k
...South Pearl Street, Albany New York Job Brief (Purpose) The Senior Director of Family Wealth Consulting (the Director) serves as a lead... ...rest of the marketplace Thought Leadership The identification and triage of business development and growth opportunities through the...Work at officeLocal areaFlexible hours$80k - $90k
...Range: $80,000.00 - $90,000.00 Travel Percentage: Up to 25% As Director of Crisis Services, you will develop, shape, and oversee the agency... ...crisis services for the counties assigned to include telephone triage. Ensure coverage of 5 bed 24/7 crisis stabilization unit in...Full timeTemporary work- A leading insurance claims adjusting firm in the City of Troy, New York, is seeking Independent Insurance Claims Adjusters. This role offers the chance to help clients recover from disasters while enjoying flexibility and competitive compensation. Candidates should be...ClaimsFlexible hours
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- ...Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management. At Hancock, we are at the forefront of claims resolution services, offering nationwide coverage...ClaimsPermanent employmentFor contractors
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