Director, Claims Program Management – Occupational Risk

Crum & Forster

. Set and execute the Occupational Risk claims program strategy, operating model, service standards, and annual priorities .

Posted 10/2/2026full-timeRemote • New Jersey • United StatesLead💰 $91,000 - $171,100 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Occupational Risk claims management, including strategic program execution, compliance with regulatory standards, and leadership in high-performing teams. Proficient in complex claims handling, litigation management, and operational assessments to drive quality and financial outcomes.

Highest-signal resume keywords

Occupational Risk Claims ManagementLeadership AccountabilityComplex Claims HandlingRegulatory ComplianceClaims Platform Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementLitigation ManagementOperational AssessmentsAuditsData MappingFinancial OversightRisk-Based Audit ProgramPerformance MeasuresFraud TrackingSubrogation

Soft Skills

Team BuildingCoachingEmpathetic CommunicationAdaptabilityCross-Functional Collaboration

Tools & Technologies

Claims PlatformsBusiness Intelligence ToolsMicrosoft Office Suite

Certifications & Qualifications

Adjuster LicensesContinuing Education

Industry Keywords

Occupational AccidentTexas Non-SubscriberEmployer’s LiabilityGeneral LiabilityAuto Liability

About the role

Key responsibilities & impact

Set and execute the Occupational Risk claims program strategy, operating model, service standards, and annual priorities
Build, coach, and retain a high-performing team of program managers and specialists
Own financial, operational, customer, quality, compliance, and talent outcomes across the assigned portfolio
Establish governance frameworks for TPAs, MGAs/MGUs, independent adjusters, and other service partners
Lead operational assessments, implementation readiness, data mapping, staffing validation, control testing, catastrophe preparedness, and go-live governance
Conduct annual or bi-annual audits of TPAs and MGAs/MGUs
Provide direction on complex, high-severity, coverage-sensitive, and litigated claims
Partner with Legal on counsel guidelines, litigation strategy, legal spending, panel performance, alternative dispute resolution, and vendor outcomes
Maintain compliance with state unfair claims practices requirements, Texas Non-Subscriber and benefit-plan obligations, licensing standards, privacy expectations, market conduct, record retention, and internal policies
Maintain a risk-based audit program covering coverage, investigation, reserving, payments, communications, litigation handling, subrogation, salvage, and compliance
Develop dashboards and portfolio reviews using leading and lagging indicators
Strengthen fraud referrals, subrogation, salvage, deductible, and aggregate tracking
Promote timely, clear, empathetic, and brand-consistent customer and broker communication
Partner cross-functionally with Underwriting, Actuarial, Legal, Compliance, Finance, Reinsurance, Distribution, and Technology

Requirements

What you’ll need

Bachelor’s degree in insurance, risk management, business, finance, law, or a related field
10+ years of progressively responsible commercial or specialty claims experience, including meaningful leadership accountability
5+ years of people leadership, program management, or delegated claims oversight experience within an insurance carrier, TPA, MGA/MGU, or comparable organization
Substantial experience in Occupational Accident and Texas Non-Subscriber business; familiarity with Employer’s Liability, General Liability, Auto Liability, Physical Damage, or related occupational risk products strongly preferred
Demonstrated capability in complex claims, litigation management, reserving, audits, regulatory response, partner remediation, and executive reporting
Experience using claims platforms, business intelligence tools, and structured performance measures to drive operational decisions
Relevant adjuster licenses, certifications, or continuing education required by jurisdiction or assignment
Ability to travel for partner due diligence, governance reviews, partner onboarding, business meetings and employee activities
Advanced knowledge of Microsoft Office tools – Outlook, Excel, Word and PowerPoint
Ability to work in a fast-paced environment and adaptable

Benefits

Comp & perks

Competitive compensation package
Generous 401K employer match
Employee Stock Purchase plan with employer matching
Generous Paid Time Off
Health, dental, and vision benefits
Wellness programs focused on physical, mental, and financial wellbeing
Tuition reimbursement
Industry-related certifications and professional training
Dynamic, ambitious, fun and exciting work environment
Matching donation program
Volunteer opportunities
Employee-driven corporate giving program