Director, Commercial Claims

Company: Allied Solutions
Location: South Bend
Posted on: May 29, 2025

Job Description:

This position is responsible for the overall ownership and direction of the agency's claim operations, technical, operational, and financial administration management supporting Allied Solutions Commercial Insurance Agency's Commercial Claims department. This leader will have a mastery level of experience in the technical aspects of the Commercial Claims loss experience. The position will require strong to mastery level leadership competencies that will develop and deliver a result-driven operation and culture of financial success for Commercial Claims product and service. The position will require a deep level of expertise in commercial property & casualty, financial institution bond coverages and policies.

All the relevant skills, qualifications and experience that a successful applicant will need are listed in the following description.
Responsible for annualized loss and claim projections set by the carrier.
This position will be responsible for overseeing, monitoring, investigating claim related decisions and losses associated with property and casualty claims, and managing and handling client and insurance carrier related responsibilities. These responsibilities will include reporting, tracking, and monitoring losses and premiums to ensure a financially optimized Commercial Claims program. This position will be required to foster relationships and provide key leadership communication with a wide variety of stakeholders at varying levels and roles, including but not limited to, Senior and Executive levels, sales professionals, financial institution clients and insurance carrier product and program management.
This position will oversee the program's financial profitability, focused on key financial metrics including loss reserves and claim frequency and severity KPI's.

Commercial Claims Program Financial Optimization (25%)

This position will ensure the overall optimization of the Commercial Claims Program

Develop and Deploy claim strategies that will ensure the financial, quality and service KPI's (key performance indicators) for commercial claims department & claims the department manages.

Develop, deploy and work with stakeholders to create key monitors and controls, trending analysis, reporting, and program management that ensures all actions and activities are performing in a manner that optimizes program performance.

Deliver meeting and communication cadence with key stakeholders including sales, clients, and carriers to ensure performance monitoring and performance socialization.

Develop and communicate loss projections that feed into overall program performance to minimize losses.

Develop and communicate internal reporting and trending analysis to ensure internal senior management and executive management monitoring of the overall Commercial Claims Bond Program.

Work with sales leadership on key products and claim benefits that can serve as sales tools and program benefits for purposes of revenue and client growth.

Serve as the industry and market SME for Commercial Claims Product to applicable audiences.

Ensure timely and accurate claim reserve actions that feed the financial performance for the program.

This position must have mastery level management of optimized loss mitigation and management.

Liaison and direct actions and collaborative outcomes for Product and Risk departments.

Commercial Claims Management (25%)

Provide leadership to the team and ensure the accurate and timely adjudication of Commercial Claims. Ensure that the claim and loss adjudication process is compliant and meets all regulatory, state and policy conditions. Investigate, oversee, and monitor all Financial Institution segment claims ensuring partners/carriers timely and accurate processing.

Develop and implement, with Risk Management department, an effective claims control process to minimize risk and maximize efficiency.

Provide guidance and mentorship to direct reports, demonstrating your proven ability to manage and develop a high-performing team.

Act as subject matter expert and go-to resource for clients regarding complex Commercial Claims.

Develop, direct, and deploy claims operational practices to ensure that our partners/insurance carriers meet all regulatory state filing and policy and carrier administrative requirements.

Develop and deploy claim best practices and claim key performance indicators to ensure the accurate and timely resolution of bond claims in partnership with carrier partners.

Develop and deploy the appropriate and effective audit and claim review process to ensure all factors are considered and applied to complex claim scenarios.

Develop and deploy claim experience reporting as required for trending and tracking of claim/loss performance per client, per business and segment and overall, for the Commercial Claims program.

Assist policyholders (clients, sales) on claims issues with carriers. (Denial disputes, coverage issues, lack of contact, follow up on individual claims to ensure the carrier is handling in a timely manner when requested.) Review carrier coverage positions/claim denials.

Subject matter expert to be able to manage a large variety of coverages in a very niche market

KEY Stakeholder Communication, Program Reporting, and Administration (15%)

Analyze market and economic trends and determine areas of improvement in key products and programs.

Subject matter expert utilized in publications, consulting with risk management, podcasts,

Notify Risk Management and Account Managers/Executives of claim issues, large losses, loss trends and policyholder complaints.

Onboard new clients to ensure all new and existing clients receive WC & Plastic Card Claims Kits.

Schedule and provide claims training with policyholders.

Lead and deploy quarterly product and program manager claim trending and loss experience meetings.

Insurance Carrier Management (15%)

Monitor Insurance Carrier performance including loss performance including loss ratio, quality of product and policy offerings and service levels to key stakeholders and clients.

Lead quarterly claims meetings with carriers and ensure carrier action plans are documented and monitored.

Assess the performance of claims experience, profitability, and performance to advise carrier on their policies.

Assess and advise division leadership on the performance among carriers for the purpose of ensuring profitability.

Develop new carrier relationships to establish a collaborative business relationship, as needed.

Team Management (20%)

Supervise, coach, and support team; providing guidance on commercial claims methodologies, best practices, and career development.

Allocate resources effectively to ensure optimal utilization and balance workload across the team. Identify resource gaps and work with HR to recruit and onboard new team members.

Train and develop team members to improve quality and service, while promoting cross-training and succession planning.

Handle all other personnel matters involving direct reports, including recruiting, separations, time off, performance evaluations, and rewards recommendations.

Qualifications (Education, Experience, Certifications & KSA):

Bachelor's degree or equivalent education required.

Property & casualty license required

Adjusters license preferred.

Insurance designations preferred.

8 - 10 years of relevant work experience required.

5 - 6 years of leadership experience required.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with a job.

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We offer our employees a robust compensation package! Our comprehensive benefits include: medical, dental and vision insurance coverage; 100% company-paid life and disability coverage, 401k options with company match, three weeks PTO by the end of the first year and much more. Allied proudly promotes from within as part of a strong commitment to providing career growth opportunities for employees of all levels. Our diverse business portfolio allows employees broad career options with the advantage of staying with the same organization.

All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Keywords: Allied Solutions, Arlington Heights , Director, Commercial Claims, Executive , South Bend, Illinois