Director Claims

The Director Claims serves as a claims leader responsible for managing a select portfolio of complex medical professional liability claims while simultaneously building and overseeing a future team that will support The Doctors Company’s newly developed unbundled claims services model. This role blends advanced technical claim handling with strategic operational leadership, ensuring delivery of high‑quality claims outcomes, superior customer experience, and seamless alignment with partner organizations using unbundled service arrangements.

This is a hybrid or telecommuter opportunity depending on the final candidate’s location from the company's office.

Key Responsibilities:

Claims Handling & Technical Expertise

• Manage a portfolio of high‑severity and complex medical professional liability claims from intake through resolution.
• Conduct detailed liability, causation, and damages analyses and set and adjust reserves in accordance with company/client guidelines.
• Direct and oversee litigation strategy, including selection, instruction, and ongoing evaluation of defense counsel.
• Participate in mediations, settlement conferences, and negotiations; recommend settlement authority consistent with exposure and company strategy.
• Ensure compliance with internal quality standards, regulatory requirements, and applicable insurance laws.

Leadership & Supervision

• Build, supervise, and mentor a team of claim professionals as unbundled claim services scale.
• Create performance metrics, operational workflows, and service-level expectations for a hybrid team supporting multiple client arrangements.
• Provide regular coaching, training, and technical development aimed at ensuring consistent, high-quality claims practices.
• Partner with HR and executive leadership on onboarding, staffing, and career development planning for the evolving team structure.

Unbundled Claim Services Program Development

• Contribute to the design, implementation, and ongoing refinement of TDC’s unbundled claim services model.
• Collaborate with underwriting, account management, and operational leaders to align claims handling protocols with client expectations and contractual requirements.
• Develop customized reporting frameworks, communication channels, and performance dashboards for unbundled accounts.
• Serve as claims liaison for partner organizations, addressing escalations, presenting claim trends, and supporting risk‑mitigation efforts.

Strategic and Cross‑Functional Collaboration

• Act as a subject‑matter expert across the enterprise on complex claims issues, emerging liability trends, and risk‑management opportunities.
• Provide input on product development, coverage analysis, and underwriting considerations related to unbundled programs.
• Support continuous process improvement, including digital workflow enhancements, audit practices, and quality‑assurance initiatives.
• Represent the Claims Department in cross‑functional committees, leadership meetings, and external stakeholder presentations.

Qualifications:

Required

• Bachelor’s degree or equivalent professional experience.
• Minimum 10 years of medical professional liability claims experience, including litigation management.
• Demonstrated expertise handling high-exposure, complex clinical matters.
• Strong analytical skills with the ability to interpret medical records, expert opinions, and legal strategies.
• Excellent communication, negotiation, and presentation skills.
• Ability to build relationships with physicians, attorneys, executives, and partner organizations.

Preferred

• Prior leadership or supervisory experience (formal or informal).
• Experience within a national medical malpractice carrier or healthcare‑focused insurance organization.
• Familiarity with unbundled claims models, TPA structures, or captive programs.

Key Competencies

• Strategic and operational leadership
• High‑level analytical and critical thinking
• Exceptional customer service orientation
• Strong negotiation and conflict‑resolution skills
• Ability to thrive in an evolving, innovative environment
• Team development and coaching

Salary Range: $131,102 - $172,072. Compensation varies based on skills, knowledge, and education. We consider factors such as specialized skills, depth of knowledge in the field, and educational background to ensure fair and competitive pay.

Benefits

We offer competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. There's more:

• Health, dental, and vision insurance
• Health care tax-free spending accounts with a company match
• 401(k) and Roth IRA with company match, as well as catch-up plans for both
• Vacation days, sick days, and paid personal days each calendar year (with vacation increases based on length of service)
• Paid holidays each calendar year
• Life and travel insurance
• Tax-free commuter benefits
• In-person and online learning opportunities
• Cross-function career opportunities
• Business casual work environment
• Time off to volunteer
• Matching donations to qualifying nonprofit organizations
• Company-sponsored participation at non-profit events

About The Doctors Company

The Doctors Company is the nation’s largest physician-owned medical malpractice insurer. Founded and led by physicians, we are committed to advancing, protecting, and rewarding the practice of good medicine.

The Doctors Company is proud to be Certified™ by Great Place to Work®.