Director, Claims Operations Jobs

Explore Director, Claims Operations jobs for experienced leaders ready to guide claims strategy, teams, and service delivery. These senior roles oversee the systems and processes that help organizations assess, resolve, and manage claims efficiently while meeting customer, financial, and regulatory expectations. Ladders features vetted professional opportunities with salaries of $100,000 or more.

What Does a Director of Claims Operations Do?

A Director of Claims Operations leads the people, workflows, and performance programs responsible for claims handling. Depending on the organization and industry, the role may include setting operational priorities, managing claims teams and vendors, improving turnaround times, monitoring quality and costs, and partnering with legal, finance, technology, and customer service leaders.

Common Responsibilities

  • Develop claims operations strategy, policies, and service standards.
  • Lead and develop managers, adjusters, and other claims professionals.
  • Track claims volume, resolution time, accuracy, expenses, and customer outcomes.
  • Identify process improvements and support automation or technology initiatives.
  • Maintain compliance with applicable laws, regulations, and internal controls.
  • Coordinate with business partners to manage risk and resolve complex issues.

Skills and Qualifications

Employers commonly seek substantial claims or operations experience, a record of leading teams, and strong judgment in complex or high-impact situations. Useful strengths include analytical decision-making, budgeting, communication, change management, process improvement, and familiarity with relevant claims systems and regulatory requirements. Requirements vary by employer and industry; some roles may prefer professional designations or specialized insurance, healthcare, workers’ compensation, or property claims expertise.

Career Outlook and Compensation

Director-level claims roles are senior management positions, and compensation varies with industry, location, organization size, and scope of responsibility. Browse Ladders for vetted professional jobs paying $100,000 or more, and compare opportunities by employer, specialization, and leadership scope.

Find Director, Claims Operations Jobs on Ladders

Search current openings to find a role aligned with your experience in claims leadership and operational transformation. Review each listing for its responsibilities, qualifications, location, and compensation details.

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$223K - $313K *

Lead the charge in evaluating complex clinical scenarios and authorizing services based on national guidelines and regulatory compliance. Collaborate with healthcare professionals to ensure quality ca...

United StatesRemote

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$135K - $160K *

Transform product operations by leading strategy and execution, ensuring cross-functional alignment, optimizing tools, and driving AI enablement. Oversee a team of product delivery managers to enhance...

3 weeks ago

  •   8 - 10 years exp.  •   Information Technology

$150K - $203K *

Shape the future of care management by leading product strategy and delivery, enhancing member experiences, and driving clinical outcomes through collaboration with cross-functional teams and effectiv...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $203K *

Join our Care Management team to lead product strategy and delivery, enhancing member experiences and clinical workflows. Collaborate with cross-functional teams to drive measurable outcomes and impro...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $203K *

Advance your career by leading the Care Management product strategy, enhancing member experiences, and driving clinical outcomes through effective collaboration and innovation across teams...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $203K *

Elevate care management by leading product strategy and delivery, enhancing member experiences through collaboration with clinical and technology teams. Drive measurable outcomes while developing your...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $203K *

Shape the future of healthcare by leading product strategy and delivery for Care Management. Collaborate with cross-functional teams to enhance member experiences and improve clinical outcomes through...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $203K *

Drive the strategy and delivery of Care Management capabilities, leading cross-functional teams to enhance member experiences and clinical outcomes. Collaborate with stakeholders to simplify workflows...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $203K *

Transform care management by leading product strategy and delivery, enhancing member experiences and clinical workflows. Collaborate with cross-functional teams to drive measurable outcomes and improv...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $203K *

Champion the development and execution of Care Management strategies, leading cross-functional teams to enhance member experiences and clinical outcomes through innovative product management and opera...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $203K *

Lead the strategy and delivery of Care Management capabilities, enhancing member experiences and clinical workflows. Collaborate with cross-functional teams to drive measurable outcomes and improve ca...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $203K *

Empower clinical teams by leading the Care Management product strategy, enhancing workflows and member experiences through collaboration and innovation. Drive measurable outcomes while developing and...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $95K *

Champion data-driven decision-making by developing complex models and strategies. Collaborate with cross-functional teams to analyze data, drive impactful operational changes, and fulfill business obj...

Virginia, USRemote

5 days ago

  •   8 - 10 years exp.  •   Healthcare

$206K - $350K *

Pioneer strategic network operations, driving efficiency and compliance while leading a high-performance team. Oversee regulatory implementation, enhance provider experience, and ensure alignment with...

Reposted yesterday

  •   8 - 10 years exp.  •   Healthcare

$109K - $149K *

Join a team that's dedicated to optimizing complaint resolution across departments. Oversee a skilled group focused on member satisfaction and regulatory compliance while promoting process improvement...

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Lead the charge in supervising claims teams, enhancing processes, and driving quality assurance for liability claims. Collaborate with management to identify trends and ensure compliance while fosteri...

RemoteRemote

Yesterday

  •   5 - 7 years exp.  •   Finance & Insurance

$95K - $115K *

Join a team that's redefining clinical appeals management. Leverage your nursing expertise to develop strategies for complex claim denials, collaborating across departments to enhance reimbursement ou...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$156K - $215K *

Empower quality engineering excellence by leading strategic initiatives across diverse technology portfolios. Drive modernization, enhance automation, and foster collaboration to ensure high-quality s...

Reposted 3 days ago

  •   8 - 10 years exp.  •   Healthcare

$156K - $215K *

Transform quality engineering practices by leading strategic initiatives across technology portfolios, enhancing delivery quality, and fostering team performance through innovative automation and AI i...

Reposted 3 days ago

  •   8 - 10 years exp.  •   Healthcare

$156K - $215K *

Champion quality engineering excellence across diverse technology portfolios, leading teams to enhance delivery quality, automate testing, and drive continuous improvement. Collaborate with cross-func...

Reposted 3 days ago

  •   8 - 10 years exp.  •   Healthcare

$156K - $215K *

Shape the future of quality engineering by leading strategic initiatives across technology portfolios. Drive team performance, embed quality practices, and enhance delivery speed and stability through...

Reposted 3 days ago

  •   8 - 10 years exp.  •   Healthcare

$150K - $220K *

Drive product innovation and strategy for the Life Product portfolio, translating market insights into actionable opportunities. Collaborate with cross-functional teams to enhance product design and a...

5 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$150K - $220K *

Join us to lead innovative product strategies in the Life Insurance sector, translating market insights into actionable opportunities. Collaborate across teams to enhance product design and drive ente...

5 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$80K - $95K *

Join a dedicated team as you lead operations in hospice care, ensuring compliance and financial success while enhancing patient experiences. Drive growth through strategic planning and marketing initi...

1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$80K - $95K *

Join a team that's dedicated to enhancing patient care by leading operations in hospice and palliative services. You'll oversee daily functions, ensure compliance, and drive growth through strategic i...

1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

Frequently Asked Questions (FAQ)

  • What does a Director of Claims Operations do?question toggle

    A Director of Claims Operations leads claims teams and processes, sets operational priorities, monitors performance, and works to improve service, efficiency, quality, and compliance.

  • What qualifications are common for Director, Claims Operations jobs?question toggle

    Employers often look for significant claims or operations experience, people-management skills, analytical ability, and knowledge of the relevant industry’s processes and regulations. Specific requirements differ by role.

  • What industries hire Directors of Claims Operations?question toggle

    These leaders may work in insurance, healthcare, workers’ compensation, financial services, and other organizations that manage claims. Responsibilities depend on the employer and type of claims.

  • How much do Directors of Claims Operations earn?question toggle

    Compensation varies based on industry, location, employer, and scope of responsibility. Ladders focuses on vetted professional jobs paying $100,000 or more; check individual listings for salary details.

  • Where can I find Director, Claims Operations jobs?question toggle

    Browse Ladders to explore vetted Director, Claims Operations opportunities paying $100,000 or more and review each listing’s requirements and compensation information.