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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$137K - $215K *

Engage with cross-functional teams to lead complex operational initiatives, translating strategic priorities into actionable plans. Drive governance, risk management, and performance monitoring to enh...

1 week ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$120K - $145K *

Advance your career by leading product operations for a dynamic healthcare portfolio. Oversee lifecycle management, optimize workflows, and drive cross-functional collaboration to enhance client exper...

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$60K - $100K *

Lead the charge in managing client relationships and operational excellence, ensuring seamless onboarding and service delivery while driving customer satisfaction and revenue growth through effective...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $104K *

Transform executive operations by providing high-level administrative support to senior leaders, managing priorities, communications, and travel, while ensuring efficient business operations and foste...

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$140K - $170K *

Join a team that's dedicated to managing complex D&O claims for private companies. Oversee investigations, negotiate settlements, and implement strategies to resolve high-stakes liability issues while...

2 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$110K - $130K *

Unlock your potential by leading clinical reimbursement and compliance across a multi-site skilled nursing portfolio. Collaborate closely with clinical teams to optimize documentation, reimbursement s...

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Unlock potential by leading strategic claims management and advocacy initiatives. Oversee a team while driving process improvements, ensuring client satisfaction, and resolving complex claims efficien...

3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$125K - $175K *

Drive operational excellence and strategic growth across diverse healthcare functions, ensuring top-quality care while enhancing financial performance and compliance in a dynamic, physician-led enviro...

Reposted 5 days ago

  •   8 - 10 years exp.  •   Hospitals & Medical Centers

$120K - $150K *

Unlock operational excellence by leading multi-site Ambulatory Surgery Centers. Drive growth strategies, optimize performance, and foster strong partnerships with physician leaders while managing sign...

United StatesRemote

Reposted 5 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $105K *

Unlock your potential by leading branch operations, driving strategic initiatives, and enhancing team performance. Collaborate with stakeholders to achieve financial goals while fostering a culture of...

RemoteRemote

4 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $130K *

Champion a dynamic People Operations team, driving talent acquisition and HR processes across multiple locations while ensuring compliance and operational excellence. Lead initiatives that enhance emp...

5 days ago

  •   5 - 7 years exp.  •   Staffing

$115K - $120K *

Lead the charge in driving operational excellence and strategic enablement across global Inside Sales teams, enhancing commercial effectiveness and delivering exceptional client value through innovati...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$145K - $175K *

Lead the charge in developing AI and ML capabilities to enhance workflows in Medical and Workers’ Compensation claims. Collaborate with stakeholders to create impactful solutions while building a high...

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$150K - $180K *

Unlock the potential of AI and ML in claims processing by leading innovative data science initiatives. Collaborate with cross-functional teams to design impactful solutions that enhance workflows and...

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$145K - $175K *

Join a team that's shaping the future of Medical and Workers’ Compensation Claims through innovative AI and ML solutions. As a senior data scientist, you'll drive impactful projects, collaborate with...

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$150K - $180K *

Lead the development of AI and ML capabilities to enhance Medical and Workers’ Compensation claims processes. Collaborate with stakeholders to create impactful solutions, while establishing a roadmap...

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$150K - $180K *

Lead the charge in developing AI and ML capabilities to enhance Medical and Workers’ Compensation claims processes. Collaborate with stakeholders to create impactful solutions while building a high-pe...

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$210K - $250K *

Join our team to lead clinical reviews of member appeals, ensuring compliance and timely determinations. Collaborate with cross-functional teams to enhance healthcare delivery and uphold high standard...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$210K - $250K *

Join our Medical Management team to lead clinical reviews of member appeals, ensuring compliance and timely determinations across Medicare and Commercial lines. Collaborate with cross-functional teams...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$210K - $250K *

Lead clinical reviews of member appeals, ensuring compliance and timely determinations. Collaborate with cross-functional teams to enhance organizational initiatives and uphold medical policies while...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$210K - $250K *

Unlock your potential as a key player in clinical appeals, ensuring compliance and timely determinations. Collaborate across teams to enhance healthcare delivery while applying your medical expertise...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$210K - $250K *

Join a team that's redefining healthcare by leading clinical reviews and ensuring compliance in member appeals. Leverage your medical expertise to drive value-based care and collaborate across departm...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$210K - $250K *

Shape the future of healthcare by leading clinical reviews and ensuring compliance in member appeals. Collaborate with cross-functional teams to enhance processes and drive strategic initiatives in a...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$210K - $250K *

Transform the landscape of healthcare by leading clinical reviews of member appeals, ensuring compliance and timely determinations while collaborating across departments to enhance organizational init...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$210K - $250K *

Manage clinical reviews of member appeals, ensuring compliance and timely determinations across Medicare and Commercial lines. Collaborate with internal teams and external providers to uphold medical...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

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.