Job Title: Director of Claims Operations
This is an in-office position.
WoodmenLife is looking to hire a Director of Claims Operations to join our team!
The Director, Claims Operations provides strategic leadership and oversight for claims operations across WoodmenLife, ensuring the timely, accurate, and compliant administration of claims across the product portfolio. This role is accountable for operational performance, regulatory compliance, service excellence, continuous improvement, and the development of a high-performing claims organization while ensuring WoodmenLife fulfills its obligations to claimants, beneficiaries, members, and sales teams.
The Director leads all aspects of claims operations, including claim adjudication, complex claims management, quality assurance, workforce planning, risk management, vendor oversight, and process improvement. This role recruits, develops, coaches, and engages associates, fostering a culture of accountability, collaboration, and continuous learning. Working closely with Underwriting, Legal, Compliance, Technology and other business partners, the Director drives effective claims practices that support organizational objectives, enhance the customer experience, and maintain compliance with applicable laws and regulations.
WoodmenLife is one of the best places to work in Omaha, with more than 135 years of service rooted in purpose and community. Since 1890, WoodmenLife has been dedicated to helping hardworking Americans secure their families’ financial futures and leave a lasting legacy. As a purpose‑driven, not‑for‑profit life insurance company, our commitment is to our members and the communities they call home.
As a member of the WoodmenLife family, you’ll join others who share a commitment to family, community, and country. We offer a comprehensive benefits package including health, dental, vision, 401(k), life insurance, and more. Apply today to learn more!
We are looking for someone to:
Provide strategic leadership and oversight of claims operations, ensuring timely, accurate, consistent, and compliant claims administration.
Establish operational priorities, service standards, quality expectations, and performance metrics that drive operational performance, customer satisfaction, and continuous improvement.
Direct claims adjudication activities and provides oversight of complex, contestable, litigated, and other high-risk claims, partnering with Legal and other subject matter experts as needed.
Review and provides direction on escalated claims and serves as the organization's representative in legal proceedings, depositions, arbitrations, and other claims-related matters when required.
Lead quality assurance and control programs to ensure compliance with contractual obligations, regulatory requirements, and internal policies.
Build and develop a high-performing team through effective leadership, coaching, talent development, workforce planning, and succession planning, fostering a culture of accountability, collaboration, and continuous learning.
Oversee third-party vendors supporting claims operations, establishes performance expectations, monitors service delivery, and addresses operational or service concerns.
Lead audits, examinations, and regulatory reviews, ensuring timely remediation of findings.
Maintain expertise in industry trends, emerging risks, regulations, and claims practices, translating changes into operational processes, training, controls, and business practices.
Partner across the organization to address claims matters, support enterprise initiatives, inform product enhancements, and improve the customer experience.
Manage department budgeting, operational planning, workload forecasting, resource optimization, and performance reporting to support efficient and effective claims operations.
Lead process optimization, automation, and continuous improvement efforts to improve scalability, efficiency, and effectiveness of claims operations.
Build and maintain…