Live opening · Posted 10 days ago

Director, Claims Program Management, Occupational Risk, Remote

Crum & Forster · Eatontown, NJ (Remote)
Linkedin Yes
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At a glance

The key details from the original listing.

Posted 10 days ago
CompanyCrum & Forster
LocationEatontown, NJ (Remote)
Salary401(k) benefit
Work modeYes
SourceLinkedin
ListedPosted 10 days ago

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About the role

Description supplied by the original job listing.

Crum & Forster Company Overview
Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.
Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work ® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.
C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum & Forster, please visit our website: www.cfins.com.
Job Description
Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.
In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions. Gross premium written in 2025 surpassed $2.4B. The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.
The Director, Occupational Risk Claims Program Management is accountable for the strategy, governance, and performance of a portfolio spanning Occupational Accident, Texas Non-Subscriber, Employer’s Liability, General Liability, Auto Liability, Physical Damage, and related specialty coverages. This leader manages a team of claims program professionals and establishes a consistent operating model for Third-Party Administrators, Managing General Agents and Underwriters, independent adjusters, and other service partners. The Director will translate enterprise objectives into measurable program outcomes, oversee complex and high-severity claims, strengthen reserving and litigation discipline, and modernize claims through data, automation, and process redesign. Working in a matrixed environment, this role partners closely with Underwriting, Actuarial, Legal, Compliance, Finance, Reinsurance, Distribution, and Technology to protect policyholders, control loss and expense performance, meet regulatory obligations, and support profitable growth.
What You Will Do For C&F
Claims strategy and leadership: Set and execute the Occupational Risk claims program strategy, operating model, service standards, and annual priorities in alignment with underwriting appetite, actuarial assumptions, reinsurance requirements, and enterprise objectives.
Talent and culture: Build, coach, and retain a high-performing team of program managers and specialists; set clear goals, develop technical and leadership capability, manage performance and succession, and foster accountability, inclusion, curiosity, and continuous learning.
Portfolio accountability: Own financial, operational, customer, quality, compliance, and talent outcomes across assigned.
Program governance: Establish a scalable governance framework for TPAs, MGAs/MGUs, independent adjusters, and other partners, with clear authorities, claim referral assignments, timeliness and management protocols, service-level agreements, scorecards, issue escalation, and corrective-action plans.
Partner due diligence and onboarding: Lead operational assessments, implementation readiness, data mapping, staffing validation, control testing, catastrophe preparedness, and go-live governance for new and renewed programs.
Claim oversight: Conduct annual/bi-annual audits of TPAs, MGAs/MGUs, provide direction on complex, high-severity, coverage-sensitive, and litigated claims; ensure timely escalation and accurate reporting to senior management and reinsurers.
Litigation and vendor management: Partner with Legal to manage counsel guidelines, litigation strategy, legal spending, panel performance, alternative dispute resolution, and vendor outcomes.
Regulatory, Compliance and controls: Maintain adherence to applicable state unfair claims practices requirements, Texas Non-Subscriber and benefit-plan obligations, licensing standards, privacy expectations, market conduct, record-retention and internal policies; promptly address complaints and regulatory inquiries.
Quality assurance: Maintain a risk-based audit program that evaluates coverage, investigation, reserving, payments, communications, litigation handling, subrogation, salvage, and compliance; verify sustainable remediation.
Analytics and executive reporting: Develop meaningful dashboards and portfolio reviews using leading and lagging indicators; synthesize trends, emerging exposures, root causes, and recommended actions for claims, underwriting, actuarial, and executive stakeholders.
Fraud, recovery, and expense discipline: Strengthen special-investigation referrals, subrogation, salvage, deductible, and aggregate tracking to improve total claim outcomes.
Customer and broker experience: Promote timely, clear, empathetic, and brand-consistent communication while resolving service failures and balancing customer outcomes with coverage, legal, and financial obligations.
What YOU Will Bring To C&F
Connects claims priorities to enterprise strategy and converts ambiguity into clear decisions, roadmaps, measures, and accountable execution.
Enterprise-level leadership presence with the ability to translate claims complexity into clear decisions and action.
Deep technical judgment across occupational injury, benefit, liability, coverage, litigation, reserving, and recovery considerations.
Demonstrated success managing high-dollar referral claim inventory, delegated claims operations, influencing partners, and improving performance without relying solely on direct authority.
Strong commercial orientation and the ability to connect claims outcomes with underwriting strategy, customer value, portfolio profitability, and growth.
Fluency with claims data, operational metrics, financial drivers, and executive-level storytelling.
A disciplined approach to governance, controls, issue management, and regulatory readiness.
Change leadership skills, including the ability to simplify processes, adopt technology responsibly, and lead teams through transformation.
Exceptional communication, negotiation, relationship management, and talent-development capabilities.
Requirements
Bachelor’s degree in insurance, risk management, business, finance, law, or a related field.
10+ years of progressively responsible commercial or specialty claims experience, including meaningful leadership accountability.
5+ years of people leadership, program management, or delegated claims oversight experience within an insurance carrier, TPA, MGA/MGU, or comparable organization.
Substantial experience in Occupational Accident and Texas Non-Subscriber business; familiarity with Employer’s Liability, General Liability, Auto Liability, Physical Damage, or related occupational risk products strongly preferred.
Demonstrated capability in complex claims, litigation management, reserving, audits, regulatory response, partner remediation, and executive reporting.
Experience using claims platforms, business intelligence tools, and structured performance measures to drive operational decisions.
Relevant adjuster licenses, certifications, or continuing education required by jurisdiction or assignment
Ability to travel for partner due diligence, governance reviews, partner onboarding, business meetings and employee activities.
A dvance knowledge in Microsoft Office tools – Outlook, Excel, Word and PowerPoint.
Ability to work in a fast-paced environment and adaptable.
What C&F Will Bring To You
Competitive compensation package
Generous 401K employer match
Employee Stock Purchase plan with employer matching
Generous Paid Time Off
Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing
A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path
A dynamic, ambitious, fun and exciting work environment
We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community
At C&F you will BELONG
If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity

Work arrangement
Yes

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