Note: The job is a remote job and is open to candidates in USA. AmTrust Financial Services, Inc. is seeking a Director to lead Workers’ Compensation Claims Operations through operational analytics and continuous improvement. The role develops real-time reporting, translates insights into operational solutions, coordinates cross-functional initiatives, enables automation and self-service capabilities, supports AI-driven technologies, and develops talent.
Responsibilities
- Build and maintain real-time operational reporting to uncover trends, emerging risks, and performance opportunities across Workers’ Compensation Claims Operations and Managed Care
- Design repeatable mechanisms that leverage field leaders and subject matter experts to interpret insights, validate hypotheses, and clearly explain root causes and key performance drivers; memorialize insights, key findings, and agreed-upon actions, and track action completion and impact across key spend categories
- Support operations and claim leadership in exploring business problems and solutioning; lead cross-functional problem solving by developing practical tools, resources, and standard work that improve operational effectiveness, efficiency, and consistency
- Package and communicate operational business insights (context, definitions, methodology, and key assumptions) to Claims Analytics for deeper enterprise-level analysis and broader insights, as needed
- Continuously seek opportunities to collaborate with Claims Analytics and Reporting to replicate and scale operational reporting with stronger enterprise capabilities – standing up immediate, fit-for-purpose tools when needed while providing a clear blueprint of requirements to enable robust self-service data at the strategic, operational, and tactical levels
- Support leadership in strengthening enterprise alignment and operational readiness by maintaining visibility to cross-functional initiatives (e.g., IT, Shared Services, Product, and Data Science) that materially impact Workers’ Compensation Claims Operations through an integrated roadmap (scope, owners, timelines, dependencies, and expected impact)
- Partner closely with Analytics, Reporting, and Shared Services to understand dependencies and improve operating rhythm; develop and communicate clear business requirements for work requests and enable enterprise analytics and reporting teams to better understand managed care data so they can build tools and resources that support data-driven decisions
- Identify opportunities for automation and self-service; develop and implement solutions that streamline work, reduce manual effort, and improve quality and turnaround times; build mechanisms to track and report the impact of improvements
- Partner with key stakeholders to design and implement AI-driven technologies tailored to Workers’ Compensation technical and operational needs – enhancing speed and quality of service delivery and making work easier for adjusters, while establishing best-in-class confidence in both AI outputs and the mechanisms that ensure qualified human judgment, action, and decisioning are applied appropriately
- Source and develop talent to expand and diversify operational support capabilities for the managed care organization and broader claims organization
Company Overview
Company H1B Sponsorship