Director, Claims Management & Excellence

Company OverviewVenbrook Group, LLC is one of the fastest-growing independently owned insurance brokerage, claims, and risk management consulting companies in the United States. Headquartered in Los Angeles, Venbrook operates across multiple U.S. locations through its subsidiaries, including retail brokerage, wholesale brokerage, specialty programs, and claims services. Our culture is approachable, adaptable, and entrepreneurial-spirited, with a commitment to diversity, inclusivity, and respect. About The RoleVenbrook is seeking a Director, Claims Management & Excellence to lead claim handling and raise the standard for how our TPA claims operation works. Reporting to the Head of TPA Claims, this leader will evaluate claim processes end to end, find where workflow and technology can raise quality and efficiency, own claims quality assurance and performance KPIs, oversee a claims handling team, and help design new claims products we can take to market. The role is both strategic and hands-on. The Director will set the direction for a new way of operating and build the processes, data, and tools behind it. They will also stay close enough to the work to understand a claim file, test a new workflow with the people who use it, and represent the operation with clients, carriers, and leadership. The right candidate is a proven claims leader who has changed how a claims operation runs, not just managed one. They pair deep claims knowledge with sound business sense, a strong analytical mind, and a record of modernizing how work gets done. What You'll DoClaims process evaluation and strategySet the vision, roadmap, and annual goals for claims optimization so they support Venbrook's overall claims and business priorities. Map and assess claim workflows end to end, from first notice of loss through intake, assignment, investigation, reserving, litigation management, recovery, payment, and closure. Find bottlenecks, handoffs, rework, and leakage, and measure their effect on cycle time, cost, and claim outcomes. Design future-state workflows, standard operating procedures, authority levels, and best practices across lines of business, including general liability, auto, property, and public entity. Lead process improvement projects using Lean, Six Sigma, or similar methods, and track the benefits after rollout. Claims team leadership and claim handling oversight Lead a claims team, including claims supervisors, examiners, and oversee day-to-day claim handling against Venbrook and client quality and production standards. Manage inventory, file assignments, caseloads, and service standards, including escalation and reassignment of files as needed. Give technical direction on complex, high-exposure, or litigated claims, including coverage and liability analysis, reserving, resolution strategy, and settlement within assigned authority. Review and approve reserves, payments, and settlements within authority, and present large-loss and roundtable reviews to clients and carriers. Oversee defense counsel, independent adjusters, experts, and other vendors, including selection, performance, and cost control. Make sure claim handling follows client service instructions, fair claims practices rules, and applicable state regulations. Use the team as a pilot group to test new workflows, tools, and quality standards before rolling them out more widely. Technology modernization and automation Build and own the claims technology roadmap with the Head of TPA Claims, IT, and corporate operations. Evaluate, choose, and roll out claims systems, workflow tools, and insurtech partners, including AI, document intake automation, robotic process automation, predictive analytics, and client reporting portals. Act as business owner for system changes: write requirements, set priorities, run user acceptance testing, and drive adoption. Partner with data teams on data quality and on models that flag severity, litigation risk, fraud, and recovery opportunities earlier. Make sure new tools meet Venbrook's data privacy, security, and AI governance standards. Quality assurance and compliance Build and lead the claims quality assurance program, including file review standards, audit sampling, scoring, calibration, and feedback to claims managers and staff. Prepare the operation for client, carrier, and regulatory audits, and lead remediation when findings arise. Monitor compliance with fair claims practices rules, client service instructions, reserving guidelines, and authority levels. Turn quality findings into training, process fixes, and system controls. Performance management and KPIs Set and track key performance indicators such as cycle time, closure rate, pending inventory and age, caseload, reserve accuracy, indemnity and expense leakage, litigation rate, recovery dollars, contact timeliness, and client satisfaction. Build reporting and dashboards that give leadership, claims managers, and clients clear, timely views of perfo