Director, Stop Loss Claims

Ullico Inc. is actively recruiting a Director of Stop Loss Claims. This position will be responsible for the leadership and oversight of all Stop Loss claim operations. This position ensures timely, accurate, and compliant adjudication of claims and plays a vital role in supporting risk management, client satisfaction, and financial performance. Reporting directly to the Vice President of Operations, the Director leads a team dedicated solely to Stop Loss claims and collaborates cross-functionally to drive performance and operational excellence.

• Lead and manage the Stop Loss claims unit, ensuring productivity, compliance, and service standards are consistently met.
• Oversee all aspects of the Stop Loss claims lifecycle from intake to resolution, ensuring proper documentation, review, and timely processing.
• Serve as the primary claims liaison to internal stakeholders such as underwriting, actuarial, legal, finance, and policy administration teams.
• Maintain claims inventory to ensure clean claims are resolved within 10 business days or less.
• Establish and monitor reserves on Stop Loss claims to ensure financial accuracy and appropriate liability recognition.
• Analyze claim trends to identify risk patterns and provide actionable feedback to underwriting and leadership teams.
• Develop and maintain relationships with third-party administrators, vendors, and key clients to ensure claims alignment and performance.
• Support regulatory, compliance, and audit requirements by maintaining proper controls and documentation.
• Lead regular team meetings, performance reviews, and professional development planning for direct reports.
• Identify and implement process improvements and system enhancements to increase efficiency and accuracy.
• Performs other similar and related duties as required.

• Bachelor’s degree required; advanced degree or relevant certifications (e.g., CEBS, ARM) a plus.
• 7–10 years of experience in Stop Loss claims management, with a minimum of 3 years in a supervisory or leadership capacity.
• Deep understanding of Stop Loss products, reinsurance, and claim adjudication best practices.
• Familiarity with Taft-Hartley or labor union plans preferred.
• Strong leadership and team management skills.
• Excellent communication and decision-making ability.
• Financial and analytical acumen with a focus on claims reserving and budgeting.
• Technologically savvy with experience in claims management systems and reporting tools.

For over 95 years, Ullico, the only labor-owned insurance and investment company, has been a proud partner of the labor movement. From insurance products for members, leaders and employers, to investments that have created thousands of union jobs, our customers continue to count on Ullico to protect them. The Ullico Inc. family of companies includes The Union Labor Life Insurance Company; Ullico Casualty Group, Inc.; Ullico Investment Company, Inc.; and Ullico Investment Advisors, Inc.  Visit www.ullico.com.

We offer a competitive starting salary and an outstanding benefits package including:

•Health/Dental/Vision

•Pension

•401K

•Health Savings Account

•Life Insurance

•Paid Time Off

Ullico is an Equal Opportunity Employer.

This organization participates in E-Verify.