Director, Claims
$140k - $185kBerkley Public Entity (a Berkley Company)
Company Details Berkley Public Entity (BPE) was founded in 2012 as a member company of W.R. Berkley Corporation. BPE is a growing, dynamic company with the vision of being the preeminent carrier in our marketplace. As our name implies, BPE is 100% focused on providing innovative insurance and reinsurance solutions to public entities. We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important, and every accomplishment makes a difference in our results. Come join us! The company is an equal opportunity employer. Responsibilities We have an opportunity for a Director, Claims - Public Entity to join our team! You will be responsible for the review, oversight, and specific handling of Professional Liability, General Liability, and Automobile claims including: Law Enforcement and Sexual Abuse involving schools, municipalities, and other public entities. This is an individual contributor role. Key Functions Include But Are Not Limited To Identify and evaluate risk transfer opportunities pursuant to contracts, lease agreements, certificates of insurance. Evaluate claims for coverage, liability, and damages to negotiate and resolve claims on reasonable terms and at an appropriate value. Communicate with insureds, brokers and TPA’s to secure additional claim information, communicate loss information, and monitor Self Insured Retentions and determine the extent of exposure to the insured and the company. Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor. Retain, direct, and manage litigation counsel through trial, developing and managing strategy for complex litigation; attend arbitrations, mediations, trials. Prepare timely and accurate reports to management regarding significant claim developments. Lead and participate in audits of TPA’s to ensure adherence to BPE claims guidelines. Communicate and collaborate across the organization- underwriting, marketing, and senior management to achieve organizational success. Contribute to business development; participate in marketing and renewal events differentiating the BPE claims process within the marketplace. Qualifications Bachelor's Degree required. 10+ years of commercial liability claims experience required. Public Entity experience, preferred. Proven track record of building and maintaining strong business relationships with insureds, agents, brokers, and TPAs. Litigation experience necessary. Strong experience handling Professional Liability, along with a good knowledge of General Liability and Auto. Exceptional oral and written communication skills; your communication style is flexible to the situation; you communicate clearly and with a purpose. Calm under pressure; you have excellent organizational skills, integrity, and great follow-through on tasks; you are comfortable challenging norms while working collaboratively with colleagues at all levels of the organization. Additional Company Details We do not accept any unsolicited resumes from external recruiting firms. Benefits The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role includes: Base Salary Range: $140,000 - $185,000 The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Eligible to participate in the annual discretionary bonus program. Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. Sponsorship Details Sponsorship not Offered for this Role #J-18808-Ljbffr Berkley Public Entity (a Berkley Company)
$88.54k - $141.69k
...making for pharmaceutical and biotechnology clients. In this role, you will oversee advanced analyses across payer coverage, formulary, claims, affordability, and related data sources, translating complex datasets into clear insights and compelling narratives. You will...Claims- ...provides comprehensive care to patients with venous disease. Director of Procedure Suite (OBL/ASC) Operations Essential Duties... ...Billing Support: Conduct audits to ensure accurate billing, claim submission, adjustments, write-offs, and collections related to...ClaimsContract workTemporary workWork at officeFlexible hours
- Zelis seeks a Senior Director of Pricing Solutions to lead strategic initiatives improving the performance, efficiency, scalability, and future readiness of the Claims Pricing & Revenue organization. This role collaborates with leadership to turn priorities into actionable...Claims
- The Director of Managed Care serves as the leader responsible for the strategy, execution, and performance of all managed care activities... ..., and performance monitoring. Ensure accurate pricing of claims through Epic contract configuration and partner with Revenue Cycle...ClaimsContract workShift work
$169k - $213.75k
...performance, efficiency, scalability, and future readiness of the Claims Pricing & Revenue organization. This role works closely with... ...Initially serving as a senior individual contributor, the Senior Director leads complex, cross-functional work through influence, subject...ClaimsFull timeWork at officeLocal areaImmediate startVisa sponsorshipFlexible hours- ...analysis Proficiency in relevant analytical tools (e.g., SQL or Python) and working closely with real-world data sources such as claims, EHR / EMR, and other commercial datasets Core Competencies: Strong communication skills, with the ability to directly...ClaimsFull time
$173k - $185k
Associate Director Medical Affairs Insights and Analytics for Whippany, NJ to lead the development of data analytics and business intelligence... ...segmentation using SQL and/or Python to extract insights from claims and health systems datasets for targeted engagement;...ClaimsLocal areaImmediate startRemote workHome office$147.28k - $220.92k
Associate Director Managed Care Rebate Strat & Ops As Associate Director, Managed Care Rebate Strategy & Operations, you strengthen Bayer... ...opportunities, including revenue leakage prevention, claims validation expansion, duplicate-discount mitigation, contract compliance...ClaimsContract workWork at officeLocal area$160k - $190k
The Associate Director performs business-driven analyses that generate in-depth customer-focused insights and enables critical discussions... ...Symphony, etc.), Patient (Specialty Pharmacies/Distributors), Claims (Open, Closed, Chargemaster, etc.), Managed Care (Symphony,...ClaimsFull timeTemporary workWork at officeLocal areaHome office3 days per week- ...standardization, and continuous improvement. Purpose: The Associate Director, Integrated Medical Education and Content Strategy will lead... ...review, including familiarity with approved labeling, claims substantiation, fair balance, promotional regulations, and brand...Claims
- Associate Director (Data Integration & Commercial Analytics) Duration: 9-12 months Start: Mid‑October Industry: Life Sciences / Pharma... ...analytics. Strong knowledge of pharma commercial datasets (sales, claims, CRM/Veeva, SP/HUB, payer, etc.). Experience with large‑scale...Claims
$148.5k - $214.5k
Job title: Associate Director of HCP Precision Marketing, RSV Franchise Location: Morristown, NJ About the Job In this role, the Associate... ...and execution of HCP branded and unbranded campaigns and core claims including MLR review, incorporating targeting and segmentation...Claims$150.3k - $182.13k
...evaluation (e.g., case-series, literature review, health authority/claims databases), promotes cross-functional collaboration, authors... ...login to your Candidate Home Account. R1607213 : Associate Director, Patient Safety Scientist #J-18808-Ljbffr Bristol Myers SquibbClaimsHourly payFull timeSummer workLive inLocal areaRemote workFlexible hours- ...within required timelines Serve as the primary contact for employee benefits inquiries, resolving issues related to eligibility, claims, and enrollment Reconcile monthly benefits invoices and ensure accurate billing from carriers and vendors Ensure compliance with...ClaimsWork at officeRemote work
$147.44k - $221.16k
Join to apply for the Director & Actuary, Global Reinsurance role at The Hartford . About NavRe Navigators Re (“NavRe”) is a global, underwriting... ...individual will collaborate with underwriting, reserving, and claims counterparts to project expected profitability, evaluate...ClaimsTemporary workWork at officeRemote workWorldwide3 days per week- Berkley Public Entity seeks a Director of Claims - Public Entity to lead review and management of professional, general, and auto liability claims involving public entities. The role emphasizes risk transfer, negotiation, and strategic oversight, with collaboration across...Claims
$174.1k - $287.27k
...It Matter. The Role Mondelēz Global LLC (MDLZ) is seeking a Sr. Director - Global Law, North America and Global Professional Services... ...legal advice on negotiation strategies related to contractual claims against suppliers. Build, inspire and empower an inclusive, high...ClaimsContract workRelocation package$113.7k - $230.5k
ADP is hiring a Senior Director Inclusion & Diversity, Talent Practices . In this Senior Director Inclusion & Diversity, Talent Practices... ...and associate relations team in addressing compliance claims related to IDEB. A little about ADP: We are a global leader in...ClaimsTemporary workWork at officeFlexible hours$172.16k - $215.2k
...issues preferred. Prior In-house Experience Preferred, But Not Required. Familiarity with the federal Anti-Kickback Statute, False Claims Act and U.S. privacy laws is required Admission to the New Jersey state bar and in good standing or an active license to practice law...ClaimsLocal areaWorldwideFlexible hours$121.35k - $180.85k
...are seeking a talented and motivated Senior Manager or Associate Director, Compliance Americas & UK to join our team. This role will be a... ...the relevant stakeholders. Healthcare Fraud, Abuse & False Claims Act Compliance Support the oversight of the U.S. healthcare compliance...ClaimsFull timeWork at office- ...insured medical, dental, and prescription drug plans. Actuarial Modeling: Partner with consultants and actuaries to analyze monthly claims data, evaluate stop-loss coverage limits, and establish annual premium tier modeling. Vendor & TPA Management: Hold Third-Party...ClaimsTemporary work
- ...receivable, with a strong focus on aged ARFollow up with insurance carriers regarding unpaid, denied, and underpaid claimsResearch claim discrepancies and submit appeals to maximize reimbursementReview insurance payments, EOBs, and claim statuses to ensure accurate reimbursementIdentify...ClaimsFull timeWork at office
- Sompo is seeking an AVP, Surety Claims to lead complex U.S. surety matters from its North America Insurance Surety Claims team. The role will supervise technical claims handling for performance bonds across coal, oil & gas, and other bond classes, with offices in Morristown...Claims
$132.8k - $166k
...health worldwide, together. Our Team, Your Impact The Associate Director, Automation & Business Transformation is a strategic leadership... ...role will be Medicaid operations, with particular emphasis on claims validation, rebate adjudication, dispute resolution, and end-to...ClaimsContract workWork at officeLocal areaWorldwideFlexible hours2 days per week3 days per week$131.2k - $174.98k
...Certifications in one or more of the core platforms listed above are preferred. Familiarity with pharma data sources such as CRM, claims, sales, call activity, HCP / HCO master, formulary, market access, omnichannel, patient services, medical insights, or syndicated data...ClaimsHourly payShift work$145k - $210k
...property of their respective owners. Position Overview The Associate Director, Commercial Analytics & SFE is a high-impact role driving data-... ...IQVIA, Symphony Health, and patient-level longitudinal claims data to identify and track patients across different stages of...ClaimsTemporary workWork at officeLocal areaFlexible hours- ...We are seeking a dynamic and experienced Associate Editorial Director to oversee high-science pharmaceutical brands. The ideal candidate... ...to confirm that source documents adequately support all claims. - Manage and mentor fellow editors, fostering professional growth...ClaimsFull time
$125k - $150k
...production; Review and analyze briefs and trial transcripts and develop arguments for appeals; Evaluate insurance policies and analyze claims for potential coverage issues; Actively investigate claims and prepare case handling strategies; Actively and effectively report to...ClaimsTemporary workWork at officeRemote workWorldwideFlexible hours$60k - $80k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsFull timePart timeFor contractorsWork at officeLocal areaFlexible hours$141.5k - $268.5k
...alternatives to traditional randomized clinical trials that make use of real-world databases, e.g. electronic health records, insurance claims databases, and/or registries. Play a key role in the cross-functional team and ensure that study results and conclusions are...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Director, Claims. Be the first to apply!
- aba director Convent Station, NJ
- ai director Convent Station, NJ
- director of credit Convent Station, NJ
- director operational excellence Convent Station, NJ
- director of packaging Convent Station, NJ
- director of hospitality Convent Station, NJ
- cruise director Convent Station, NJ
- director of rehab Convent Station, NJ
- non profit director Convent Station, NJ
- director of inventory management Convent Station, NJ



