Managing Director, Strategic Claims Oversight, Healthcare Severity
Confidential
Managing Director, Strategic Claims Oversight, Healthcare Severity
About the Company
Top provider of insurance products & related services
Industry
Insurance
Type
Public Company
Founded
1897
Employees
5001-10,000
Categories
- Insurance
- B2B
- Enterprise
- Consulting & Professional Services
- Agents and Marketers
- Casualty
- Finance
- Multi-Line
- Property
- Property and Casualty Insurance
- Financial Services
- Information Technology
- Property Management
- Real Estate
- Risk Management
Specialties
- commercial insurance
- specialty insurance
- construction
- financial institutions
- healthcare
- manufacturing
- professional services
- real estate
- small business
- technology
- retail
- and wholesale distribution
Business Classifications
- B2B
- Enterprise
About the Role
The Company is seeking a Managing Director for Strategic Claims Oversight in Healthcare Severity. The successful candidate will lead a team that is responsible for the direct handling and oversight of the highest exposure claims in the healthcare sector. This role is pivotal in ensuring the effective execution of claims handling practices, driving operational initiatives, and leading continuous improvement efforts. The Managing Director will be accountable for the overall quality, customer service delivery, and productivity of the team, and will be expected to have a clear vision for their career, with the support of the company's leadership to help them achieve their professional goals. Key responsibilities for the Managing Director include leading and directing the work activities of the Severity Team, overseeing complex claim investigations, and determining claim strategies. The role also involves developing and maintaining collaborative relationships with internal and external business partners, and ensuring the team is in compliance with best practices. The ideal candidate will have a senior-level knowledge of claim and litigation management, excellent communication, negotiation, and facilitation skills, and the ability to manage ambiguous situations. A Bachelor's degree is required, with a JD preferred, and a minimum of ten years of claims or legal experience is typical, with a proven track record of positive results. The candidate should be value-driven, with a sense of urgency to advance the organization's priorities, and a strong ability to coach, mentor, and develop subordinate staff.
Hiring Manager Title
AVP
Functions
- Legal
- Operations
$97k - $189k
...employees are used to their fullest potential. The Managing Director Strategic Claim Oversight leads the Severity & Excess Accounts team that both directly handles and oversees the highest exposure claims in Healthcare. Ensures the effective execution of claims handling...ClaimsFull timeWork experience placementWork at office$125.35k - $172.5k
...the future of healthcare. Thinking differently... ...of the Senior Director, NA Marketing... ...in strategic sales and marketing... ...deliverables including claims matrices,... ...Relationship Management, and maintain... ...with limited oversight while... ...determined by several factors including...ClaimsFull timeTemporary workWork experience placement- ...Vanguard Claims Administration, LLC (VCA) is seeking an experienced Executive General Adjuster... ...General Adjuster will independently manage sophisticated claims while serving as a... ...Develop structural damage estimates for severe and complex losses using Xactimate. Work...ClaimsFull timeFor contractorsWork at office
$125.35k - $172.5k
...creates change and shapes the future of healthcare. Thinking differently is what we do best... ...Business and Cloud ASCP modules (e.g., Demand Management, Inventory Planning, ATP, MRP) and... ...location. Individual pay is determined by several factors including job-related skills,...SuggestedFull timeTemporary workWork at officeRemote workMonday to Friday$225.4k - $316.25k
...change and shapes the future of healthcare. Thinking differently is what... ...EXCERCISED Directly manages a Quality system corporate team... ...to achieve success. Provide strategic direction and communication of... ...Individual pay is determined by several factors including job-related...SuggestedFull timeTemporary workWork experience placement$225.4k - $316.25k
...shapes the future of healthcare. Thinking differently... ...forecasting, performance management and management... ...Team (ELT) and Board of Directors with clear, decision-relevant... ...alignment with strategic objectives, capital allocation... ...pay is determined by several factors including job-...Full timeTemporary workFor contractors$87.6k - $97k
...for a Complex Care Case Manager, RN for Workers... ...medically appropriate healthcare to achieve a safe return... ...holistic approach for each claim. These... ...utilization review, pharmacy oversight and care coordination... ...peer reviews, medical director). Partner with adjuster...ClaimsWork experience placementWork at officeFlexible hours$217.6k - $256k
...patients, the global healthcare community,... ...Proposition: Serve as a strategic partner... ...Summary: The Director, RegulatoryCompliance... ...guidance and oversight for promotional,... ...approval, and lifecycle management of promotional... ...strategy, claim development, and...ClaimsLocal area$50k - $74.35k
...otherwise adjusts and negotiates claims within limit of authority.... ..., Automobile Liability, Case Management, Claims Administration,... ...for this role is comprised of several factors, including the base compensation... ..., HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star...ClaimsContract workWork at officeWork from homeVisa sponsorshipWork visa$82k - $113k
...change and shapes the future of healthcare. Thinking differently is what... ...submissions, clinical claims, scientific communications, reimbursement... .... Effective project management and organizational skills,... ...Individual pay is determined by several factors including job-related...ClaimsTemporary work$125.35k - $172.5k
...shapes the future of healthcare. Thinking differently... ...analytics to the Senior Director of Finance, International... ...analytics, and strategic financial support for... ...preparing materials for management reviews/divisional presentations... ...pay is determined by several factors including job-...Temporary workWork at officeRemote work- ...Executive Director, Global Medical Operations About the... ...research and development and healthcare Business... ...will also provide senior oversight of study operations, manage operational risks, and oversee... ...stakeholders at all levels. Strategic leadership, a focus on innovation...Local area
- ...PharmaACE is a growing Global Healthcare Consulting Firm headquartered in Princeton, New Jersey... ..., and Hospital business units. We have managed Biologics, Branded Pharmaceuticals,... ...healthcare analytics using commercial datasets (Claims, EHR, Sales, Specialty Pharmacy),...ClaimsWorldwide
$160k - $190k
...that govern its operations.AXIS Capital,Claim Manager – Casualty Programs About AXISThis is... ...dedicated to Casualty Programs and TPA Oversight with particular emphasis on New York Labor... ...and TPA/Contractor adjusters including strategic direction Recruiting, hiring and...ClaimsFull timeFor contractorsImmediate start- ...We are currently seeking a Managing Director, Industry Segment to join our... ...as our Managing Director, Healthcare Provider Client Segment... ....S. This is a high-impact, strategic role for a proven executive... ...Provide strategic direction and oversight to enhance team...Work at officeRemote workFlexible hours
- ...Job Title: Senior Solutions Architect - Healthcare Payer Location: Princeton. NJ About Coforge Coforge... ...understanding of payer operations, including Claims, EDI, Enrollments, Premium Billing, Case management/Prior Authorization, Provider Network, Customer Service...ClaimsFull time
$127k - $155k
...high-quality medicines trusted by healthcare professionals and patients.As... ...Touching Lives. Job Summary:Senior Manager, Pricing & Contract Analytics is... ...-driven insights that support strategic business decisions.Reporting to the Director, Business Pricing Strategy & Contract...Contract workFlexible hours- ...prohibited by the laws that govern its operations.Senior Manager, Quality Assurance and Compliance | North America Claims, Claims Shared Services-AXIS is seeking a Senior... ...direct handle, manager quality review and TPA oversight audit program. The role will also coordinate,...ClaimsFull timeWork at office
- ...collaboratively with other members of the healthcare team. This position requires strong... ...career advancement opportunities, and a manageable work-life balance. Opportunity Details... ...allow for timely and efficient billing and claim submittal Participate in on-call...ClaimsFull timeTemporary workFlexible hours
$72k - $141k
...opening for a Complex Claims Consultant handling Employment... ...of mid to high severity claims. This... ...departmental guidelines:Manages an inventory of highly... ...claims to include on oversight/watch lists, and preparing... ...RelationshipTypically Director or aboveSkills, Knowledge...ClaimsFull timeWork experience placementWork at officeLocal areaRemote workShift work$91.6k - $110k
...the role: The Sr. Manager, Revenue Strategy & Recovery... ...fully realized once a claim is submitted through... ...cash performance at a strategic level - bringing payor... ...directly to the Director, Operations. Responsibilities... ...of experience in healthcare revenue cycle...ClaimsFull timeContract workTemporary workRemote workWork from homeHome officeFlexible hours$235k - $255k
...International patents and market several branded ADHD products in... ....The Senior or Executive Director, Research and Development... ...for providing strategic leadership and oversight of assigned R&D/QA and GxP... ...maintain a robust Quality Management System (QMS) to support patient...Full timeContract workWork at officeLocal area- .... Part of AXIS Global Claims Shared Services, the Global Head of Claims Management Information & Insights... ...loss cost improvement, severity reduction and... ...continuous improvement, strategic growth and profitability... ...leadership, direction and oversight to senior regional performance...ClaimsFull timeWork at officeImmediate start3 days per week
$170k - $180k
Owens & Minor is a global healthcare solutions company providing essential... ..., sales coverage, and strategic execution disciplines that... ...communications and commercial event management. This role aligns Sales,... ..., Information & Oversight to:Product Launches through...Full timeTemporary workLocal areaRemote workWorldwide$318k
...aftercare and long-term health management strategies Monitor... ...timely and efficient billing and claim submittal Attend training... ...Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA... ...base salary and/or rate, several factors may be considered including...ClaimsFull timeTemporary workPart timeFlexible hours- ...operational teams, an assigned oversight physician, and key client... ...clinic's scope of services Manage workers' compensation-related... ...model is transparent and not claims-driven Meaningful relationships Become a trusted healthcare resource for employees and client...ClaimsWeekday work
$153k - $267k
...stakeholders across political and healthcare landscapes to forge... ...innovation and chronic disease management drive optimal health outcomes... ...the execution of specific strategic initiatives within the broader... ...established by the Director of Program Management. This...Work at officeLocal areaFlexible hoursNight shift$174.5k - $212.5k
...quality medicines trusted by healthcare professionals and... ...Operations Excellence, the Director of Commercial Operations is a strategic leadership role... ...effective training, and change management. Develop executive dashboards... ...IQVIA, Symphony Health, claims data, and other...ClaimsFlexible hours$240k - $255k
...the Associate Medical Director supports the US Medical... ...associated with management and implementation of... ...Medical Director in key strategic, cross-as well functional... ...accurate, including that claims are appropriately... ...clinical investigators, healthcare customers, strategic alliance...ClaimsFull timeTemporary workWork experience placementFlexible hours- ...patients on aftercare and long-term health management strategies Monitor patients' progress... ...for timely and efficient billing and claim submittal Attend training and seminars... ...Flexible Spending Account (FSA) - Healthcare FSA, Dependent Care FSA Retirement Savings...ClaimsTemporary workFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Managing Director, Strategic Claims Oversight, Healthcare Severity. Be the first to apply!
- chief of psychiatry Princeton, NJ
- restaurant managing partner Princeton, NJ
- technology executive Princeton, NJ
- executive security Princeton, NJ
- executive support Princeton, NJ
- executive functioning Princeton, NJ
- managing director Princeton, NJ
- board member Princeton, NJ
- talent acquisition executive Princeton, NJ
- human resources executive Princeton, NJ




