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$193.28k - $289.92k
...like a fit? Then we would love to have you join us!The Director, Strategic Clinical Vendor Oversight and Relationship Lead is responsible for advancing... ...drives portfolio level CRO/clinical vendor performance management across all Clinical Trial Delivery, operating model...SuggestedFull timeFixed term contract- ...DDD Program Development & Operations Manager Company: Infinity Healthcare Services Department: New Jersey... ..., Billing and Authorization Oversight Develop and maintain compliant service... ...service notes, authorizations and claims. Monitor utilization to prevent...ClaimsHourly payFull timePart timeImmediate startWork from home
$102k - $177.1k
...everything. Our strength in healthcare innovation empowers us to build... ...for the best talent for Manager, Patient Programs Data Strategy... ...seeking an accomplished and strategic leader to assume the role of... ...Komodo, Symphony, SPP, patient claims, RWE/HEOR, IDN/ACO Affiliations...ClaimsFull timeTemporary workLocal areaImmediate start$116k - $165k
...leader in insuring Allied Healthcare Providers, including... ...focused Complex Claims Consultant position, you... ...overall investigation, management and resolution of Allied... ...claims to include on oversight/watch lists, and preparing... ...RelationshipTypically Director or aboveSkills,...ClaimsFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work$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...Full timeTemporary workWork experience placement$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,...Full timeTemporary workWork at officeRemote workMonday to Friday$70k - $90k
...contact. Projects may span across several policy and programmatic areas pertaining to healthcare delivery and Home and Community... ...in Medicaid enrollment, claims, financial, or program data Experience... ...to detail; flexibility to manage multiple priorities, sometimes simultaneously...ClaimsContract workLocal areaRemote workWork from home$285k - $340k
...Insights · Monitor evolving healthcare policy, reimbursement frameworks... ...· Lead agency selection and oversight related to market access and... ...Characteristics · Strategic, enterprise-level thinking.... ...executive influence and stakeholder management capabilities. · Scientific...Local areaWorldwide$151.4k - $311k
...seeking high-performing candidates to pursue strategic relationships at our largest and most... ...experience, strong relationship management skills and a proven track record in selling... ...a leadership role in pursuits and an oversight role in the development of proposalsCoordinating...$291k - $364k
...studies in oncology. We have several global Phase 3 clinical studies... ...to serve as a Medical Director overseeing global Phase 3 clinical... ...protocol design and medical oversight of new or ongoing studies. Responsibilities... ...medical affairs planning. Manage direct reports or cross‑...$87.6k - $97k
...Complex Care Case Manager, RN AmTrust Financial... ...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$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... ...determining base salary and/or rate, several factors may be considered...ClaimsFull timeTemporary workFlexible hours$45 - $80 per hour
...Medical DirectorThe Medical Director will provide clinical oversight and guidance for the administration of Non... ...guidelines, and serve as a liaison between healthcare providers, beneficiary... ...teams to implement best practices for claims processing and utilization reviewAct...ClaimsContract workLocal area- ...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...Full timeWork at officeRemote workFlexible hours
$140k - $160k
...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$318k
...aftercare and long-term health management strategies Monitor... ...timely and efficient billing and claim submittal Attend training... ...Spending Account (FSA) - Healthcare FSA - Dependent Care FSA... ...determining base salary and/or rate, several factors may be considered...ClaimsFull timeTemporary 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
$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- ...staff during weekend shifts, ensuring adequate coverage and adherence to established protocols and procedures. Provide clinical oversight and support to nursing staff, including assessing resident needs, developing care plans, and evaluating care outcomes....Full timeImmediate startShift workWeekend work
- ...operations.Part of AXIS Global Claims Shared Services, the Global Head of Claims Management Information & Insights... ...cost improvement, severity reduction and... ...continuous improvement, strategic growth and profitability... ...leadership, direction and oversight to senior regional...ClaimsFull timeWork at officeImmediate start3 days per week
$25 per hour
...Job Description The Medical Case Manager supports members experiencing medical emergencies... ..., repatriations, benefit inquiries, and claims. Manage end-to-end assistance cases... ...’s degree preferred. Background in healthcare, travel assistance, insurance, customer...ClaimsFull timeWork at officeShift workNight shiftRotating shift$122k - $212.75k
...everything. Our strength in healthcare innovation empowers us... ...talent for a Senior Manager, Government... ...mitigate risk and providing oversight, policy interpretation... ...compliance principles into strategic plans, tactics, and... ...-kickback, and false claims.Proven track record as...ClaimsFull timeLocal areaImmediate start3 days per week- ...Executive Director, Medical Communications & Digital Excellence... ...research and development and healthcare Business Classifications... ...leadership experience, exceptional strategic thinking, and the ability to... ...to results. Hiring Manager Title Vice President, Head...
- ...Job Summary Our client is seeking a dedicated Medical Billing Specialist. This position is crucial for managing and submitting insurance claims for healthcare services. The selected candidate's primary responsibilities include ensuring the accuracy and timely...ClaimsMinimum wageTemporary workWork at officeLocal area
$86.7k - $173.3k
...HealthcarePosted Date: 2026-08-06Abbott is a global healthcare leader that helps people live more fully... ...making to help transform the way people manage their health at all stages of life.... ...information to specifications, product claims and design.Uses clinical knowledge,...ClaimsWorldwide- ...Data Strategy Manager ZS is a place where passion changes lives... ...Strategy. With the explosion of healthcare data and new applications,... ...Strategy has emerged as key strategic initiative for many Life Science... ...(e.g. patient-level EHR, claims, omics, data and experience with...ClaimsWork at officeLocal areaWork from homeWorldwideFlexible 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$99.3k - $198.7k
...Full timeAbbott is a global healthcare leader that helps people live... ...help transform the way people manage their health at all stages of... ...portfolio. You will provide strategic guidance on labeling content,... ...guidance on labeling content, claims, warnings, precautions, symbols...ClaimsWorldwideShift work$102k - $177.1k
...everything. Our strength in healthcare innovation empowers us... ...is seeking a Finance Manager for Platform Strategy.... ...Finance Director. The Finance Manager,... ...team’s prioritization of strategic programs. This position... ...includes collaboration with several stakeholders across numerous...Full timeTemporary workLocal areaImmediate start
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