Head of Claims Intake and Strategy
The Partners Group
(EXCLUSIVE) HEAD OF CLAIMS INTAKE AND STRATEGY FOR PROFESSIONAL LIABILITY INSURER (Fully Remote or Hybrid Atlanta) - Our client is seeking a senior claims leader to ensure every matter begins with clarity, consistency, and the right strategic direction from the outset. This role sits at the front end of the claims lifecycle and is responsible for building a strong foundation for decision‑making through high‑quality intake, disciplined coverage assessment, and data‑informed case direction. The Head of Claims Intake & Strategy plays a critical role in aligning Strategy and Execution early in the process—ensuring that each claim is properly understood, accurately assessed, and guided toward the most appropriate outcome. By combining structured data, predictive insights, and expert judgment, this leader helps improve consistency, predictability, and overall claim performance across the organization. Key Responsibilities: Establish and enforce standards for complete, timely, and accurate intake of all critical claim information Ensure strong first notice of loss and early case development so claims are actionable from day one Oversee coverage analysis on all matters and ensure coverage positions are clearly established early Partner with coverage counsel and internal stakeholders on complex or ambiguous coverage determinations Serve as the primary Claims partner to Finance on reserving models, ensuring understanding, confidence, and continuous improvement Collaborate with Finance to calibrate and enhance reserving models based on outcomes and trends Translate intake data, coverage position, and exposure signals into clear case direction and recommended claim posture Own and continuously refine the case direction model using outcomes data and structured feedback loops Define escalation criteria and governance standards in partnership with Strategy and team leadership Ensure appropriate matters are elevated with strong supporting data and clear recommendations Monitor claim direction quality and outcome predictability through dashboards and performance insights Identify trends, gaps, and drift, and lead corrective actions to improve consistency and results Qualifications: 10+ years of experience in medical professional liability or complex casualty claims Deep expertise in coverage analysis, exposure evaluation, and early‑stage claim strategy Leadership experience in claims operations, technical claims oversight, or strategy roles Strong understanding of reserving methodologies and predictive/analytical claims models Proven ability to translate data and modeling insights into practical claims decision‑making tools Experience partnering across Finance, Legal, Strategy, and external counsel Strong analytical judgment and decision‑making skills Demonstrated ability to influence senior stakeholders and drive adoption of new frameworks and processes This is a high‑impact leadership opportunity for a claims professional who excels at bringing clarity early in the lifecycle, improving decision quality through data and structure, and ensuring every claim begins with a strong, consistent foundation for optimal outcomes. The role can be fully remote or follow a hybrid schedule for candidates based in Atlanta. A competitive compensation package is offered, including base salary, annual bonus, and long‑term incentive opportunities. For consideration, please submit your resume to View email address on click.appcast.io. #J-18808-Ljbffr The Partners Group
- The Partners Group is seeking a Head of Claims Intake and Strategy to lead claims processes with clarity and strategic direction. This role can be fully remote or hybrid for candidates based in Atlanta, focusing on building a strong foundation for decision-making throughout...ClaimsRemote job
- ...scaling from ~$200M to $1B in GWP by 2030. The Head of Delegated Authority Management is a... ...across Underwriting, Operations, Claims, Finance, Actuarial, Compliance, Legal, Reinsurance... .... The role does not own underwriting strategy or portfolio performance; it owns...ClaimsWork at officeLocal area2 days per week
$300k - $320k
...Senior Vice President, Head of Workers Compensation ATLANTA, GA, United States and 10... ...world class service — both pre- and post-claims. Ascot exists to solve for our clients’ brightest... ...as requested to proactively develop strategies and actions to resolve adverse trends or...ClaimsFull timeTemporary workWork at officeLocal areaFlexible hours- ...the perfect fit! ExamWorks is seeking a Head of Investor Relations to join the team.... ...executing the company’s investor relations strategy, and serving as a primary interface between... ...carriers, law firms, third-party claim administrators and government agencies that...ClaimsWork at officeLocal area
- ...American International Group is seeking a Director of Field Claims for its Federal Workers' Compensation team in Atlanta, GA. This role requires proven claims adjusting and leadership experience, responsible for directing activities in line with AIG's mission. You will...Claims
- ...drive the expansion of Oracle's healthcare claims adjudication platform for the United... ...adjudication processes, including claims intake, benefit determination, pricing, reimbursement... ...this expertise to help shape product strategy, prioritize roadmap investments, and ensure...Claims
- Beazley in Atlanta seeks a Claims Manager Cyber to manage claims processes for Cyber policies. You will oversee claims from notification to closure, assessing risk and managing relationships with brokers and insureds. The ideal candidate has a college degree with three+...Claims
$90 per hour
...incentive: Earn double pay for every new in-person client intake session to help meet the growing demand for in-person services.... ...Payment protection for no-shows, late cancellations, and denied claims ~1099 contractor role — full flexibility, no minimum...ClaimsHourly payFor contractorsPrivate practiceWork at officeLocal areaFlexible hours$92.73k - $129.82k
Sedgwick is seeking a Director of Operations Strategy in Atlanta, GA, to lead the General Liability program. This role involves overseeing... ...and implementing strategic improvements to ensure high-quality claim outcomes. Ideal candidates will have a Bachelor's degree and 10...Claims- ...for a Sr. Litigation Analyst in Atlanta to oversee and handle Excess Casualty Claims. The role involves ensuring compliance with established claim handling guidelines, developing case strategies, and providing claims underwriting support. The ideal candidate will have a...Claims
$184k - $241.5k
...your mark for patients We are looking for a Head of Global Investigations who is strategic... ...across all regions. You will shape strategy, governance, and operational excellence while... ...investigations across regions Lead case intake, triage, and prioritization processes...Work at officeLocal areaWorldwide- ...holidays. We are seeking a dedicated and compassionate Personal Injury Intake Specialist to join our team. As a key member of our organization... ...to gather relevant information regarding personal injury claims, ensuring confidentiality and sensitivity. Evaluate the information...ClaimsWork at officeShift workWeekend work
- (EXCLUSIVE) HEAD OF NEGOTIATION & LITIGATION STRATEGY FOR PROFESSIONAL LIABILITY INSURER (Fully Remote or Hybrid Atlanta) - Our client is seeking an experienced leader to shape how complex claims are handled across the organization, with a focus on improving outcomes, strengthening...ClaimsRemote work
$122k - $203k
...will be a hands-on leader who can connect strategy to execution, partnering with agency... ...data knowledge across domains such as: Claims and encounters, eligibility and enrollment... ...practical AI governance approaches including intake, review, risk management, and approval pathways...ClaimsTemporary workFlexible hours- ...defining, implementing, and managing internal claims programs (self‑administration) to... ...policies, and procedures. Oversees claim intake, investigation, and resolution processes... ...claims. Monitors loss costs and implements strategies to reduce average claim costs while...ClaimsWork experience placementNight shift
- ...critical in safeguarding the integrity of our claims process, mitigating financial losses, and... .../ Duties of Position Leadership & Strategy Lead, mentor, and manage a team of SIU investigators... .... Investigative Oversight Oversee the intake, triage, and assignment of suspected...ClaimsWork at officeWorldwide
- ...fastest path to closing that gap. What we want is an NP at the head of our community and social function — speaking to NPs, as an NP... ...organic social and community across both NPHub and NPHire — strategy, channels, content, ambassador talent, and outcomes. You'll also...Live inWork at officeRelocation2 days per week3 days per week
$19.18 - $30.14 per hour
...up or closes health insurance subrogation claims via phone, fax, email or mail. For open... ...written correspondence. Manage high-volume intake calls and correspondence inventory... ...culture that is designed to advance our strategy but will also lead to personal and professional...ClaimsTemporary workWork experience placementWork at officeLocal areaMonday to FridayShift work2 days per week1 day per week- ## Leader, CX Strategy & EnablementApplylocations: Atlantatime type: Full timeposted on: Posted 4 Days Agojob requisition id: JR100320The... ...the customer in cross-functional discussions with Product, IT, Claims, and Underwriting* Partner with the Director, CX Call Center to...ClaimsLocal areaRemote work
$92.73k - $129.82k
Director of Operations Strategy (General Liability) To provide strategic leadership and oversight for the Target General Liability program... ..., analytics, and program initiatives to support high-quality claim outcomes, operational excellence, and long-term client...ClaimsWork at officeLocal areaFlexible hours$112.6k - $265.88k
...knowledge of the insurance value chain, products, and transformation strategies that drive growth and efficiency. You will advise clients... ...product development, underwriting, and policy administration to claims, billing, distribution, and servicing. Translate business needs...ClaimsFull timeLocal areaFlexible hours- ...submission, and follow‑up of insurance claims for home health care services. Ensure accurate... ...Analyze billing processes and implement strategies to improve efficiency and reduce errors.... ...impacting the revenue cycle, such as intake and documentation workflows. The...ClaimsFull time
$209.6k - $313.38k
...assets within the CNS TA which align to the broader overall TA strategy determined by the Sr. Director, Franchise Lead CNS Early Assets... ...equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are...ClaimsTemporary workLocal areaFlexible hours$100k - $140k
...Senior Claims Specialist Headquartered in New York City with offices throughout the U.S. and in Vancouver, Canada, Hudson is a market... ...reserves. Develop and implement effective claim resolution strategies. Manage outside counsel and experts to control costs and...ClaimsWorldwide- ...Head of Architecture About the Company Rapidly growing AEC firm Industry Architecture & Planning Type Privately... ...industry trends to integrate into the company's architectural strategy. Applicants for the Head of Architecture position at the company...
- ...ensuring smooth progression and compliance with protocols. Conduct intake analysis and gather necessary documentation to establish a... ...maintain regular communication with insurance companies to facilitate claims processing. Monitor and oversee the medical care of clients to...ClaimsFull timeWork at office
$105.3k - $184.4k
Senior Claims Specialist - Commercial E&O AXA XL is an Equal Opportunity Employer. Locations: USA - Atlanta, GA; New York, NY; Stamford... ...Using independent analysis and expertise to determine the case strategy for assigned claims and take all necessary steps to achieve the...Claims$101.7k - $155.9k
Munich Reinsurance America, Inc, located in Atlanta, Georgia, is seeking a Senior Claims Specialist to join its growing Claims Department. This role plays a critical part in managing healthcare-related claims, collaborating with legal counsel, and overseeing investigations...Claims- ...update payment status. Follow up on unpaid medical insurance claims within the standard billing cycle timeframe. Review and... ...Director to discuss account statuses, challenges, and collection strategies periodically. Maintain confidentiality of patient and legal...ClaimsWork at office
$250k - $275k
...medical reports and provide leadership in clinical support. The ideal candidate will have extensive experience in utilization review and claims management, ensuring compliance with evidence-based guidelines. In this role, you will participate in client stewardship...Claims
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