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$97k - $189k
...market leader in insuring Healthcare providers and entities... ...liability claims. This role is responsible... ...driving claim resolution, managing complex litigation including... ...The Healthcare Claims Severity & Excess Team manages... ...management.Provide strategic guidance during trials...ClaimsFull timeWork experience placementShift work$97k - $189k
...professional services and healthcare providers and facilities.... ...currently seeking a Consulting Director to lead Claims Strategy and Execution... ...development and execution of strategic projects, trainings,... ...and possess strong project management and influencing abilities....ClaimsFull timeWork experience placementWork at officeFlexible hours$72k - $141k
...seeking a Complex Claims Consultant in our... ...primarily focus on high severity D&O and E&O claims... ...guidelines:Manages an inventory of highly... ...to include on oversight list, and preparing... ...RelationshipTypically Director or aboveSkills,... ...resolution strategies and strategic coordination with...ClaimsFull timeWork experience placementWork at officeLocal areaShift work- ...Description Expanding Seaford based Law Firm seeking Representatives to verify payment status on Healthcare Providers outstanding 'Workers' Compensation Insurance claims. Candidates must have strong customer service and communication skills with the ability to navigate...Claims
- ...Accounts Receivable Specialist to join a healthcare organization in Long Island, New York.... ...billing activity. Responsibilities: • Manage outstanding medical receivables by... ...and driving timely resolution of unpaid claims. • Apply incoming payments accurately,...ClaimsPermanent employmentContract work
$110k - $160k
...Job Title: Risk Manager Catholic Health is one of Long Island'... ...Island. Be a part of our team of healthcare heroes and discover why... ...risk reduction initiatives and strategic clinical safety metrics. Actively... ...and potential patient claims. Conduct complete investigations...Claims- ...State Farm agency in 2019 after spending several years working for State Farm Corporate, where... ...have you on our team. Responsibilities: Manage customer accounts and update information... ...changes and inquiries. Process insurance claims and follow up with customers on claim...ClaimsWork at officeLocal areaFlexible hours
- ...assist members, physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. Primary... ...and support projects as directed by the management. Balancing the demands of the caller with program...ClaimsWork at officeFlexible hours
$70k - $100k
...intake procedures. Risk Management: Identify compliance... ...up and documentation. Claims & Authorization Integrity... ...windows. Timeline Oversight: Monitor reassessment... ...reports for the Executive Director and Board; maintain... ...required; Master’s in Healthcare Administration, Public...ClaimsFull timeRemote workFlexible hours$72k - $141k
...for a business area. Supports the active management of a business area by interpreting data... ...Functions of this role include supporting strategic planning efforts, developing... ...Collaborates with Distribution, Actuarial, Claim, Government Relations, Product Development...ClaimsFull timeWork experience placementWork at officeRemote work- ...Biller Position at Digestive Healthcare Associates The Biller plays a critical role in... ...healthcare and social assistance industry by managing the accurate and timely submission of... ...systems. Strong understanding of insurance claim processes, coding, and healthcare...ClaimsFull time
$147k - $241.5k
...potential. Leads a team of Claims Consultants and Consulting Directors that are responsible... ...effective team management and the resolution of... ...activities of medium to high severity specialized Claims... ...and retention.Provides oversight and strategic direction on claim files...ClaimsFull timeWork experience placementWork at officeLocal area- ...clinical services, provide administrative oversight and manage quality and safety performance metrics... ...as we work together to transform healthcare. We encourage all team members to actively... ...Hospital among the country's best in several pediatric specialties. The Icahn...Full timeTraineeshipLive inLocal area
$25 - $30 per hour
...skills, be reliable, and have the ability to manage multiple tasks in a fast paced... ...filing appeals requirements Follow up on claims and appeal status Requirements: Previous... ...integral to the financial operations of our healthcare organization, ensuring accurate billing...ClaimsFull timeFlexible hours- ...for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health... ...work appointments Telephone Calls Manage Incident reports and work place injuries... .... Assist with Workers Compensations Claims Return to work appointments/phone calls...ClaimsFlexible hours
$99k - $232k
...member’s unique strengths, and managing performance to deliver on... ...learning techniques to large-scale claims, clinical, and member data to... ...client accounts, focusing on strategic planning and mentoring junior... ...a significant impact in healthcare.Responsibilities- Apply advanced...ClaimsFull timeH1b$180k - $220k
...NOTE: This position is HYBRID IN LONG ISLAND, NYWhat you'll do:- Manage a diverse caseload of general liability, premises liability, and... ...and represent clients at mediation, coordinating directly with claims handlers and corporate clients - Mentor junior attorneys and paralegals...ClaimsRemote work2 days per week1 day per week- ...A leading training organization in Melville, New York, is seeking Licensed Claims Adjusters to join their team amid growing demand for insurance claims professionals. This role offers comprehensive training to equip both seasoned and new adjusters with the skills needed...ClaimsFlexible hours
$100k
...regional partners, and the Director of AR Operations.... ...denied and underpaid claims in a timely and accurate... ...are effectively managed to support high-quality... ...~ Familiarity with healthcare billing practices and... ...hospital care including several named "Best Of" by US...ClaimsTemporary workWork at office- ...ensure timely resolution of all outstanding claims, via phone, emails, fax or websites... ...patients, insurance payors, co-workers, management and clients Maintain confidentiality at... ...following up on claims Basic knowledge of healthcare claims processing including: ICD-9/10, CPT...ClaimsWork at officeLocal area
- ...institution providing education, healthcare & social justice services... ...systems with the organization's strategic and mission priorities, ensuring that resources are managed efficiently, transparently,... ...sustainably. This includes oversight of finance, HR, facilities, IT...
- ...and success of Travelers.What Will You Do?Manage the profitability, growth, and retention... ...and frequently partner with your Managing Director (MD) to develop region/group sales plans.... ...a Must Have?Four years of underwriting, claim, operations, risk assessment, actuarial,...ClaimsFull timeLocal area
$99k - $232k
...leveraging team member’s unique strengths, and managing performance to deliver on client... ...back office operations- Specialization in claims, enrollment, billing, and membership-... ...Experience with transaction lifecycles and Healthcare/Payer Services- Knowledge of COTS...ClaimsFull timeH1b$38.46 per hour
...Account Executive - Healthcare Solutions Join our Stevie Award... ...of property, casualty, risk management, life and health, employee benefits... ...management, actuarial, claims and loss prevention as required... ...of the clients' business, strategic priorities, risk strategies...ClaimsContract workLocal area$24 - $30 per hour
...for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health... ...of the Hospital RRC Supervisor/ Manager, the Hospital Patient Financial Services... ...timely manner, and to document account/ claim status and actions appropriately in the...ClaimsContract workWork at office$66.3k
...medicine and surgery. We are a major regional healthcare resource with a deep commitment to... ...Coordinate all aspects of coding review, claim submission, charge reconciliation and... ...follow up with physicians and/or practice management for unbilled services. Identify coding...ClaimsFull timeWork experience placementWork at officeLocal area- ...Lead revenue cycle strategy at a healthcare organization, driving impactful... ....Develop and implement strategic initiatives to maximize collections... ...multiple healthcare locations.Monitor claim submissions, payment postings, and denial management workflows to ensure operational...Claims
$66.3k - $73.46k
...surgery. We are a major regional healthcare resource with a deep... ...candidate is responsible for managing diverse and confidential projects... ...to support department director and/or manager. Answers requests... .... May have budget oversight as directed. Monitors supply...Full timeWork at officeImmediate start$72k - $141k
...of all employees are used to their fullest potential. Individual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual...ClaimsFull timeWork experience placementWork at office
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