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$175k - $220k
...BALMAIN Beauty.Title: Executive Director, Strategic Innovation &... ...innovation priorities. Build and manage a transparent portfolio of external... ...novel ingredients, enhanced claims support, or exclusive innovation... ...00. Exact salary depends on several factors such as experience,...ClaimsFull timeLocal areaShift work$66.9k - $78.5k
...Claim Representative Assigned to our Commercial Auto APD team, the Claim Representative... ...is often, assigned to least complex, severe and/or smaller claims in the Line of Business... ...interact internally with Subrogation, Managed Care or SIU or externally with police or...ClaimsRemote work- A healthcare company located in Massapequa is seeking a Billing Specialist responsible for ensuring accurate billing and invoicing processes. The successful candidate will review and submit insurance claims, follow up on unpaid claims, and provide customer service for...ClaimsFull time
- ...General Liability, you will be responsible for managing and investigating complex and higher-severity injury and/or property damage claims including customer contact, determining... ...payments within appropriate authority and oversight. In this senior technical role, you will...ClaimsFull timeWork at officeLocal areaNight shift
- ...Biller PositionThe Biller plays a critical role in the healthcare and social assistance industry by managing the accurate and timely submission of patient... ...record (EHR) systems.Strong understanding of insurance claim processes, coding, and healthcare billing regulations...ClaimsFull time
- ...assist members, physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. This... ...functions and support projects as directed by the management.Balancing the demands of the caller with program...ClaimsWork at officeRemote workFlexible hours
- ...Description Senior Insurance Claims Examiner Job Location:... ...-Time Department: Claims Management Experience Required: Minimum... ...resolution. This position requires a strategic thinker who can navigate... ...Key Responsibilities Claims Oversight and Management Oversee and...ClaimsFull time
- ...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
$70k
...Adjusters is seeking experienced Claims Adjusters to handle Bodily... ..., high-quality claims management in alignment with industry best... ...liability exposures with higher severity and specialization. In this role... ...needs. All our Claim Directors have extensive backgrounds working...ClaimsFull timeTemporary workRemote workFlexible hours$215k - $230k
...Job Description Chief Operating Officer (COO) – Healthcare Operations Location: Bethpage, NY 11714 (Long Island Area) Job... ...a strong combination of healthcare operations, financial management, strategic planning, and organizational leadership experience. Key...Permanent employmentFull time$33.5 - $45.3 per hour
...drug interactions and offering preventive healthcare services such as immunizations.... ...of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy... ...Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment...Hourly payInternshipLocal areaShift work$75k
...organized, and detail-oriented Billing Manager to join our team at our Massapequa location... ...to ensure accurate billing, timely claim submissions, efficient payment processing... ...and ensuring compliance with applicable healthcare regulations. Essential Responsibilities...ClaimsFull time$70k
...is seeking experienced Claims Adjusters to handle... ..., high-quality claims management in alignment with industry... ...complexity and severity. In this role, you will... ...proper file handling and strategic guidance Determine... ...needs. All our Claim Directors have extensive backgrounds...ClaimsFull timeTemporary workFor contractorsRemote workFlexible hours$72.2k - $119k
...you do and where you do it. Job Category Claim Compensation Overview The annual base... ...Liability, you will be responsible for managing and investigating low to moderate complexity... ...within appropriate authority and oversight. In this fast-paced, detail-oriented and...ClaimsWork at office$80k - $86k
...for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health... ...liaison between the revenue cycle management departments, the hospital and ambulatory... ...capture applications to reduce charge-related claim edits/rejections. Coordinates and...ClaimsWork at officeRemote work$41.78k - $64.34k
...comprehensive appeals for denied or underpaid claims, including drafting compelling appeal... ...cycle processes, including denial management and follow-up. Conduct thorough follow... ...team member's base salary and/or rate, several factors may be considered as applicable...ClaimsHourly pay- ...Service Client Specialist To The Managing Partner New York Life's General Offices are located... ..., recruiting initiatives, and strategic execution. The Service Client Specialist... ...management, quality control, training, underwriting and claims Job Requisition ID: 94730...ClaimsFull timeWork at officeMonday to FridayFlexible hoursShift work
- ...Job Description Company Description: Acuity Risk provides outsourced risk management, claims support, and insurance advisory services to businesses with complex operational exposures. Our team works alongside clients, brokers, carriers, adjusters, and other stakeholders...Claims
$80k - $90k
...and engage new clients, while strategically nurturing and expanding... ...FUNCTIONS Client Acquisition and Management: Proactively identify,... ...Experience with IME, worker's comp, claims, or similar industry is... ...leading provider of innovative healthcare services including...ClaimsFull timeLive inLocal areaMonday to Friday$80 per hour
...-minutes) Guaranteed payment every two weeks via direct deposit Payment protection for no-shows, late cancellations, & denied claims Why Join Rula? Our dedicated therapist community is made up of thousands of providers across the country, each with diverse backgrounds...ClaimsHourly payFor contractorsPrivate practiceWork at officeRemote work$80 per hour
...-minutes) Guaranteed payment every two weeks via direct deposit Payment protection for no-shows, late cancellations, & denied claims Why Join Rula? Our dedicated therapist community is made up of thousands of providers across the country, each with diverse backgrounds...ClaimsHourly payFor contractorsPrivate practiceWork at officeRemote work$23 - $25 per hour
...Accounts Receivable LHH Recruitment Solutions is partnering with a healthcare company to recruit for a remote Revenue Cycle Specialist... ...revenue cycle professional with a strong background in insurance claims follow-up, denial resolution, and reimbursement. The ideal candidate...ClaimsContract workRemote work- ...NY The "TRUE HEALTH" and HEALTHCARE FOR ALL WOMEN OB-GYN. is a for... ...Biller REPORTS TO: Department Manager/Administrative Manager The... ...and treatment, and the claim will be reimbursed. Ensures... ...Able to analyze problems and strategize for better solutions Basic...ClaimsFull timeContract workLocal area
- ...About the job Remote Healthcare Administrative Manager , remote Company Overview: Lehrer Family Chiropractic is a leading healthcare provider in Melville... ...in a professional and timely manner Manage insurance claims and billing processes Monitor and maintain inventory of...Part timeWork at officeRemote workFlexible hours
- ...do not treat the patients or derive diagnosis in fact they are not allowed to. They are provided with the diagnosis accepted for the claim and perform a general exam providing an opinion on their current level of disability. Medical records are used sometimes to support...Claims16 hoursFlexible hoursShift work
- ...Plainville, NY area. They have an immediate need for a hands-on Billing Manager to join their team. Position Overview Seeking an... ...-Oversee daily billing operations, including claims processing, collections, and reimbursement. -Manage, supervise...ClaimsImmediate start
- ...pharmacists are medication experts and trusted healthcare providers reshaping the future of... ...leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate... ...You navigate challenges, from insurance claims to medication management, with ease...Hourly payFlexible hours
- 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
- ...responsibility for crafting and implementing the underwriting strategy, managing the selection of risks and pricing, and ensuring the... ...recommendations to senior leadership. Collaborate closely with claims, actuarial, finance, risk management, and executive teams. Analyze...Claims
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