Senior Director of Claims Delegation
$153.98k - $173.23kVillage Care
Job Description
Job Description
Position: Senior Director of Claims Delegation
Location: Hybrid (Must Reside in NY/NJ/CT)
Work Schedule: Monday - Friday, 9:00am - 5:00pm
Compensation: $153,978.55 - $173,225.87
Our OrganizationVillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services.
Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. Role SummaryThe Senior Director Claims Delegation provides strategic oversight of claims delegation and claims operations projects to ensure timely, accurate adjudication and strong regulatory alignment. This senior leader drives cross-functional execution, strengthens controls, and elevates performance against service expectations.
Key responsibilities include leading claims-related initiatives end to end; setting project priorities across internal and external workstreams; expanding claims reviews and audits in line with VillageCare policy, NYS Prompt Pay, DOH, and CMS; delivering monthly status reporting to Finance leadership and updates to senior leaders; partnering with Utilization Management on authorization-driven changes impacting claims; monitoring claims metrics against SLAs; directing root-cause analysis for processing risks; serving as claims data steward during migration efforts; and recruiting, coaching, and developing a team of managers, specialists, and analysts. Qualifications:- Bachelor's degree
- 10+ years in claims operations (5+ in healthcare)
- 5+ years managing staff If you're ready to lead complex claims delegation work with integrity and precision, apply today. How Your Day Flows
Your day typically starts with a review of overnight claims dashboards and open action logs, followed by brief check-ins with managers to confirm priorities and remove blockers. You'll spend focused time validating audit findings, reconciling trends against SLAs, and preparing clear rollups for monthly Finance reporting.
Midday, you'll partner with Utilization Management leaders to align authorization changes with downstream claims outcomes, then join working sessions with Business Intelligence and Compliance to confirm definitions, controls, and reporting logic. Afternoons often include reviewing project timelines, escalating risks with practical options, and guiding data-migration decisions as the claims data steward. Throughout the day, you'll maintain steady communication across Network Management and Member Services to ensure issues are triaged, documented, and resolved with speed and accuracy. Job Posted by ApplicantProVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Senior Director of Claims Delegation in New York, NY vacancy
$188.88k - $259.71k
...Regional Product Lead and PLL Leadership delegate underwriting authority to staff via letters... ...with internal resources (PLL, Claim, Premium Audit etc.) to coordinate the services... ...other factors. The base salary range for the Director, Underwriting position is $162,800-$223,8...SeniorClaimsFull timeLocal areaWork from home$150k - $160k
...Senior Human Resources Manager (Strategic HR Business Partner) Essential Functions: Serve as a strategic business partner to assigned... ...work visa filings for employee sponsorships. Handle unemployment claims and represent the company at unemployment hearings. Work closely...SeniorClaimsTemporary workLocal areaVisa sponsorshipWork visaScorpion Therapeutics
New York, NY4 days ago- ...plus modern in-room amenities. Overview The Senior Human Resources Manager is responsible for assisting the Director of Human Resources with a variety of Human... ...prescreening interviews. Respond to unemployment claims, maintain unemployment logbook. Maintain...SeniorClaimsHourly payWorldwideNight shift
Hilton Garden Inn Times Square Central
New York, NY4 days ago - ...through their support and guidance of the non-senior level HR team members. Candidate... ...services provider to respond to unemployment claims; reviews provider reports for accuracy... ...Manager for resolution or escalated to the Director of Human Resources/Multi-Property...SeniorClaimsHourly payWork at officeLocal area
Marriott International Inc
New York, NY3 days ago - The Hanover Insurance Group is seeking a Claims Technical Director Casualty - Auto Liability to lead technical excellence across high-exposure casualty claims. This role requires guiding complex caseloads, coaching handlers, and aligning strategies with coverage and litigation...SeniorClaimsRemote job
$220k - $250k
...proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure... ...our NYC, Denver, or Charlotte offices) Position Summary The Senior Director, Total Rewards is responsible for leading the strategy, design...SeniorClaimsLocal areaFlexible hours3 days per week- ...operating in Eastern Time (ET) . Nice-to-Have Qualifications Experience working in healthcare, logistics, benefits administration, claims, EDI billing , or other regulated or operationally complex industries. Familiarity with Agile methodologies, backlog grooming,...SeniorClaimsFull timeFlexible hours
$60k - $140k
...content as needed Process and review vendor invoices in partnership with accounting and finance teams Resolve talent-related issues, claims, and payment discrepancies Maintain accurate project files and documentation for all talent activity Communicate clearly and...SeniorClaimsContract workWork at office- ...at or connect with us onLinkedIn orTwitter Position Summary The Senior Manager of US Benefits will lead the strategic design, financial... ...Modeling: Partner with consultants and actuaries to analyze monthly claims data, evaluate stop-loss coverage limits, and establish annual...SeniorClaimsContract workTemporary workWorldwide
$171.6k - $392.1k
...experiences emerging as the most critical "hot spot" alongside claims, underwriting, policy, and billing. Our ambition is to be the C‑... ...and go‑to‑market asset creation - while building and sustaining senior client relationships and serving as a trusted advisor on transformations...SeniorClaimsWork experience placementSummer holidayFlexible hours- ...close partnership with product and technology teams while delivering meaningful improvements for customers.As a Senior Associate, Product Manager - Delegated Experiences and Agentic AI in Trust and Security, you drive product work from strategy to execution by translating...SeniorWork visa
$127k - $237.8k
...apply to join our team today!OVERVIEW:The Director - Sr. Corporate Counsel, Employment... ...Counsel & Business PartnershipServe as a senior legal advisor to executive leadership, Human... ...covenant matters, and high-risk employment claims.Provide guidance on case strategy, risk assessment...SeniorClaimsFull timeWork at officeLocal area$126.1k - $168.13k
A prominent title insurance company is seeking a Senior Claims Counsel to manage title insurance and escrow claims from investigation to resolution. The role demands excellent communication, negotiation, and organizational skills. The ideal candidate holds a law degree...SeniorClaimsFirst American
New York, NY22 hours ago$136.84k - $235.24k
...This position will be an acknowledged technical expert in Markel Claims, responsible for resolving claims posing the highest exposure to... ...reports as required for underwriting, claims and senior managementAssist in training and mentoring of claims examiners and...SeniorClaimsFull timeWork at officeLocal areaWork from home- ...currently looking to add a self-sufficient, professional Associate Director or a Senior Associate Director with Interiors Fit-Out project experience... ...stakeholder expectations and resolve project challenges. Delegate, mentor, and develop junior staff. Build and maintain...SeniorWork at officeWorldwide
Gardiner & Theobald LLC
New York, NY9 days ago - ...Senior Production Underwriter Specializing In Wholesale Excess & Surplus Casualty... ...you will underwrite policies within delegated authority, exercising sound judgment... ..., including Underwriting Support, Claims, Actuarial, and Directors of Underwriting across GRS North America...SeniorClaimsLocal area
Liberty Information Technology Limited
New York, NY4 days ago $160k - $180k
...is seeking a Transportation Director who will oversee and coordinate... ...Oversee the transportation claims process and resolve carrier disputes... ...ability to supervise and delegate tasks appropriately.... ...lift or move up to 25 pounds. Seniority Level Director Employment Type...ClaimsFull timeWork at officeLocal area$115.78k - $168.75k
...our reputation as an excellent underwriting company.Principal Duties & Responsibilities-Proactively handle professional liability claims primarily involving miscellaneous professional liability (MPL) litigation, including Errors and Omissions (E&O), to achieve optimum...SeniorClaimsFull timeWork at officeLocal area- ...organizing, directing, and coordinating the activities of Divisional Directors to ensure the promotion of Divisional and System policies and... ...responsibility and authority in the latter’s absence in the delegated areas of authority. Essential Duties and Responsibilities...SeniorWork from home
$195.42k - $370.53k
...Advisory. KPMG is currently seeking a Director Insurance IT M&A - Due Diligence, Integration... ...across corepolicy administration, claims, billing, underwriting, digital distribution... ...projecttimelines and risks, and collaborate with senior cross-functional teams toidentify...ClaimsFull timeH1bLocal areaKPMG
New York, NYa month ago$240k - $265k
...community at OpenGov.com. Job Summary OpenGov is looking for a Senior Director of HR Operations & Total Rewards to serve as the strategic... ...LLMs so employees get instant answers on coverage, costs, and claims. You should bring deep Workday expertise on the operations...SeniorClaimsContract workWork experience placementWork at officeLocal areaFlexible hours- ...seeking an experienced Appeals & Grievances Director to lead the health plan's appeals and... ...with Compliance, Legal, Clinical, Claims, and Member Services, and serve as a key... ...during regulatory audits, NCQA surveys, and delegation oversight reviews. Monitor evolving regulatory...Claims
$125k - $150k
.... The Middle Market Property & Casualty Senior Underwriter is responsible for evaluating... ...opportunities. Collaborate with Risk Engineering, Claims, Legal, and other internal partners on... ...judgment while operating within delegated authority and referral guidelines. For individuals...SeniorClaimsWorldwide$129.3k - $172.3k
...decision maker rather than just an advisor? Want better work-life balance? Ready for a change with an in-house opportunity? The Senior Claims Counsel position with First American Title Insurance Company provides an excellent opportunity for counsel to engage in complex...SeniorClaimsRemote workFirst American
New York, NY1 day ago$215k - $280k
...Senior Project Executive Job Locations US-MA-Boston | US-MI-Detroit | US-NJ... ...future roles. You determine priorities, delegate work, and effectively communicate progress... ...contract requirements and resolve potential claims and deviations Ensures team creates a...SeniorClaimsContract workFor contractorsFor subcontractorLocal areaGilbane Building Company
New York, NY3 days ago$150k - $200k
...medical negligence, product liability, wrongful death, and related claims. Gain a stronger voice in case strategy, workflow management... ..., and professionally. Guide case strategy, workflow, delegation, litigation deadlines, and attorney development within the team...SeniorClaimsFull timeWork at officeVisa sponsorshipOrion Placement
New York, NY28 days ago- Assured is seeking a Senior Copywriter, AI and Category Narrative to craft authoritative, credible content about frontier AI and LLM-powered enterprise systems for insurance claims. You’ll write thought leadership, explainers, web copy, product narratives, and ghostwrite...SeniorClaims
- ...complex issues and problems and consult with senior HR leaders as needed.May supervise a... ...locations Manage Worker’s Compensation claims as needed. Participate in safety and... ...reports. Responsibilities include work delegation and review, supervision, scheduling, training...ClaimsHourly payTemporary workWork at officeLocal area
$166k - $171k
...Practice has an opening for a Citywide Director of the Employment Law Unit (ELU). This is... ...labor trafficking, whistleblowing, and claims for unemployment insurance. In its discrimination... ...trainings are completed Identify, delegate, and document work responsibilities,...ClaimsWork at officeRemote workVisa sponsorshipWork visaAfternoon shift- ...Job Description Job Description Senior Commercial Lines & Personal Lines Claims Consultant Job Location: Woodbury, NY Position Type: Full-Time Department: Claims Management Experience Required: Minimum 5 Years in Insurance Claims Position Overview...SeniorClaimsFull time
planet earth recruiting
New York, NY22 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Director of Claims Delegation. Be the first to apply!
Related searches
- director of mental health New York, NY
- legislative director New York, NY
- campus director New York, NY
- lab director New York, NY
- director of sustainability New York, NY
- director New York, NY
- director talent acquisition New York, NY
- erp director New York, NY
- director of radiology New York, NY
- director of inventory management New York, NY