Head of Claims
Confidential
Head of Claims
About the Company
Growing specialty insurance organization focused on claims strategy and operational excellence.
Industry
Insurance
Type
Privately Held
About the Role
The Company is seeking a Head of Claims to take on a senior leadership role with a focus on designing, building, and enhancing the claims function. The successful candidate will be responsible for developing and executing the overall claims strategy, establishing performance metrics, and driving continuous improvement initiatives. This role requires a balance of technical claims expertise, operational leadership, and strategic vision to ensure efficient claims management, strong partner oversight, and exceptional service delivery. The Head of Claims will also be involved in overseeing claims performance, establishing controls for compliance, and leading transformation initiatives to enhance operational efficiency. Applicants for the Head of Claims position at the company should have a minimum of 10 years' of claims experience within specialty insurance or related sectors. The role demands a proven track record in managing claims operations and external partners, a strong understanding of claims governance and reserving, and experience in utilizing data and analytics for performance management. The ideal candidate will have a collaborative leadership style, an entrepreneurial mindset, and a passion for operational excellence and continuous improvement. Responsibilities also include leading the selection and management of third-party claims partners, developing a comprehensive claims governance framework, and ensuring compliance with regulatory and governance requirements.
Functions
- Finance
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$100k - $250k
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- ...charge, comparing to payor specific coding rules. Research, analyze and resolve outstanding customer/insurance balances to ensure claims payment. Work and communicate with supervisor, managers and all insurance staff in regards to claims billing changes or trends. Appeal...ClaimsWork at office
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$100k
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$19 - $23 per hour
...seeking an Insurance Coordinator to help patients maximize their insurance benefits. This role involves verifying coverage, submitting claims, and assisting patients with insurance inquiries. The ideal candidate will have 3-5 years of experience, a high school diploma, and...ClaimsHourly pay- OrthoLoneStar is hiring a Customer Service Representative in Houston, Texas, to manage patient inquiries on medical billing and insurance claims. This role requires excellent communication and problem-solving skills, alongside a minimum of one year’s experience in healthcare...ClaimsWork at office
$75k - $85k
CrossCountry Freight Solutions, Inc. DBA CCFS in Houston, Texas, seeks a Risk Claims Manager to oversee insurance claims for auto liability and workers compensation. The role requires managing claims, ensuring compliance with company policies, and coordinating with various...ClaimsRemote job- ...Head of Community Impact About the Company Internationally recognized network of NGOs providing technology solutions & support Industry Non-Profit Organization Management Type Non Profit Founded 1987 Employees 51-200 Specialties...Remote work
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