AVP, US Healthcare Claims
$145k - $195kSompo
Overview Sompo has a unique opportunity for an Assistant Vice President, US Healthcare Claims in our North America Claims team. This role will manage claims arising from or involving policies issued from Sompo’s US Healthcare team. This position handles US Healthcare claims and provides legal review and policy drafting support to Underwriting. The successful candidate will be able to provide insight and analysis on US Healthcare claims across various product lines, including primary medical liability, excess and surplus lines, and allied healthcare. Location: This position may be based out of any of our Sompo US office locations. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers. What you’ll be doing Manage U.S. Healthcare claims, related systems, and core processes Evaluate exposures and make substantive claim decisions on complex healthcare claims and, as needed, other lines of business Provide sophisticated coverage, liability, and damages analysis, while identifying trends and emerging exposures affecting the portfolio Support underwriting through legal review, policy drafting, and timely, accurate exposure reporting to underwriting and management Ensure clear, timely preparation and distribution of narrative and financial claim reports Contribute to the Global Claims Team by partnering across regions and functions on strategic projects, industry engagement, complex claims, and other management-directed responsibilities, including travel as needed What You’ll Bring Minimum of 10 years’ experience required in handling claims involving Healthcare Liability with a career history of increasing responsibility Law degree required, preference will be given if experience was at both a law firm and with an insurance carrier Adjusters license required Strong preference for candidate who has pursued or is in the process of pursuing an insurance related designation, e.g., RPLU or CPCU Demonstrated ability to establish close working relationship with other departments including underwriting & actuarial Strong negotiating, analytical, written, and organizational skills Salary Range $145,000 – $195,000. Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience. Benefits and Compensation Philosophy At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees. Our compensation program is built on a foundation that promotes a pay-for-performance culture, with incentives that align with company performance and individual contribution. Benefits (Current U.S. Programs) Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution Pharmacy benefits with mail order options Dental benefits including orthodontia benefits for adults and children Vision benefits Health Care & Dependent Care Flexible Spending Accounts Company-paid Life & AD&D benefits, with option to purchase supplemental life coverage for employee, spouse & children Company-paid Disability benefits with salary continuation payments 401(k) Retirement Savings Plan with competitive employer contributions Competitive paid-time-off programs, including company-paid holidays Competitive Parental Leave Benefits & Adoption Assistance program Employee Assistance Program Tax-Free Commuter Benefit Tution Reimbursement & Professional Qualification benefits Who We Are And What We Stand For At Sompo, our shared purpose is to create meaningful value for clients, communities, and each other. We strive to foster a workplace where everyone feels respected, included, and empowered to excel. As a global organization, we embrace diversity and champion equal opportunity. Guided by our core values—Accountability, Agility, Collaboration, Development, and Integrity—we build trust and support one another to achieve our goals worldwide. Our values come to life in how we hire and grow talent. Employment decisions are based on qualifications, merit, and organizational need, and we strive to ensure equitable access to opportunities so everyone can do their best work. If you need an accommodation for any part of the application process, please contact the recruiter in charge. #J-18808-Ljbffr Sompo
- Sompo is seeking an Assistant Vice President for US Healthcare Claims in Morristown, New Jersey. This role involves managing complex healthcare claims, providing legal review, and supporting underwriting with detailed exposure reporting. The ideal candidate has over 10...Claims
$59k - $75.05k
...post-service, pre or post payment in-depth claim reviews based on accepted medical... ...documentation gaps. Maintain current knowledge of healthcare regulations, payer requirements, and... ...packages. The base salary range allows us to make an offer that considers multiple...ClaimsFull timeWork at officeLocal areaVisa sponsorshipFlexible hours$17 - $19 per hour
...in ensuring the seamless operation of the healthcare environment, the delivery of quality... ...insurance providers. What You’ll Love About Us Support for ongoing education and training... ...Knowledge of Workers’ Compensation and Auto claim submissions. Perform other diverse duties...ClaimsFull timeWork at officeShift work$141.5k
...more information about AbbVie, please visit us at Follow @abbvie on X, Facebook,... ...AbbVie anticipate and navigate evolving healthcare environments, especially focusing on market... ...deep dive analytics ('Follow the Dollar', claims analysis, and scenario modeling). Foster...ClaimsTemporary workLocal area- ...our ownership—it’sour mindset. It empowers us to think fearlessly, make bold decisions,... ..., an independent pharmaceutical healthcare marketing and ad agency and bring your voice... ...process. If you receive a suspicious message claiming to be from our company, do not respond or...ClaimsRemote workFlexible hours
$169k - $210k
LE003 Coaction Specialty Management Company, Inc. in Morristown, New Jersey, is seeking an AVP, Complex Claims to manage a team of professionals handling high-exposure litigated general liability claims. The ideal candidate will have 8 years of experience, particularly...ClaimsWork at office3 days per week$75k - $95k
...ownership-it's our mindset. It empowers us to think fearlessly, make bold decisions,... ...RevHealth, an independent pharmaceutical healthcare marketing and ad agency and bring your voice... ...If you receive a suspicious message claiming to be from our company, do not respond or...ClaimsRemote workFlexible hours$100.5k - $145.17k
...interested with deep subject matter expertise in US RWD, pharmaco‑epidemiological methods and... ...understand gaps in patient care and healthcare provider involvement. This role is key to... ...health records, administrative claims, patient registries, wearable/digital health...Claims$170k - $190k
...ownership—it’s our mindset. It empowers us to think fearlessly, make bold decisions,... ...RevHealth, an independent pharmaceutical healthcare marketing and ad agency and bring your voice... .... If you receive a suspicious message claiming to be from our company, do not respond or...ClaimsFlexible hours- Main Responsibilities Provide strategic leadership to the US Medical Affairs Next Gen Immunology team, fostering teamwork and attracting/developing/retaining talent. Manage Medical Directors overseeing field training and MSL operations. Lead direct reports in alignment...
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At Coaction, a specialty property and casualty insurer, we are seeking an AVP, Complex Claims who will manage a team of Claims Professionals handling complex cases including NYLL, construction defect, and high-exposure litigated general liability claims. Responsibilities...ClaimsWork at office3 days per week$75k - $100k
...we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people... ...health. Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the...Full timeRelocation package$40k - $45k
...income students eligible for federal Pell funding; many come to us with unique challenges related to their financial, social, academic... ...SEU has a long legacy of educating women who thrive in STEM and healthcare professions and continues to produce diverse women and men as...Full timeSummer workLocal areaFlexible hours$148.5k - $214.5k
Associate Director, Advanced Analytics - US Gen Meds & Vaccines Location: Morristown,... ...across multiple therapeutic areas using claims data, internal Salesforce and digital media... ...execute, and interpret analyses of large healthcare datasets and translate findings into...Claims- ...insurance coverage and assist the billing department with processing claims. Communicate test results to patients when directed by... ...Schedule Full-Time Locations 465 South St, Morristown, NJ, 07960, US Minimum Salary (Hourly Rate) 20.05 Maximum Salary (Hourly Rate)...ClaimsHourly payDaily paidFull timeTemporary workPart timeFor contractorsFor subcontractorWork at officeFlexible hoursShift workDay shift
- ...insurance coverage and assists the billing department with processing claims. Communicates test results to patients when directed by... ...environment or relevant area. 2+ years' administrative experience About Us Atlantic Medical Group is a physician-led and physician-governed...ClaimsHourly payDaily paidFull timeTemporary workPart timeFor contractorsFor subcontractorWork at officeFlexible hoursShift work
- ...service issues such as enrollments, carrier billing, coverage, and claims. Maintain accurate and up-to-date records of all client... ...service to our clients, and none of that happens without each of us taking care of ourselves and being there for one another. Join...ClaimsWork at office3 days per week
$2,180 per week
...We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Cardiovascular... ...of 1 year of current work experience providing in . State Healthcare Provider license or willing to obtain one. Certifications...Hourly payFull timeContract workTemporary workWork experience placementShift work$79.1k - $105.95k
...families. It is this understanding that drives us to better serve and care for the 3.5... ...questions related to medical benefits, claims, care coordination and other complex needs... ...for members consistently throughout their healthcare journey by coordinating with members,...ClaimsLive inLocal areaRemote workMonday to FridayWeekend work$300k - $345k
..., NJ Atlantic Health, one of New Jersey's largest non-profit healthcare networks, is seeking an experienced Obstetrician & Gynecologist... ...collaborating with midwives in an academic setting preferred About Us Atlantic Medical Group is a physician-led and physician-...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorRelocationFlexible hours- ...reporting system, and to identify potential claims, lawsuits, and reportability under the... ...Required: • Bachelor's degree in Healthcare or related field preferred. • Minimum 7... ...CPHRM within two years of hire About Us At Atlantic Health, our promise to our...ClaimsHourly payFull timeTemporary workPart timeFor contractorsWork experience placementFor subcontractorFlexible hours
$2,281 per week
...commitment to excellence and our consultative approach has helped us become a premier leader in the staffing industry. *Estimated... ...About Atlas MedStaff We think your recruiter and your travel healthcare agency should care about you. Our team has lots of crazy ideas like...Hourly payFull timeContract workWork at officeRemote workShift workWeekend work$120k - $150k
...payroll coordination, AP/AR, and coordinate with billing on Medicare claims submission and reimbursement Ensure compliance with Medicare... ...Florham Park, NJ 07932 Skills and Qualifications 2+ years in healthcare administration, office management, or business operations (...ClaimsFull timeWork at officeMonday to Friday$120k - $168k
...will be an integral part of our growing team, serving the mental healthcare needs of our clients and community. You’ll see clients in an... ...ABPP, ABCN). Are fully licensed and credentialed in one or more US states. Have experience caring for pediatric, adolescent, adult...Full timeInternshipRelocation packageFlexible hoursWeekend work$2,180 per week
...We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Cardiovascular... ...of 1 year of current work experience providing in . State Healthcare Provider license or willing to obtain one. Certifications...Hourly payFull timeContract workTemporary workWork experience placementWork at officeFlexible hoursShift work$310k - $330k
...Jersey Atlantic Health, one of New Jersey's largest non-profit healthcare networks, is seeking an OB Hospitalist to be part of the Women's... ...success working individually and as part of a team About Us Atlantic Medical Group is a physician-led and physician-governed...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours$56k - $90k
...Professional Morristown, NJ, US Salary Range: $56,000.00 To $90,000.00 Annually Licensed Professional Counselor LPC Are... ...clinical experience in a subacute, long-term care, or geriatric healthcare setting. History of treating Anxiety, Depression and Adjustment...Full timeTemporary workPart timeCurrently hiringRelocation packageFlexible hours$2,196.62 per week
...00,000+ clinicians choose FlexCare. Benefits Of Working With Us Single Point of Contact for All You Need Priority job access... ...allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S. Since 2006, FlexCare has been...Flexible hoursShift workNight shift$99k - $232k
...advanced data science and machine learning techniques to large-scale claims, clinical, and member data to surface actionable insights that... ...with industry leaders, making a significant impact in healthcare. Responsibilities Apply advanced data science and machine...ClaimsFull timeH1b- ...Morristown, NJ Atlantic Health, one of New Jersey's largest nonprofit healthcare systems, is seeking a full-time, highly skilled Gynecologic... ...or eligible for licensure in the State of New Jersey About Us Atlantic Medical Group is a physician-led and physician-...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorWork at officeFlexible hours
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