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
...the work activities and has full management responsibility for the performance of the Severity Team. Exercises full management... ...most complex investigations of claims, liability and damages and... ...objectives in order to achieve strategic business results. Knowledge of...ClaimsWork experience placementWork at office- CNA Insurance seeks an experienced leader to head the Severity Team, directing investigations, litigation strategy, and staff development. The role requires senior expertise in claims management and the ability to influence across departments and external partners. The...Claims
$97k - $189k
...market leader in insuring Healthcare providers and entities... ...liability claims. This role is responsible... ...driving claim resolution, managing complex litigation including... ...Team manages the most severe of our Healthcare... ...management. Provide strategic guidance during trials...ClaimsWork experience placementShift work- ...Managing Director, Strategic Sourcing About the Company Top provider of insurance products & related services Industry Insurance... ...specialty insurance construction financial institutions healthcare manufacturing professional services real estate...SuggestedWork experience placement
- ...Insurance is seeking a senior claims and litigation strategist to lead the most complex Allied Healthcare Provider claims. You will... ...settlements, and direct litigation management while advising leadership on... .... The role focuses on high-severity Allied Health Provider matters...Claims
$97k - $189k
...third‑party vendor solutions that enable Claims strategy and operational excellence.... ...through execution ensuring alignment to strategic priorities. A key focus area includes category... .... Balances rigorous vendor performance management with forward‑looking innovation,...ClaimsContract workWork experience placement- ...construction, manufacturing and healthcare. Ranked as one of the top 100... ...United States, we proudly manage nearly $1 Billion of Direct Written... ...partners and contributing to strategic objectives. Responsibilities... ...with internal teams, such as claims and risk management, to...ClaimsWork at officeLocal areaFlexible hours
- TVG-Medulla, LLC is seeking an Accounts Receivable (A/R) Claims Specialist to join our Revenue Cycle team at our Oak Brook, IL headquarters. You will manage insurance claims from submission through resolution, investigate unpaid and denied claims, and collaborate with payers...Claims
$146.71k - $220.06k
...Executive Director Of Strategic SourcingAt Duly Health and Care, you are supported to do your best... ..., and vision benefits that include healthcare navigation assistance, access to a mental... ...standardsLead enterprise-wide change management efforts building organizational buy-...Contract workImmediate startShift work$146.71k - $220.06k
## Executive Director - Strategic SourcingApplylocations: Downers Grove, Illinoistime type: Full... ..., and vision benefits that include healthcare navigation assistance. • Access to a... ...advantage — through disciplined spend management, strategic supplier relationships, clinical...Contract workImmediate startShift work- ...to analyze and process supplemental health and life insurance claims. This hybrid role requires evaluating claims for accuracy and providing... ...experience. The position offers a competitive hourly wage and access to healthcare benefits. #J-18808-Ljbffr Chamberlain AdvisorsClaimsHourly pay
$168.1k - $252.2k
...responsible for providing overall management for large projects, leading... ...relationships Provide oversight and accountability for large... ...overseeing large construction healthcare projects $75 million or... ...positioned within the range based on several factors including an...Contract workH1bWork at officeFlexible hours- ...traditional project role. This is a strategic leadership position for a... ...Provide executive oversight across multiple concurrent projects... ...Mentor and elevate senior project managers and regional leaders. Build... ...in contract negotiation, claims management, and commercial strategy...ClaimsContract workLocal area
- ...seeking a Patient Account Representative responsible for managing accounts receivable and claims management in a medical billing environment. The... ...workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries....ClaimsTemporary workLocal area
$136k - $170k
...About The Role: The Director of FP&A serves as the senior... .... The role provides strategic financial leadership... ...budgeting, forecasting, and management reporting. Annual... ...deliverables Maintain claims actuarial analyses... ...Leadership & Functional Oversight Lead and develop the FP...ClaimsFull timeContract workTemporary workLocal areaRemote workHome office$97k - $189k
...potential. The Large Loss Director is a technical... ...contributor responsible for the oversight, consultation, and... ...workers' compensation claims. This individual... ...coverages, litigation management, reserving, claim resolution... .... Identify emerging severity exposures and...ClaimsWork experience placementWork at office- ...Claims Adjuster Associate Amerisure creates exceptional value for its partners, policyholders... ...in construction, manufacturing and healthcare. Ranked as one of the top 100 Property &... ...in the United States, we proudly manage nearly $1 Billion of Direct Written Premium...ClaimsFor contractorsWork at officeLocal areaFlexible hours
$129k - $205k
...decade, we're poised to build the greatest healthcare community the world has ever seen.... ...both professionally and personally.Director of Strategic Finance (Group Finance Director) - Team... ...mentor, and develop a team of financial managers and analysts, stabilizing and growing...Minimum wage- ...AR Claim Status Specialist TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing managed services to chiropractic providers. Medulla provides managed services such as Sales & Marketing, Billing, IT, HR, and Finance to three...ClaimsTemporary workWork at office
$22 - $22.75 per hour
...2 Hourly Rate ($22 - $22.75), Access to Healthcare and Dental Insurance Plan of Choice. (Benefit... ...supplemental health and life insurance claims within a high-volume claims environment.... ...and professionally with co-workers, management, customers, etc. ~Maintain accurate Claim...ClaimsHourly payContract workTemporary workLocal area$58k - $62k
...Description Job Description Clinic Office Manager Job Summary The Clinic Office... ...business operations of our integrative healthcare clinic locations in Illinois and Florida... ...of the EHR system Manage insurance claim billing and coding, and patient billing...ClaimsWork at officeFlexible hours- ...construction, manufacturing and healthcare. Ranked as one of the... ...States, we proudly manage nearly $1 Billion of... ...Workers’ Compensation Claims Specialist that can do... ...of high complexity/severity, including litigated... .../severity and provide strategic input on book of business...ClaimsWork at officeLocal areaFlexible hoursNight shift
- CNA Insurance is seeking a claims professional to investigate and maintain Long Term Care claims under technical direction. The role reviews coverages, determines liability, secures information, and negotiates settlements to support timely, cost-effective resolutions....Claims
- ...WC Claims Resolution Specialist Special Risk Policyholders Amerisure... ..., manufacturing and healthcare. Ranked as one of the top 100... ...the United States, we proudly manage nearly $1 Billion of Direct Written... ...of medium to high level of severity/complexity. Ability to obtain...ClaimsWork at officeLocal areaFlexible hoursNight shift2 days per week
- ..., theDirector of Strategic Initiatives and Advancement... .... The Director provides leadership... ...donor agreement management. This position accelerates... ...leadership and oversight for advancement... ...medicine, healthcare, or other complex... ...problems involving several concrete variablesin...Full timeTemporary workLocal area
- ...construction, manufacturing and healthcare. Ranked as one of the... ...States, we proudly manage nearly $1 Billion of... ...recruiting for a Claims - Liability Rotational... ...level to complex, high severity and specialized liability... ...achieve the company’s strategic objectives. Essential...ClaimsContract workTemporary workLocal areaFlexible hoursNight shift2 days per week
- ...Flexible Spending Accounts (FSA), Healthcare Savings Accounts (HSA), COBRA (... ...distributions, and submitting claims. Accountable for resolving issues without management intervention to remove barriers... ...-task, and ability to navigate several systems simultaneously to...ClaimsRemote jobFlexible hours
$61.05k - $98.33k
...Advocate Nurse oversees initiatives surrounding assessing the severity of the injured workers’ reported injury(ies), reviews... ...functions as a nurse consultant, supporting the goals of the Claims Management department and of CorVel. This is a remote role. ESSENTIAL...ClaimsMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...insurance companies with billing inquiries, processing payments, and managing patient accounts. Ideal candidates possess strong communication... ...experience in medical billing, and familiarity with insurance claims processing. The position emphasizes providing clear...Claims
$186.2k - $363.09k
...complex contracts that are strategically critical to plan/... ...on the contract management system. Directs the... ...MASS rates. Provides oversight of provider services... ...accurate configuration for claims payment. Oversees... ...plans. Molina Healthcare offers a competitive...ClaimsContract workWork experience placementWork at office
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