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
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...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- 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
$168.1k - $252.2k
...responsible for providing overall management for large projects, leading... ...~ Provide oversight and accountability for large... ...overseeing large c onstruction healthcare projects $75 million or larger... ...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
- ...is a premier concierge healthcare practice dedicated to delivering... ...highly detail-oriented, strategic, and compassionate Billing Manager to lead our Billing... ...charge capture, claim submission, payment posting... ...Accounts Receivable (AR) Oversight Own AR performance, including...Claims
- ...focused 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... ...billion in surplus. Amerisure is hiring a Claims Adjuster Associate to help support the...ClaimsFor contractorsWork at officeLocal areaFlexible hours
- TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing managed services to chiropractic providers.... ...Job Description We are seeking an Accounts Receivable (A/R) Claims Specialist to join our Revenue Cycle team. In this role, you...ClaimsTemporary workWork at officeLocal area
- ...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
$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... ..., and develop a team of financial managers and analysts, stabilizing and growing...Minimum wage$105.5k - $182k
...advisory services for the healthcare industry. With a... ....Reporting to the Sr. Director CAPEX & Engineering PMO... ...for funding for Senior Management approval.Follow disciplined... ...stakeholders across several departments.Familiar... ...deal effectively with strategic issues, as well as...For contractorsWork at officeImmediate startWorldwideFlexible hours- ...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
$65k - $80k
...efficiency of our fleet. You will be responsible for managing fleet data, ensuring regulatory compliance, and... ...compliance (CARB/DOORS), and accident investigations/claims documentation Maintenance & Telematics Oversight: Track preventive maintenance schedules and fleet...Claims$1,000 per month
...evaluate homeowners property claims from start to finish. You will... .... In this role, you will manage the entire claim lifecycle, including... ...homeowner losses of all severities Builds mastered relationships... ..., HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing...ClaimsContract workFor contractorsWork at officeWork from homeVisa sponsorshipWork visaRelocation package- ...Accounts Receivable Clerk - Healthcare Billing Overview Position Summary for the Accounts Receivable Clerk The Accounts Receivable... .... This role processes and follows up on co-insurance and managed care claims and supports the finance department with government payer...ClaimsWork at office
- ...will help prepare and review insurance claims, assist with basic billing and coding tasks... ...document processing, scanning, and file management Support billing, reimbursement, coding,... ...options Long-term career path in healthcare administration Ideal Candidate The ideal...ClaimsWork at office
- CNA Insurance in the United States is seeking a Complex Claims Consultant to support healthcare providers and facilities, handling highly complex professional liability claims across multi-state jurisdictions. You will investigate, set reserves, negotiate settlements, mentor...ClaimsWork at officeFlexible hours
- ...in Downers Grove, IL seeks a senior procurement leader to identify, design, and implement third‑party vendor solutions that enable Claims strategy and operational excellence. You will build category strategies, negotiate sourcing plans, and partner with law and external...Claims
- BDO seeks an Experienced Associate, Healthcare Forensics to identify and resolve payment inaccuracies across healthcare claims, supporting reimbursement disputes, regulation compliance, and litigation. You will analyze claims data, apply fraud analytics, and present findings...Claims
- CorVel Corporation seeks a Care Advocate Nurse for a remote role focused on assessing injury severity, reviewing medical data, and supporting the Claims Management department as a nurse consultant. The position requires clinical nursing experience, RN licensure, and the...ClaimsRemote jobWork at office
$20.69 - $30 per hour
...of the hospital's financial services team, responsible for managing insurance claims and resolving billing and payment issues. This position... ...completeness, and compliance with relevant insurance policies and healthcare regulations. Monitor and follow up on pending insurance...ClaimsHourly payFull timeFor contractorsMonday to FridayFlexible hours$22 - $26 per hour
...Specialist - Liability Industry: Healthcare / Medical Billing Location:... ...Reimbursement Specialist is responsible for managing liability accounts receivable, including... ...and insurance carriers to resolve claims efficiently. This role requires strong analytical...ClaimsFull timeWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hours$190k - $225k
...strong financial acumen, and the strategic foresight to position... ...executive leadership and operational oversight for LiveWire's Renewable... ...the Business Unit's project management and estimating teams and reports... ...notices, change orders, and claims Manages the Business Unit'...ClaimsContract workTemporary workFor subcontractorWork at officeLocal areaRelocation package- Accendra Health in Downers Grove seeks a detail-oriented customer service representative to manage patient billing inquiries and claims submissions. With a requirement of a high school diploma and a minimum of one year of experience, candidates should be adept in Microsoft...ClaimsWork at office
- ...focused 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... ...commercial agency, loss control and/or claims experience. Proficient computer skills required...ClaimsWork at officeLocal areaFlexible hours
- Easy Healthcare Corporation is seeking an Executive Assistant to be the right hand to the CEO and COO, handling a wide range of administrative and strategic tasks. You will manage complex calendars, coordinate travel, prepare materials, and support confidential projects...
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