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
Vacancy posted 6 days ago
Similar jobs that could be interesting for youBased on the Managing Director, Strategic Claims Oversight, Healthcare Severity in Downers Grove, IL vacancy
$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
- ...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
$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- ...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
The Wright Center for Women's Health
Naperville, IL1 day ago $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$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- ...Insurance Other Biz Services Services Banking Risk Management Specialties claims management risk management workers' compensation... ...affinity first and third party fleet programs healthcare risk management retail and consumer care services...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 for a Claims Adjuster Associate to help support the...ClaimsFor contractorsWork at officeLocal areaFlexible hours
$94.4k - $155.8k
...and where you do it. Job Category Claim Compensation Overview The annual... ...Liability, you will be responsible for managing and investigating complex and higher-severity injury and/or property damage... ...within appropriate authority and oversight. In this senior technical role,...ClaimsWork at officeNight shift- ...in the ERP system. The role requires excellent communication, effective phone and email etiquette, and familiarity with medical terminology and HCPC/ICD-9 codes. Experience with claims edits and resubmissions is a plus, and you will collaborate with #J-18808-LjbffrClaims
Byram Healthcare Centers Inc
Downers Grove, IL2 days ago $24 - $27 per hour
...closely with the Clinic Operations Manager, Chief Operating Officer,... ...with the billing team on claim denials, resubmissions, and payer... .... Clinical Operations Oversight Oversee daily clinical flow... ...Experience in clinical operations, healthcare administration, medical...ClaimsHourly payTemporary workWork at officeMiller Cooper
Naperville, IL22 days ago$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$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$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 payFor contractorsMonday to FridayFlexible hoursEndeavor Health Services
Naperville, IL1 day ago- ...Specialist – LiabilityA well-established healthcare organization specializing in orthopedic... ...Reimbursement Specialist is responsible for managing liability accounts receivable, including... ...and insurance carriers to resolve claims efficiently. This role requires strong analytical...ClaimsWork at officeLocal areaRemote workWork from home
Addison Group
Westchester, IL2 days ago - ...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
- ...I-Med ClaimsI-Med claims is a healthcare revenue cycle management and medical billing company specializing in comprehensive billing and practice management solutions for healthcare providers across the United States. The organization provides end-to-end RCM services including...ClaimsWork at office
Imedclaims
Downers Grove, IL1 day ago - ...Company Description TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing managed services... ...to heal, live and function better. Job Description Director, Revenue Operations Analytics & Performance Management Position...Local area
TVG-Medulla, LLC
Oak Brook, IL10 days ago - 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
$75k - $82k
...Job Description Data Analyst – Healthcare \n \n Westchester (Hybrid) | $75,000–$82... ...write SQL to pull and combine data from several EHR systems, check that the numbers reconcile... ...or Caboodle, or revenue cycle and claims reporting \n Exposure to value-based...ClaimsRemote workMonday to FridayMonday to ThursdayStrategic Employment Partners (SEP)
Westchester, IL6 days ago$100.17k - $181.04k
...About Covista Covista (NYSE: CVSA) is America's largest healthcare educator, serving 100,000 students and supported by a community... ...relevance and scope. As part of his communications team, you’ll be a strategic partner to a CEO who has a voice that’s unmistakably his own....Full timeWork at officeFlexible hoursCovista
Lombard, IL3 days ago- ...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
CorVel
Downers Grove, IL3 days ago $125k - $175k
...Speak to homeowners, educate them on their roofing issues, and conduct a free roof inspection to take pictures and help them submit a claim if it's storm damaged. Requirements • Previous roofing sales or home services sales experience • Comfortable canvassing...ClaimsFresh Page Home Improvement
Downers Grove, IL10 days ago$150k - $200k
...Description Job Description Company Description As a healthcare platform provider, we strive to build lasting and... ....NET applications ~ Healthcare domain experience - claims processing or revenue cycle management or experience in a regulated environment ~ Solid...ClaimsRemote jobFull timeVisa sponsorshipGoldstone Partners, Inc.
Oak Brook, IL18 days ago$75k - $82k
...an established, physician-led healthcare organization with clinics... ...to pull and combine data from several EHR systems, check that the numbers... ..., or revenue cycle and claims reporting Exposure to value-based... ...reporting #J-18808-Ljbffr Strategic Employment Partners (SEP)ClaimsRemote workMonday to FridayMonday to Thursday$80.34k - $145.08k
...Covista is America's largest healthcare educator, serving more than 9... ...heard. Reporting directly to the Director of Corporate Communications,... ...as much as prose. You'll manage multiple executives' content... .... You're as comfortable in a strategic conversation as you are executing...Work at officeFlexible hoursCovista
Darien, IL4 days ago$20 - $23 per hour
...limited: utilizing payer portals to check claim status, updating patients’ insurance... ...years’ experience in customer care, account management or similar role. Ability to read and... ...and denials as well as working accounts. Healthcare knowledge is preferred. Must be a quick...ClaimsWork at officeLocal area- ...organizational excellence through strategic partnerships, operational alignment, performance management, data-driven decision-making,... ...Information System (HMIS) oversight, Salesforce case management... ...non-housing systems, including healthcare, behavioral health, reentry...Contract workFor subcontractorLocal area
Housing Forward NTX
Maywood, IL6 days ago $25 per hour
...In-Office + Work From Home Flexibility) Company: Takaful Wealth Management About the Opportunity Takaful Wealth Management is seeking a... ...responsive point of contact for client inquiries related to coverage, claims, and plan administration Build strong, trust-based...ClaimsHourly payPart timeWork at officeLocal areaWork from homeMonday to ThursdayFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Managing Director, Strategic Claims Oversight, Healthcare Severity. Be the first to apply!
Related searches
- executive director Downers Grove, IL
- talent acquisition executive Downers Grove, IL
- executive Downers Grove, IL
- chief executive Downers Grove, IL
- supply chain executive Downers Grove, IL
- chief executive officer ceo Downers Grove, IL
- ceo Downers Grove, IL
- restaurant managing partner Downers Grove, IL
- college president Downers Grove, IL
- senior manager executive compensation Downers Grove, IL