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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- ...Overview IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities...Claims
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- ...Companies, Patients and our Practices. The Accounts Receivable Specialist supports the Flagship Practices by processing and resolving claims that have been submitted to Insurance Companies for services provided to our Patients. As a detailed-oriented professional, the...ClaimsWork at office
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$21.5 - $23.5 per hour
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...anticipated out-of-pocket costs Submit pre-authorizations as required prior to treatment Prepare, review, and submit dental insurance claims accurately and in a timely manner Reconcile EOBs and insurance payments; post payments and write-offs correctly Follow up on unpaid...ClaimsHourly payWork at officeMonday to FridayFlexible hoursShift work- ...while driving financial performance. Summary The Revenue Cycle Manager will lead the revenue cycle team, overseeing patient billing, claims management, and accounts receivable. This role will ensure accurate and timely reimbursement, implement process improvements, and...Claims
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$60k - $65k
...includes a base salary range of $60,000-$65,000 , plus a yearly bonus potential of up to $10,000 (paid out quarterly) . In addition, our Head Coaches are eligible to participate in our deferred profit sharing program of up to $12,000/yr . We also offer: Medical, Dental, and...Casual workFlexible hoursShift work- ...monthly RCM goals. Promotes positivity and collaboration within all CNSA departments. Essential Job Responsibilities Processes insurance claims by following up with assigned insurance companies, resubmitting claims or inquiries, and working rejections from the clearinghouse...ClaimsFull timeWork at officeMonday to Friday
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