Managing Director Strategic Claims Oversight - Healthcare Severity
$97k - $189kCNA Financial
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. The Managing Director Strategic Claim Oversight leads the Severity & Excess Accounts team that both directly handles and oversees the highest exposure claims in Healthcare. Ensures the effective execution of claims handling practices and leads ongoing efforts to drive operational initiatives and continuous improvement. Accountable for the overall quality, customer service delivery and productivity of the team.JOB DESCRIPTION:Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Leads and directs the work activities and has full management responsibility for the performance of the Severity Team. Exercises full management authority, including performance reviews, pay decisions, recruitment, discipline, termination and other personnel actions. Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if claim should be settled or litigated. Develops and directs the execution of the litigation management strategy. Develops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities . Ensures quality by assuring compliance with best practices, and developing and delivering training as needed. May perform additional duties as assigned. Reporting Relationship AVP or above Skills, Knowledge & Abilities Senior level knowledge of the theories, principles, practices and procedures of claim and litigation management within an insurance organization. Excellent technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures. Excellent verbal and written communication and presentation skills. Excellent negotiation, consultative and facilitation skills with the ability to effectively interact with all internal and external business partners. Ability to exercise independent judgment, and to work with and maintain confidential and sensitive information. Excellent analytical and problem solving skills, and senior level skill in managing ambiguous situations and issues. Creativity in resolving unique and challenging business problems Proven ability to take a proactive long-term view of business goals and objectives in order to achieve strategic business results. Knowledge of Microsoft Office Suite and other business-related software. Value driven to provide superior solutions to internal and/or external customers. Acts with a sense of urgency to advance priorities of the organization. Helps other to excel through collaboration and building strong relationships. Raises expectations of self and others by continuously learning and broadening industry and technical skills. Strong management skills with the ability to coach, mentor and develop subordinate staff. Independent judgment and ability to effectively manage internal and external business relationships. Education & Experience Bachelor's degree with JD preferred or equivalent experience. Admission to the bar of at least one state preferred. Typically a minimum of ten years of claims or legal experience with a proven track record of positive results. #LI-KC2#LI-HybridIn certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois,Maryland, Massachusetts, New York and Washington,the national base pay range for this job level is $97,000 to $189,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com.CNA utilizes AI-enabled technology during the recruiting process. For more information, please visit our careers page.CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact View email address on click.appcast.io: Chicago, IL, USA; Princeton, NJ, USA; US- CA73 - Los Angeles-633 West 5th Street; Tarrytown, NY, USA; Downers Grove, IL, USA; Boston, MA, USA; Irvine, CA, USA; New York, NY, USA; Lake Mary, FL, USA; Plano, TX, USA; Melville, NY, USA; Overland Park, KS, USAType: Full time
$72k - $141k
...seeking a Complex Claims Consultant in our... ...primarily focus on high severity D&O and E&O claims... ...guidelines:Manages an inventory of highly... ...to include on oversight list, and preparing... ...RelationshipTypically Director or aboveSkills,... ...resolution strategies and strategic coordination with...ClaimsFull timeWork experience placementWork at officeLocal areaShift work- This OpportunityProvides strategic leadership, technical expertise, and... ...Sciences, Higher Education, Healthcare Research, and Advanced Technology... ...sectors. Provide executive oversight of project scope, budgets, schedules, risk management, quality assurance, and client...SuggestedWork at officeLocal areaFlexible hours
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...leader in insuring Allied Healthcare Providers, including... ...focused Complex Claims Consultant position, you... ...overall investigation, management and resolution of Allied... ...claims to include on oversight/watch lists, and preparing... ...RelationshipTypically Director or aboveSkills,...ClaimsFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work$120k - $140k
...Engineer Prestige Consumer Healthcare focuses on product innovation... ...biomechanical validation, claims substantiation, and process qualification... ...10(k), design controls, risk management) Document and communicate... ...deal with problems involving several concrete variables in...ClaimsWork at officeRemote work- ...campus in addition to providing support and oversight to the consortium’s trauma centers and... ....Facility Info:WMCHealth is a 1,900-bed healthcare system headquartered in Valhalla, New... ...s hospital, an academic medical center, several community hospitals, dozens of specialized...Suggested
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...potential. Leads a team of Claims Consultants and Consulting Directors that are responsible... ...effective team management and the resolution of... ...activities of medium to high severity specialized Claims... ...and retention.Provides oversight and strategic direction on claim files...ClaimsFull timeWork experience placementWork at officeLocal area- ...scholarly activities. This role involves strategic planning, organization, and direction of... ...be responsible for the administrative oversight of the division, leading recruitment efforts... ...with a strong presence, capable of managing complex organizational dynamics, and a creative...
$22 - $24 per hour
...Account Representative to join our client's healthcare team on a long-term temporary basis. In this role, you will be responsible for managing patient accounts, processing medical billing, and ensuring accurate insurance claim submissions while providing excellent...ClaimsTemporary workWork at officeMonday to Friday- ...Executive Director, Commercial Insights & Analytics, Immunology... ...Manufacturing & Research Healthcare Immunology Biopharma... ...performing I&A team, driving the strategic direction of I&A that aligns... ...and negotiate with management at all levels, manage multiple...
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$138k - $243k
...varying in complexity, severity, product lines, and... ...proactive approach to case management.Job DescriptionKey... ...guidelines, as well as claims and client expectations... ...minimal managerial oversight and guidance from the... ...partners at the senior director level and below, as well...ClaimsFull timeTemporary workPart timeCasual workPrivate practiceWork at officeLocal areaRemote workWork from homeNight shift- ...oriented Medical Biller to join our team in Monsey, NY. The ideal candidate will have a strong background in medical billing, insurance claim processing, and accounts receivable follow-up. This is a full-time role with competitive pay and the opportunity to work in a fast-...ClaimsFull time
- ...location in Tarrytown, NY. Schedule: Monday-Friday: 8:30am-5:00pm Responsibilities: -Review, correct, and submit medical claims while ensuring timely filing compliance. -Run billing edits, pre-bill reports, and verify charge accuracy. -Resolve claim...ClaimsPermanent employmentFull timeContract workWork at officeImmediate startMonday to Friday
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...supported in using their talents to their fullest potential. This individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line...ClaimsFull timeWork experience placementWork at officeFlexible hours$155k - $170k
...Description Prestige Consumer Healthcare is a company that... ...: The Senior Brand Manager, Innovation is... ...pipeline of new products, claims and commercial innovation... ...where appropriate. Strategic thinking skills –... ...with problems involving several concrete variables in...ClaimsTemporary workWork at officeRemote work- ...our patients. Community Medical & Dental Care, Inc., has over 60 healthcare providers who offer a wide range of services including Adult... ...professional services rendered. Prepare and review reports, claims, and correspondences. Ensure that records and documentation are...ClaimsHourly payWork at office
- Job Summary:The Executive Director for Academic Success and Accessibility... ...Executive Director provides strategic leadership for accessibility... ..., advising, enrollment management, and student affairs partners... ...bachelor's degrees to Hispanics in several disciplines, including...Full timePart timeWork at officeLocal areaFlexible hours
$64.6 - $71.05 per hour
...pharmacists are medication experts and trusted healthcare providers reshaping the future of... ...leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate... ...You navigate challenges, from insurance claims to medication management, with ease...Hourly payFlexible hours$72k - $141k
...caseload and works collaboratively with claims professionals, insureds, and business partners... ..., sound judgment, and the ability to manage competing priorities in a fast-paced environment... ...in resolving legal cases with oversight supervision. Responds to government regulatory...ClaimsFull timeWork experience placementWork at office- ...Colorectal Surgery is responsible for the strategic, clinical, academic, educational, and... ....Facility Info:WMCHealth is a 1,900-bed healthcare system headquartered in Valhalla, New York... ...s hospital, an academic medical center, several community hospitals, dozens of...
- ...team specializing in medical malpractice and healthcare provider litigation. Responsibilities Manage a diverse caseload focused on medical malpractice claims. Collaborate with attorneys, team members, and partners on strategic legal projects. Attend court appearances,...ClaimsFlexible hours
$110k - $130k
...specializing in construction management, project management, and... ...services for federal, healthcare, and institutional clients... ..., providing strategic leadership and oversight on behalf of the Department... ...Contract administration, claims management, and change order...ClaimsFull timeContract workFor contractorsInterim roleWork at officeLocal area$140k - $190k
...specializing in medical malpractice and healthcare provider litigation. This is... ...career.Key Responsibilities:Manage a diverse caseload, focused on medical malpractice claims, while ensuring all legal... ...team members, and partners on strategic legal projects, fostering...ClaimsFull timeWork at officeFlexible hours$100k - $200k
...career defending hospitals, physicians, and healthcare providers in sophisticated medical... ...closely with experienced litigators while managing sophisticated healthcare defense matters... ...healthcare providers in complex malpractice claims while developing litigation strategy,...ClaimsWork at office$125k
...ambulatory care. * Clinical Oversight: Supervise clinical care... ...: Develop and manage care coordination among healthcare providers. * Visibility... ...Administration: Participate in strategic planning, physician... ...New York area, requires several more rheumatologists to fulfill...Full timeWork at office- ...Billing Assistant to join our dedicated healthcare team. This is a great opportunity to grow... ...: Process and submit medical claims to insurance carriers accurately and in... ...Follow up on unpaid or denied claims and manage accounts receivable Post payments, adjustments...ClaimsFull time
$39k - $75k
...we are eager to have you on our team. Responsibilities: Manage customer accounts and update information in the database.... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...ClaimsWork at office$285.6k
...future together:The Executive Director, Global Patient Safety... ...a trusted advisor to senior management regarding safety strategies/... ...causality assessments Provide oversight for safety signal evaluations... ...Monitoring Committees (IDMC), Strategic Program Team (SPT), and with...Full timeLocal area
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