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
$15 - $18 per hour
...El Paso Join a growing medical company in West El Paso! We're looking for a detail-oriented Medical Biller to manage insurance claims, process payments, and support our patients with billing questions. If you're organized, accurate, and enjoy helping people, this could...ClaimsFull time- ...-related events sweeping across the nation, there is an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you\'ll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives...Claims
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...a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Desk Adjuster PRIMARY PURPOSE: Handles losses and claims valued up to $15,000 for property and casualty insurers through the thorough examination of documents, records, loss reports, and other...ClaimsWork at officeLocal area- ...Description Essential Duties and Responsibilities Enter, update, and maintain property damage claim information with a high degree of accuracy. Review claim files to ensure required documentation is complete and properly indexed. Utilize Microsoft Excel...ClaimsWork at office
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$14 per hour
...Data Entry Operator to join our operations team. As a Data Entry Operator, you will be responsible for keying and docu-typing medical claims for clients. The ideal candidate will be comfortable working in a fast-paced, high-volume environment with strong attention to...ClaimsMinimum wageFull timeMonday to FridayShift work1 day per week- ...patient scheduling and records Schedule and confirm appointments for multiple providers in the office File patient insurance claims and follow up on outstanding claims, verification of benefits and explanation of coverage Post insurance and patient payments and...ClaimsDaily paidWork at officeLocal area
- ...patient scheduling and records Schedule and confirm appointments for multiple providers in the office File patient insurance claims and follow up on outstanding claims, verification of benefits and explanation of coverage Post insurance and patient payments and...ClaimsDaily paidWork at officeLocal area
$14 per hour
...reliable and self-motivated Data Entry Operator to join our operations team. This role is responsible for keying and docu-typing medical claims for clients. The ideal candidate will be comfortable working in a fast-paced, high-volume environment and capable of performing...ClaimsHourly payMinimum wageFull timeMonday to Friday- ...private billing, post and enter daily cash deposits, and verify financial information for new inquiries and admissions. * Process Claims: Support the processing of Medicare, MSP, Managed Care, and Primary Insurance claims, ensuring timely submissions and weekly follow...ClaimsFull timeTemporary workWork at officeImmediate start
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$20 - $24 per hour
...and internal queues to ensure all payments are posted in a timely manner. Ensure all transactions are balanced daily. ERA and Claim Management: Proactively identify and resolve ERA gaps (electronic remittance files not matching expected receipts or claims) by investigating...ClaimsHourly payRemote workFlexible hours- ...relationships while underwriting new middle-market commercial accounts. You’ll collaborate closely with regional underwriting leadership, claims, and loss control to deliver responsive, customized solutions. Key Responsibilities Drive new business production through...ClaimsFull timeRemote work
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