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
$74.9k - $112.3k
...Sentry Insurance seeks an experienced claims professional to investigate and resolve auto and liability claims in a hybrid, multi-site environment. You will independently manage a caseload, negotiate settlements, and communicate with insureds, claimants, and attorneys...Claims- ...licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-...ClaimsFlexible hours
$23.87 per hour
...join our team in a fast-paced healthcare environment. The ideal candidate will accurately assign medical codes, process insurance claims, and ensure timely reimbursement while maintaining compliance with all federal, state, and payer regulations. Key Responsibilities...ClaimsHourly payTemporary work- ...Head of Toxicology, Small Molecules About the Company A clinical-stage biopharmaceutical company redefining pain management through non-opioid therapies. Industry Biotechnology Type Privately Held About the Role The Company is in search...Suggested
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$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- ...Billing Specialist, you will play a crucial role in managing and verifying patient insurance information, ensuring accurate billing and claims submissions, and working with insurance companies to resolve any issues. You will be an integral part of our front office team,...ClaimsFull timeWork at office
- ...Job Description Job Description Claims Manager – Personal Injury Law Firm El Paso, TX | Full-Time | In-Office Position (No Remote Work) Position Summary We are seeking an experienced Claims Manager to oversee the handling of personal injury claims from...ClaimsFull timeWork at officeRemote workMonday to Friday
- ...may be assigned from time to time. Keys charge information into entry program and produces billing. Processing of insurance claims including Medicare/Medicaid, Managed care and other commercial Codes information about procedures performed and diagnosis on charge...ClaimsFull timePart timePrivate practiceWork at office
$115k - $135k
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...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsFor contractorsWork at officeImmediate start$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
$100k
...seeks self-motivated individuals with experience in surveillance and mobile investigations to assist in researching insurance fraud claims involving monetary, bodily injury, theft, and property damage claims. We are currently hiring Surveillance Agents to conduct...ClaimsHourly payFull timeCurrently hiringFlexible hours$3,217.54 per month
...at work when scheduled Be open to feedback and have a professional approach to implementing it YOU WILL BE TRUSTED TO Processing UI claims over the phone and data entering information into benefit system and databases Responding to and resolving routine UI inquiries...ClaimsH1bImmediate startRelocationWork visaFlexible hours- ...guidelines, regulatory requirements, and enterprise affordability goals. The role serves as a SME bridging clinical policy, coding, and claims adjudication by translating policy intent into clear business requirements that drive accurate configuration within claims...Claims
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