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
$24 - $26 per hour
...ready to leverage your background in healthcare billing and data management into a dynamic, high-growth... ...experience in medical collections, medical claims, revenue cycle management, or third-... ...successful candidate will be based on several factors including the candidate's...ClaimsHourly payPermanent employmentTemporary workWork experience placementImmediate startShift work$175k - $250k
...Work with retained experts and manage discovery on cases requiring... ...with appropriate partner oversight Strong written and verbal... ...death and catastrophic injury claims Demonstrated ability with... ...While we originally focused on healthcare staffing, we’ve expanded into...Claims$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$194k - $308k
CNA Insurance in Melville, NY is seeking an Officer to oversee loss cost management and major case oversight in Workers Compensation. This strategic role focuses on driving claim management efficiencies and aligning with corporate objectives. The ideal candidate will have...Claims$116k - $165k
...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- ...Description Expanding Seaford based Law Firm seeking Representatives to verify payment status on Healthcare Providers outstanding 'Workers' Compensation Insurance claims. Candidates must have strong customer service and communication skills with the ability to navigate...Claims
- ...Collector Are you ready to leverage your background in healthcare billing and data management into a dynamic, high-growth environment? A Healthcare... ...professional with experience in medical collections, medical claims, revenue cycle management, or third-party claims...Claims
- ...assist members, physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. Primary... ...and support projects as directed by the management. Balancing the demands of the caller with program...ClaimsWork at officeFlexible hours
$110k - $160k
...Job Title: Risk Manager Catholic Health is one of Long Island'... ...Island. Be a part of our team of healthcare heroes and discover why... ...risk reduction initiatives and strategic clinical safety metrics. Actively... ...and potential patient claims. Conduct complete investigations...Claims- ...comprehensive appeals for denied or underpaid claims, including drafting compelling appeal... ...cycle processes, including denial management and follow-up. Conduct thorough follow... ...team member's base salary and/or rate, several factors may be considered as applicable...ClaimsHourly pay
- ...support revenue cycle operations for a healthcare organization in Garden City, New York. This... ...potential is ideal for someone who can manage outstanding balances, apply payments... ...receivable balances to identify unpaid claims and prioritize follow-up activities. •...ClaimsPermanent employmentContract workWork at office
$147k - $241.5k
...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$100k
...regional partners, and the Director of AR Operations.... ...denied and underpaid claims in a timely and accurate... ...are effectively managed to support high-quality... ...collections Familiarity with healthcare billing practices and... ...care including several named "Best Of" by US...ClaimsTemporary workWork at office$99k - $232k
...member’s unique strengths, and managing performance to deliver on... ...learning techniques to large-scale claims, clinical, and member data to... ...client accounts, focusing on strategic planning and mentoring junior... ...a significant impact in healthcare.Responsibilities- Apply advanced...ClaimsFull timeH1b- ...A leading training organization in Melville, New York, is seeking Licensed Claims Adjusters to join their team amid growing demand for insurance claims professionals. This role offers comprehensive training to equip both seasoned and new adjusters with the skills needed...ClaimsFlexible hours
$99k - $232k
...leveraging team member’s unique strengths, and managing performance to deliver on client... ...back office operations- Specialization in claims, enrollment, billing, and membership-... ...Experience with transaction lifecycles and Healthcare/Payer Services- Knowledge of COTS...ClaimsFull timeH1b$25 - $30 per hour
...detailed oriented and enjoy meeting deadlines? Have great time management and organization skills? Love solving problems? Do you feel a sense... ...Duties and Responsibilities Review and resubmit denied claims by calling insurance companies to have claims reprocessed. Review...ClaimsFull timeTemporary workWork experience placementMonday to Friday$70k - $100k
...intake procedures. Risk Management : Identify compliance... ...and documentation. Claims & Authorization Integrity... ...windows. Timeline Oversight : Monitor reassessment... ...reports for the Executive Director and Board; maintain... ...required; Master’s in Healthcare Administration, Public...ClaimsFull timeRemote workFlexible hours- ...institution providing education, healthcare & social justice services... ...systems with the organization's strategic and mission priorities, ensuring that resources are managed efficiently, transparently,... ...sustainably. This includes oversight of finance, HR, facilities, IT...
- ...and success of Travelers.What Will You Do?Manage the profitability, growth, and retention... ...and frequently partner with your Managing Director (MD) to develop region/group sales plans.... ...a Must Have?Four years of underwriting, claim, operations, risk assessment, actuarial,...ClaimsFull timeLocal area
$24 - $30 per hour
...direction of the Hospital RRC Supervisor/ Manager, the Hospital Patient Financial Services... ...timely manner, and to document account/claim status and actions appropriately in the... ...terminology, CPT, HCPCS, and ICD10 coding used in healthcare. Ability to work independently,...ClaimsContract workWork at office- ...Lead revenue cycle strategy at a healthcare organization, driving impactful... ....Develop and implement strategic initiatives to maximize collections... ...multiple healthcare locations.Monitor claim submissions, payment postings, and denial management workflows to ensure operational...Claims
- ...Executive Director of CSJ Sponsored Schools About the Company... ...providing education, healthcare & social justice services... ...that is pivotal in providing strategic oversight for four all-girls Catholic... ...Functions Non-Profit Management Education/Academic Administration...
$72k - $141k
...fullest potential. This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specific line of business. Responsibilities include the coordination of all claim...ClaimsFull timeWork experience placementWork at office- ...A leading healthcare recruitment agency is looking for an Epic Physician Billing Analyst in Hicksville, New York. This role focuses on configuring... ...Billing module, ensuring accurate patient billing and claims processing. Candidates must hold a Bachelor's degree in a related...Claims
- ...The Role The Medical Director will be responsible in... ...resolution of their member’s claims. Your interest and... ..., support of quality healthcare service, and medical... ...medical expert for care management and population health;... ...salary and/or rate, several factors may be considered...ClaimsHourly payWork at officeFlexible hours
$50k
...a part of our team of healthcare heroes and discover why... ...Details The Executive Director is the primary... ...Executive Director will manage a small Foundation team... ...initiatives and anticipated strategic priorities as... ...support. Provide executive oversight of the Volunteer Services...$18 - $32 per hour
...integral part of our vision to make healthcare better for everyone.. At... ...Working daily in the claims edit work queue to correct registration... ..., performance rewards, and a management team who demonstrates their... ...others Pay is based on several factors including but not...ClaimsHourly payMinimum wagePermanent employmentFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startWork from homeMonday to Friday$151.4k - $311k
...seeking high-performing candidates to pursue strategic relationships at our largest and most... ...experience, strong relationship management skills and a proven track record in selling... ...a leadership role in pursuits and an oversight role in the development of proposalsCoordinating...- ...Location: Remote Remote Healthcare Administrative Manager Company Overview: Lehrer Family Chiropractic is a leading healthcare provider in... ...in a professional and timely manner Manage insurance claims and billing processes Monitor and maintain inventory of...Contract workPart timeWork at officeRemote workFlexible hours
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