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
$22.16 - $33.24 per hour
...PTCB Certification. Pharmacy claim adjudication experience.... ...with the law. Job Level: Non-Management Non-Exempt Workshift: Job Family... ...and communities - and making healthcare simpler. We are a Fortune 25... ...per week, and potentially several times per week. Specific requirements...ClaimsFull timeTemporary workWork experience placementWork at officeLocal areaImmediate start1 day per week$19.5 per hour
...co-workers, specialists and managers on non-basic issues. Must pass... ...provider contracts, eligibility and claims. Analyzes problems and... .... Experience working in a healthcare or mental health environment... ...per week, and potentially several times per week. Specific requirements...ClaimsFull timeTemporary workWork experience placementWork at officeLocal areaImmediate start1 day per week$25 per hour
...Billing Specialist Our client, a leading healthcare organization, is seeking a dedicated... ...Range: $25/hr What's the Job? Manage and process client billing information in... ...responsibilities Follow up on unpaid claims and resubmit rejected claims to ensure timely...ClaimsHourly payWeekly payFull timeTemporary workFlexible hours- ...Executive Director, Partnerships About the Company Leading healthcare organization expanding strategic partnerships across sports, entertainment... ...to lead the strategic management of a national portfolio of... ...will be adept at contract oversight, valuation assessment, and...SuggestedContract work
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...Florida, Richardson, TexasDetailsSVP, Chief Claims OfficerPosition Summary Responsible for the strategic leadership, operational excellence,... ...Investigations Unit), and vendor management, with a strong emphasis on managing severity, controlling loss costs, and delivering...ClaimsFull timeWork at office- ...satisfaction scores. We deliver exceptional healthcare that reduces costs and significantly... ...care, performing basic medical procedures, managing patient records, and coordinating front-... ...or online inquiries regarding services, claims, benefits, eligibility, provider...ClaimsWork at office
$72k - $141k
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...Staff is to lead, develop and manage associate veterinarians in... ...veterinarian needs. Partner with the Director of Veterinary Quality and... ...to solve problems involving several variables. Requires... ...Spending Accounts (FSA): Save on healthcare and dependent care expenses...Full timeTemporary workPart timeLocal areaFlexible hoursShift work$74.8k - $112.2k
...profitability by delivering exceptional customer service and superb claim outcomes! The ideal candidate will be part of a dynamic and... ...This position is part of a vast team of Behavioral Health Case Managers who are responsible for the review and evaluation of Short-Term...ClaimsFull timeTemporary workWork experience placementWork at officeRemote work3 days per week$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$60.9 - $82.3 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$60.9 - $82.3 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 payRelocation packageFlexible hours- ...Commercial Claims Management 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...ClaimsWork at officeLocal area
$33.5 - $45.3 per hour
...drug interactions and offering preventive healthcare services such as immunizations.... ...of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy... ...Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment...Hourly payInternshipLocal areaShift work$95k - $105k
...operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Claims Specialist – Professional Liability to join our team! JOB SUMMARY ~ Investigate, evaluate and settle more complex first and third...ClaimsWork at officeRemote work- ...will support the Director of Pricing in developing... ...responses, and strategic initiatives... ...Finance, Economics, Healthcare Administration, or... ...Experience with claims data analysis and... ...submitted to hiring managers, are deemed to be... ..., and potentially several times per week. Specific...ClaimsContract workTemporary workWork at officeLocal area2 days per week1 day per week
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$75k - $165k
...collaboratively across business units including but not limited to; claims, finance, risk engineering, actuary, and technical underwriting... ...Specialist or Executive Underwriter level. The hiring manager will determine the appropriate level based upon the selected applicant...ClaimsFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...enter the office to create a great first impression of our team Manage front office duties, including answering phones, checking office... ...appointments for multiple providers in the office File patient insurance claims and follow up on outstanding claims, verification of benefits...ClaimsDaily paidFull timeWork at officeLocal areaImmediate start
$130k - $170k
...channel: We Are Limbach - YouTube From healthcare and education to government and... ...owner/builder, developer, construction manager, or general contractor. This individual... ...attorneys in evaluating branch clients’ claims and financial pursuits, including disputed...ClaimsContract workFor contractorsFor subcontractorWork at officeLocal areaRemote workWork from homeHome office$75k - $165k
...collaboratively across business units including but not limited to; claims, finance, risk engineering, actuary, and technical underwriting... ...Specialist or Executive Underwriter level. The hiring manager will determine the appropriate level based upon the selected applicant...ClaimsFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$62.4k - $93.6k
...Sr Representative Claims - CH08BE We’re determined to make a difference and are proud... ...hours Responsibilities: Effectively manage workers’ compensation claims requiring timely... ...financial accuracy Provide benefit oversight, appropriate file disposition and...ClaimsTemporary workRemote workMonday to Friday3 days per week
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