Director II, Claims Process
$137kLiberty Mutual
Director II, Claims Process Job Locations: US-Remote | US-MA-Boston | US-NH-Portsmouth | US-WA-Seattle | US-TX-Plano | US-OH-Columbus Compensation: Minimum salary USD $137,000/year, Maximum salary USD $257,000/year, Typical starting salary $163,500 - $229,500. Travel: 10%. As a Director II, Claims Process, you will be leading governance and investment prioritization for Claims and Service, shaping which initiatives get resourced and why. This role may have in-office requirements depending on candidate location. Candidates who live within 50 miles of Boston, MA; Portsmouth, NH; Seattle, WA; Columbus, OH; or Plano, TX will follow a hybrid schedule, coming into the office two days per week. Otherwise, this role is remote. Key Responsibilities Lead PMO vision, strategy, and execution for the Claims & Service organization, ensuring project delivery, coordination, and operational excellence across the team’s portfolio. Own Governance and drive execution discipline across initiatives, including prioritization, initiative monitoring, escalation management, and leadership reporting. Partner with business and technical leaders to align priorities and remove barriers to success. Oversee C&S investment prioritization and help shape decision‑making across competing business demands, balancing value, feasibility, timing, and resource constraints. Serve as process owner and leadership lead for Business Continuity Planning, including activation readiness, process coordination, and communication with senior leadership during disruptions. Lead and support the RAIC intake process, working closely with C&S Insights & Solutions leadership and other stakeholders to clarify expectations, improve alignment, and ensure effective workflow management. Provide visibility and decision support through reporting and dashboards, including portfolio monitoring, intake reporting, annual planning, and leadership‑ready status updates. Drive change management and stakeholder communication for strategic initiatives, ensuring clear messaging, timely updates, and strong adoption across impacted teams. Support annual planning, including coordination of input gathering, monitoring, analytics partnership, and submission readiness. Build strong partnerships across Claims, Service, Finance, Analytics, Actuarial, Technology, and leadership teams to support execution of enterprise and department priorities. Coach and develop PMO team members by setting direction, aligning ownership, and helping the team execute against a broad portfolio of work. Qualifications Demonstrate superior claims/process knowledge/experience. Superior business operations knowledge, including understanding the function's value chain and market conditions; advanced understanding of function strategy. Advanced ability to design a strategic roadmap in full alignment with the LOB's vision and functional strategy. Advanced ability to adapt and address unique challenges in collaborative and creative ways. Superior presentation, communication, organizational, influencing, and relationship management skills. Demonstrated advanced change management leadership, driving change initiatives while establishing and maintaining effective relationships. Superior research, problem solving, analytical, and critical thinking skills. Strong ability to select, develop, and engage staff and foster a collaborative environment. Knowledge of available data sources/elements and associated strengths and shortcomings. Advanced understanding of process mapping. Competencies typically acquired through a bachelor’s degree or equivalent experience. Advanced degree preferred. In addition, a minimum of 10 years of experience in claims process, operations, or project management. Similar experience in a field directly related to the applicable process would be considered. Minimum of 2 years of experience working in an effective leadership and/or management capacity. Employees may apply for a new role after completing 12 months of employment in their current position. Software Powered by iCIMS #J-18808-Ljbffr Liberty Mutual
- Liberty Mutual seeks a Director II, Claims Process to lead governance and prioritization for Claims & Service, shaping initiatives and resource allocation. Hybrid work is possible for certain locations; remote arrangement may apply for others. This role oversees portfolio...ClaimsRemote job
$61k - $113k
Claims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Job Locations: US-TX-Plano, US-MA-Boston... ..., and other third parties throughout the claim’s management process. The position offers training developed with an emphasis on...ClaimsFull timeWork experience placementWork at officeRemote work$107.5k - $144.7k
The IT Project Manager II will lead and support complex cross‑functional initiatives... ...existing configurations across Policy, Billing, Claims, and Rating modules. Maintain an... ...ensure successful adoption of new systems, processes, and technologies. Partner with IT & business...Claims- ...Director, Benefits Full-time, Hybrid | Human Resources. Initiates and executes strategic... ...party vendors such as plan record keepers, claims administrators, pharmacy collaborators,... ...conducts bidding or renegotiation processes; participates in discussions and negotiations...ClaimsFull timeWork at office
$61k - $113k
...Full-Time Salary Range: USD $61000.00 - $113000.00 Job Category: Claims Description The Claims Specialist works within a Claims Team,... ...attorneys, and other third parties throughout the claim's management process. The position offers training developed with an emphasis on...ClaimsFull timeWork experience placementWork at officeLocal areaRemote work- ...record of shipping in early‑stage or 0→1 environments where the process did not yet exist. Strong written communication. You turn chaos... ...with HL7 / FHIR, EHR integrations (Epic, Cerner, Athena), or claims data. Background in oncology, complex care, or patient navigation...Claims
$20 - $21 per hour
...career? Do you like to have your voice heard and be involved in process improvements? Then Smarte Carte is the place for you! A positive... ...airport, including check-in counters, security, gates, baggage claim, and boarding. Ensure timely and accurate delivery of services...ClaimsPart timeSeasonal workWork at officeLocal areaFlexible hoursShift work$124.34k - $225k
...growth opportunities, and much more. The Director, Special Investigations Unit (SIU) will... ...In addition, this position will review claims, look for patterns of potential fraud, waste... ...from financial risk. Manages audit processes, identifies potential fraud, and drives...ClaimsWork at officeLocal areaFlexible hours- Overview The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately... ..., and other third parties throughout the claim’s management process. The position offers training developed with an emphasis on...ClaimsWork experience placementWork at officeLocal areaRemote work
$169.22k - $253k
...Position Summary The Associate Director of MSAT (Manufacturing Science & Technology)... ...troubleshooting, resolution of OOS/OOT trends, and process-product linkages (CQA-CPP relationships)... ...application processing fee, even if claimed you will be reimbursed, this is not...ClaimsContract workTemporary workLocal areaFlexible hours- ...scientific oversight in RWE projects using retrospective EHR or claims data, including but not limited to comparative effectiveness... ...Identify opportunities to improve the efficiency of business processes and procedures to enhance speed, quality, efficiency, and output...ClaimsInternship
- As the Director of Telecommunications, you will be responsible for the following: Responsibilities Lead the development of a multi... ...with EHR (e.g., Epic), CRM (e.g., Salesforce), M365, and claims processing systems. Manage vendor relationships, contracts, licensing,...ClaimsContract workRemote work
$252k - $378k
General Summary The Medical Affairs Senior Director provides medical and scientific... ...required to key stake holders in the access process Performs/oversees medical/scientific training... ...promotional materials and ensures that all claims are fully supported by scientific data,...ClaimsLocal areaRemote workFlexible hours2 days per week$252k - $378k
Job Description General Summary The Senior Director (non-MD) serves as a US Medical Affairs... ...material review (CRC/MLR), ensuring all claims are scientifically substantiated and compliant... ...in connection with the hiring process and/or to perform the essential functions...ClaimsSummer workRemote workFlexible hoursShift work2 days per week- Dickerson Group is seeking an Associate Director for Spending Account Operations to lead a high-performing remote team focused on claims processing and client satisfaction. The ideal candidate will have strong experience in spending account operations and a comprehensive...ClaimsRemote job
$220.55k - $269.57k
...possibilities of what we can do together.As the Director, Pricing & Contracting at Intellia... ...demonstrated experience building these processes from the ground up. Additionally, the... ...-up in 3rd party systemReview submitted claims data (prior to adjudication) for compliance...ClaimsContract workShift work$70.35k
...Unspecified Client) Reporting to the Director of Strategic Sourcing, the... ...... Sourcing Specialist II - Imperial, PA Our energy client... ...Type: Full-time Senior Technical Claims Specialist - Liberty Mutual... ...vendor management strategies, processes and tools. The ideal candid .....ClaimsPermanent employmentFull timeContract workLive inWork at officeLocal areaImmediate start- ...inquiries (phone and email) related to benefit options, eligibility, claims and coverage; partners with consultants and insurance carriers... ...with HRIS team as a liaison to support benefits-related system processes and data accuracy; Follow administrative procedures and...ClaimsFull timeTemporary workWork experience placementFlexible hours
- Overview Associate Director of Member Engagement & Enablement • 6+ months • Boston, MA -... ...technologies such as data warehouses, EDI, and claims/administrative systems Familiarity with... ...management and strategic planning processes Preferred Health plan or payer-side experience...Claims2 days per week
$174.5k - $274.23k
...understand that my employment application process with Takeda will commence and that the... ...knowledge. Job Description Join Takeda as a Director, Predictive Analytics and AI out of our... ...with pharma data (e.g., IQVIA, Veeva, SP, claims, digital marketing) and strong...ClaimsMinimum wageFull timeTemporary workWork at officeLocal areaRemote workNight shift$75k
...employee and manager coaching and counseling. Complete intake process and discuss with manager. Ensure all personal employee information... ...government reporting, including EEO, AAP, and unemployment claims. Systems: HRIS support and administration, reporting, maintain...ClaimsFull time$185.85k - $227.15k
...highly qualified and experienced Associate Director of Actuarial Reserves to lead our... ...overseeing all aspects of the company's claim reserves, ensuring actuarial soundness, regulatory... ...quarterly and annual actuarial reserving process, including the calculation of reserves...ClaimsFull timeFlexible hoursShift work- Product Owner II/III Policy Portfolio, Core Platforms Personal Lines Job Locations: US... ...stream, including but not limited to Claims, Servicing, and Product. Operating in a modernizing... ...for which they are eligible. Hiring processes may vary by country, including...ClaimsTemporary workLocal areaRemote workShift work
$68.74k
...Job Title Investigator I / II / III (260004OV) Agency Office of the Attorney General,... ...reviewing complaints, accessing Medicaid claims, performing data analysis, researching program... ...commensurate with experience) Application Process Apply directly through the Attorney...ClaimsFull timeWork at officeLocal areaRemote workAfternoon shiftEarly shift$155k - $200k
...patients, at the right time. Associate Director RWE, PharmaR&D Locations: Boston, MA | New... ...world patient clinical data set linked to claims, genetics, and digital pathology. Our... ...clinical trial design (particularly Phase II‑III) in the clinical development space....ClaimsWork experience placementShift work- Senior Manager/Associate Director, Regulatory Affairs - Advertising & Promotion About the... ...committees and cross-functional governance processes. Advise teams on evolving regulatory... ...data and ability to evaluate promotional claims and scientific communications....Claims
- The Managed Care Contracting Associate Director will provide leadership and management oversight of Market Access Contract processes by facilitating negotiation and administration... ...well as resolution of disputes on rebate claims. Qualifications Progressive business experience...ClaimsContract workTemporary workSummer workRemote workFlexible hoursShift work2 days per week
- ...strategic partner. In partnership with the Director of Human Resources, the HRBP provides... ...leaders to understand talent management processes, partnering to assess and address gaps across... ...of HR issues. Responds to unemployment claims and represents the company at...ClaimsWork at officeFlexible hours
$165k - $175k
...energetic, adaptable and team oriented Director of Human Resources for Hotel AKA Back Bay... ...operations Communicates all applicable HR processes to managers and hotel staff relating to,... ...and negotiations of unemployment claims on behalf of the hotel. Prepares periodic...ClaimsContract workLocal areaShift work$158.6k - $193.8k
...to blue. About The Role The Associate Director of AI Governance is a key leader in operationalizing... ...operations core team to orchestrate the processes required to ensure clear accountability,... ...data domains, including enrollment, claims, provider, clinical, and financial data,...ClaimsFull timeFor contractorsWork at officeLocal areaFlexible hoursShift work
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