Senior Claims Operations Leader: Strategy & Impact
CVS
CVS Health is seeking a senior leader to provide strategic oversight of claims operations, driving exceptional customer experiences and service quality across the organization.
The role builds and executes service strategies, leads a large claims team, and collaborates with other departments to ensure efficient, compliant health care service delivery. A strong leadership and BI background are essential for success.
#J-18808-Ljbffr- ...Warranty leadership growth strategies Provide industry... ...agreements align with AIG operational capacity and... ...service, service dispatch, claims, finance, underwriting... ...and plan sales and cost impacts of new business programs... ...and industry leaders Understanding of financials...SeniorClaimsContract work
$70.1k - $126.2k
...compliance auditing and monitoring strategies. Key Details: Must be authorized... ...issues which may negatively impact service to members Assist management... ...fraud waste and abuse. Convene leaders from key operational areas (such as SIU, claims, program integrity, provider...SeniorClaimsFull timeContract workPart timeInterim roleH1bWork at officeRemote workFlexible hours$132.3k - $198.5k
...Posting Title: Senior Manager, Engineering... ...and beverages, operating a network of over... ...careers, directly impacting our mission to make... ...floating holidays). ~ Leaders who are invested... ...broader business strategy. You will oversee... ...receive an email claiming to be from us, always...SeniorClaimsFull timeImmediate startShift work- ...insurance organization to hire a Senior Auditor for their growing U.S... ...Property & Casualty (P&C) operations. The role offers strong... ...audits across underwriting, claims, distribution, and broader Commercial... ...and regulatory developments impacting the insurance sector Ideal...SeniorClaims
- ...seeking an experienced and detail-oriented Senior Casualty Excess Underwriter to join our... ...terms, coverage structures, and pricing strategies to meet underwriting and broker needs.... ...strategies. Collaborate with actuarial, claims, and legal teams to enhance excess risk...SeniorClaimsFlexible hours
$102k - $137.7k
Senior Scheduler I Mortenson is currently seeking an experienced... ...travel may be required based on operating group Thorough knowledge of... ...schedules Basic knowledge of claims avoidance and resolution techniques... ...has a lasting positive impact. Let’s Redefine Possible® Equal...SeniorClaimsFor subcontractorH1bWork at officeFlexible hours$91k - $126.2k
Description The Senior Benefits Specialist is a key... ...Rewards and Benefits strategy, responsible for supporting... ..., service levels, and operational effectiveness.... ...complex benefit inquiries, claims issues, enrollment... ...challenges and deliver real impact for our customers and...SeniorClaimsContract workWork at officeLocal areaFlexible hours- ...to have a remarkable impact on people's lives across... ...management and senior leadership of the HEOR... ...Reporting to the VP HEOR Strategy Franchise, the Sr. Director... ...with cross-functional leaders for that TA Direct the... ...and is committed to operating with integrity, driving...SeniorWork experience placementWorldwide
$240k - $265k
OpenGov is the leader in AI and ERP solutions... ...Platform to operate efficiently, adapt... ...is looking for a Senior Director of HR Operations... ...Total Rewards strategy, including compensation... ..., costs, and claims. You should bring... ...with AI, and it will impact everything—from...SeniorClaimsContract workWork experience placementWork at officeLocal areaFlexible hours- ...processes Advise client leads and senior clients on audience strategy, measurement and advanced analytics... ...analytics technologies Investigate the impact of new data sources and... ...and ability to clarify strategic and operational issues related to data and analytics...Senior
$95.9k - $148.9k
...Monitor portfolio performance by tracking exposure limits, premium income, and overall financial results, while maintaining awareness of claims activity and providing underwriting input on claim resolution. Support business planning, forecasting, and underwriting governance...SeniorClaimsTemporary work- ...strategic portfolio planning & pipeline asset strategy development. The Associate Director will... ...product labels and target product claims. Partner with Global Medical Affairs to... ...opportunity employer and is committed to operating with integrity, driving innovation,...ClaimsLocal area
$143k - $193.05k
...business unit is seeking a Senior Principal Software... ...hands-on technical leader for our Workload Automation... ...practices, runbook operational responsibilities, and... ...modern DevOps pipeline strategies. In this role, this person... ..., and deliver greater impact in their roles....SeniorFull timeRemote workWorldwide$55 - $90 per hour
...to-end relay testing using relay test software and analyze the operation of the relay based on the fault type run. Lead investigations... ...recruiters or third party recruiting agencies, and will not recognize claim to any unsolicited resumes or candidate information....SeniorClaimsDaily paid$86.4k
...decision-making ~3 years in Data Analysis, Analytics, Business Intelligence or Reporting ~1+ years of working with healthcare claims data ~ Experience supporting academic or scholarly research, including preparation of manuscripts and associated data documentation...SeniorClaimsFor contractorsWork at officeLocal area$135.2k - $306.4k
...more. At Technical Strategy and Oversight (TSO) organization... ...looking for technical leaders to build and deliver a... ...to work with senior architects & leaders... ...validation, reliability, and operational excellence of an... ...issues before customer impact. Your...SeniorTemporary workWorldwideFlexible hours$55 - $90 per hour
...variance of switches both manual and motor operated. Technicians will implement safety... ...of electrical power equipment as a crew leader. Utilize Human Performance Error Elimination... ...recruiting agencies, and will not recognize claim to any unsolicited resumes or candidate...SeniorClaimsDaily paid$125k - $135k
...Job Overview The Senior Manager, Customer Success... ...consistency, operational excellence, and exceptional... ...while driving measurable impact. Responsibilities... ...of customer engagement strategies, risk management practices... .... Partner with leaders across Customer Success...SeniorOngoing contractTemporary work- ...ourselves: What is our impact on the world?Watch... ...with other leaders within WBG to create... ...staff, Geographic Operations Leadership, Regional... ...Work:Serve as a Senior Project Controls Business... ...Cost Estimating, Claims and Forensic... ...relationship and win strategy for medium to...ClaimsContract workTemporary work
- ...37923 Job Title: Senior Manager, Customer Success... ...resilience of their operations. Trellix, along with... ...through complex account strategies, stakeholder mapping,... ...expansion goals, directly impacting Gross Retention Rate (... ..., and executive leaders. Strategic Coaching...SeniorFull timeLocal areaRemote workFlexible hours
- ...MA or Boston, MA. You will partner with senior leaders to shape and deliver key messages... ...communications that connect employees with strategy and progress. You will craft presentations... ...broader team to ensure consistency and impact on initiatives and priorities. #J-1880...Senior
$97.5k - $131.63k
...Description Summary: The Senior Account Executive is an enterprise... ...to customer business and IT leaders, aggressively shape... ...customer's industry and business, strategies and challenges. Required Qualifications... ...-making, and deliver greater impact in their roles. Embracing...SeniorFull timeRemote workWorldwide$130k - $160k
...reporting systems and procedures and prepares reports to clients and senior management defining progress and cost. Promote and maintain... ...of insurance and related issues including liability aspects and claims avoidance Ability to interpret construction documents Strong...SeniorClaimsFor contractorsFor subcontractorWork at officeFlexible hours$132.7k - $206.8k
...contract lifecycle management (CLM). What you'll do As a GTM Strategy & Operations Manager, you are a highly-motivated self-starter who is... ...insights and thinking Help build supporting insights to influence senior stakeholders and partners Work with the rest of the GTM...Permanent employmentFull timeContract workWork at officeLocal areaRemote work2 days per week$134k - $202k
...responsible for developing an account plan and strategy for leveraging the Relativity platform... ...a strong understanding of projects impacting your service area and ensuring service impact... ...quality, and processPartner with other senior level team members in Product, and...Senior$20 - $23 per hour
...Advance Your Career in Insurance Claims with Allied Universal®... ...claim investigation. As a global leader, we provide dynamic... ...excellence, making a significant impact in the insurance industry. If... ...standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE)...ClaimsWork experience placementWork at officeLocal area- ...applications Leverage design to inspire change and execute product strategy Evolve design processes and ensure suite-wide consistency... ...ensure outcomes Influence product-level decisions by explaining impacts on the larger suite/ecosystem Requirements Masters degree + 1 year...SeniorRemote work2 days per week3 days per week
$86.3k - $118.7k
...Creative and Content organization, the Senior Account Manager plays a pivotal role in... ...campaigns. This role leads content and creative strategy across brand systems, translating... ...and research insights to deliver impactful creative solutions Leverage business,...SeniorFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$90k - $115k
...Department of Defense restrictions. Our Senior Security Policy Analyst is responsible for... ...governance, risk, and compliance (GRC) operations, and excels at clear communication and... ...for small to large businesses. We process claims and provide customer support for...SeniorClaimsContract workFor contractorsWork at officeLocal areaImmediate startRemote work3 days per week$50k - $53k
...communities to thrive. The Senior Account Manager for the FACTS... ...client satisfaction and operational excellence. JOB RESPONSIBILITIES... ...provide feedback on client impact and improvement opportunities... ...cause analysis and preventive strategies. Represent the FACTS...SeniorFull timeTemporary workWork at officeLocal areaRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Claims Operations Leader: Strategy & Impact. Be the first to apply!
- senior director product management Springfield, IL
- senior grant accountant Springfield, IL
- senior tax Springfield, IL
- senior data management analyst Springfield, IL
- senior consulting engineer Springfield, IL
- senior dynamics crm developer Springfield, IL
- senior brand strategist Springfield, IL
- sr accountant Springfield, IL
- senior medical science liaison Springfield, IL
- senior property accountant Springfield, IL


