Managing Director Strategic Claims Oversight - Healthcare Severity
$97k - $189kCNA Insurance
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. Job Description Essential Duties & Responsibilities 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. In 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 #J-18808-Ljbffr
- CNA Insurance seeks an experienced leader to head the Severity Team, directing investigations, litigation strategy, and staff development. The role requires senior expertise in claims management and the ability to influence across departments and external partners. The...Claims
$97k - $189k
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...executive leader for major clients and strategic projects while developing Project Managers into future leaders. The Project... ...Leadership Provide executive oversight of multiple projects from... ...flow, cost reporting, change and claims management, risk mitigation, and...ClaimsFull timeContract workFor subcontractorWork at officeLocal areaNight shift- TVG-Medulla, LLC is seeking an Accounts Receivable (A/R) Claims Specialist to join our Revenue Cycle team at our Oak Brook, IL headquarters. You will manage insurance claims from submission through resolution, investigate unpaid and denied claims, and collaborate with payers...Claims
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...responsible for providing overall management for large projects, leading... ...~ Provide oversight and accountability for large... ...overseeing large c onstruction healthcare projects $75 million or larger... ...positioned within the range based on several factors including an...Contract workH1bWork at officeFlexible hours- ...is a premier concierge healthcare practice dedicated to delivering... ...highly detail-oriented, strategic, and compassionate Billing Manager to lead our Billing... ...charge capture, claim submission, payment posting... ...Accounts Receivable (AR) Oversight Own AR performance, including...Claims
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...responsible for providing overall management for large projects, leading... ...relationshipsProvide oversight and accountability for large... ...overseeing large construction healthcare projects $75 million or largerProven... ...within the range based on several factors including an...Contract workH1bWork at officeFlexible hours$94.4k - $155.8k
...General Liability, you will be responsible for managing and investigating complex and higher-severity injury and/or property damage claims including customer contact, determining... ...payments within appropriate authority and oversight. In this senior technical role, you will...ClaimsWork at officeLocal areaNight shift$105.5k - $182k
...advisory services for the healthcare industry. With a... ....Reporting to the Sr. Director CAPEX & Engineering PMO... ...for funding for Senior Management approval.Follow disciplined... ...stakeholders across several departments.Familiar... ...deal effectively with strategic issues, as well as...Full timeFor contractorsWork at officeImmediate startWorldwideFlexible hours- Dover Corporation is seeking a U.S. Benefits Manager to oversee health and welfare programs for ~12,000 employees. You will analyze costs, funding, claims data and enrollment to drive financial insights and strategic decisions. You’ll partner with HR teams, vendors and...Claims
$72k - $141k
...market leader in insuring healthcare providers and... ...customers. Our Healthcare Claims team is seeking Complex... ...overall investigation, management and resolution of... ...claims to include on oversight/watch lists, and preparing... ...Relationship Typically Director or above Skills, Knowledge...ClaimsWork experience placementWork at officeLocal areaFlexible hoursShift work$72k - $141k
...and within broad authority limits to provide technical oversight of complex high-exposure commercial Workers Compensation claims handled by Third-Party Administrators (TPAs). While not responsible for people management the role functions as a subject matter leader...ClaimsFull timeContract workWork experience placementWork at office- ...Insurance in Downers Grove, IL is seeking a Telephonic Nurse Case Manager to manage medical and disability case management within the Workers' Compensation claims department. This role partners with healthcare providers, employers and claim professionals to support timely...ClaimsWork at office
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...Eligibles, and Medicaid products across Medical Management organizations; optimizing the clinical... ...triage and reporting of high dollar claims; directing quality analysis, performance... ...with quality improvement. Knowledge of healthcare/insurance industry, trends,...ClaimsWork at officeNight shift3 days per week- ...training on the contract management system. Directs the... ...to address the strategic goals of the department... ...MASS rates. Provides oversight of provider services and... ...configuration for claims payment. Oversees all... ...care plans. Molina Healthcare offers a competitive...ClaimsContract workWork at office
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$19.13 - $34.17 per hour
...Critical Illness/Specified Disease, Accident Insurance, Life product claims and weekly income claims on various policies with a variety of... ..., STAR (Claim System), Genelco/GIAS, Salesforce, UTS, Benefits Manager. Knowledge in one (1) of the following claim types: Critical...ClaimsTemporary workWork experience placement- ...in the ERP system. The role requires excellent communication, effective phone and email etiquette, and familiarity with medical terminology and HCPC/ICD-9 codes. Experience with claims edits and resubmissions is a plus, and you will collaborate with #J-18808-LjbffrClaims
$1,000 per month
...evaluate homeowners property claims from start to finish. You will... .... In this role, you will manage the entire claim lifecycle, including... ...homeowner losses of all severities Builds mastered relationships... ..., HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing...ClaimsContract workFor contractorsWork at officeWork from homeVisa sponsorshipWork visaRelocation package- TVG-Medulla, LLC is a healthcare management organization with 830+ employees and corporate headquarters... ...in Oak Brook, IL. It seeks a strong strategic COO to lead operations as it expands... ...and department software. 2+ years in claims/revenue cycle and Waystar experience are...Claims
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- ...service, and proficiency with Microsoft Word, Excel, and Outlook; familiarity with medical terminology and HCPC/ICD-9 codes is a plus. Primary duties include resolving billing inquiries, editing and resubmitting claims, and documenting activities in ERP #J-18808-LjbffrClaims
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