Head of Claims
Confidential
Head of Claims
About the Company
Growing specialty insurance organization focused on claims strategy and operational excellence.
Industry
Insurance
Type
Privately Held
About the Role
The Company is seeking a Head of Claims to take on a senior leadership role with a focus on designing, building, and enhancing the claims function. The successful candidate will be responsible for developing and executing the overall claims strategy, establishing performance metrics, and driving continuous improvement initiatives. This role requires a balance of technical claims expertise, operational leadership, and strategic vision to ensure efficient claims management, strong partner oversight, and exceptional service delivery. The Head of Claims will also be involved in overseeing claims performance, establishing controls for compliance, and leading transformation initiatives to enhance operational efficiency. Applicants for the Head of Claims position at the company should have a minimum of 10 years' of claims experience within specialty insurance or related sectors. The role demands a proven track record in managing claims operations and external partners, a strong understanding of claims governance and reserving, and experience in utilizing data and analytics for performance management. The ideal candidate will have a collaborative leadership style, an entrepreneurial mindset, and a passion for operational excellence and continuous improvement. Responsibilities also include leading the selection and management of third-party claims partners, developing a comprehensive claims governance framework, and ensuring compliance with regulatory and governance requirements.
Travel Percent
Less than 10%
Functions
- Finance
- ...Obtaining police reports/incident reports # Obtaining driver records # Obtaining cell phone records # Handling property damage claims # Making Open Records Requests for reports, dash cam and body camera videos from law enforcement # Verifying insurance and...ClaimsWork at office
- ...such as co-pays and deductibles, and generating reports for all of these activities. Duties may also require follow-ups on denied claims, daily insurance claims, and posting payments made by patients to their account. • You will have to solve collection and registration...Claims
$63.59k - $114.45k
AlphaStaffHCM is seeking an Inside Senior Property Adjuster to handle complex property insurance claims. This position entails investigating, negotiating, and settling claims, while providing strong operational support. Candidates should have at least 2 years of relevant...ClaimsWork at office- Independent Insurance Claims Adjuster (Licensed) Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity...Claims
$25 per hour
...Claims Operations Analyst Location: San Antonio, TX Duration: 12 Months Pay Rate: $25/hr Job Overview: We are seeking a Claims Operations Analyst to support business process services within insurance claims operations. This role focuses on operational reporting,...ClaimsWork at office- ...Role Summary: Performs a variety of AR activities and related tasks in order to recognize the maximum reimbursement from each claim. This position will be responsible for navigating the electronic medical record (EMR) and billing systems to obtain/produce and transmit...ClaimsWork at office
- ...for a leadership role in our San Antonio office. The position requires at least 5 years of experience adjusting property insurance claims and a minimum of 3 years in a supervisory capacity. The candidate will guide a team of adjusters, manage escalated issues, and ensure...ClaimsWork at office
- ...school diploma and at least 1 year of experience in credit balance accounts. Familiarity with medical billing and health insurance claims is required. The position offers flexible benefits, including medical, dental, vision insurance, and opportunities for hybrid work...ClaimsFlexible hours
- Strategic Staffing Solutions is looking for a Claims Operations Analyst located in San Antonio, TX. The ideal candidate will support business process services within insurance claims operations, focusing on operational reporting, data management, and process documentation...ClaimsWork at office
- ...Vice President, Auto Insurance & Risk Management Solutions About the Company Prestigious provider of risk & claims management services Industry Insurance Type Privately Held Founded 1962 Employees 5001-10,000 Categories Commercial Insurance...Claims
$18 per hour
...billing and revenue cycle management (RCM) department. You'll play a vital role in ensuring patient accounts are accurate, insurance claims are resolved quickly, and billing runs smoothly across multiple offices. This position is ideal for someone who thrives in a fast-...ClaimsTemporary workWork at officeMonday to FridayFlexible hours- ...denials, insurance follow-ups, and appeals based on their tier level in a hospital setting. Ensures accurate and timely submission of claims, works to resolve outstanding balances, and communicates effectively with insurance companies to maximize reimbursement....Claims
- ...and programs across the Company Direct the Company’s risk management programs, including property and casualty insurance programs, claims management, vendor insurance oversight, and corporate insurance certificate handling Ensures appropriate risk assessments are conducted...Claims
- ...the ability to guide and develop a team of adjusters. They must possess excellent writing skills, understand and comply with company claim handling procedures as well as applicable Department of Insurance regulations, and ensure direct reports do the same....ClaimsWork at officeImmediate start
- ...Responsibilities: Manage case files with care and extreme detail Assist clients with rental car accommodations Communicate with claims representatives Coordinate case activities with attorney staff Qualifications: Experience in legal case management...ClaimsFull timeWork at officeMonday to Friday
$54k - $80k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsFor contractorsWork at office$40k - $60k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsFor contractorsWork at office- ...Overview Role Summary: Performs a variety of AR activities and related tasks in order to recognize the maximum reimbursement from each claim. This position will be responsible for navigating the electronic medical record (EMR) and billing systems to obtain/produce and...ClaimsWork at office
- Summary Role: Head Golf Professional The Head Golf Professional oversees the daily golf operations of the Golf Shop, outside services and tournament functions. This professional should demonstrate experience of excellent human and public relations skills. This person...Work at officeNight shift
$100k
...The qualified candidate for this position must have an active Texas bar license and experience handling property damage insurance claims (plaintiff- or defense-side experience is acceptable). Base salary is $100k, with on-target earnings of $200k$300k in year one through...ClaimsWork at office$50k
...Specialist - ENT Midlevel Provider - Otorhinolaryngology: Head and Neck Cancer San Antonio ( Faculty School of Medicine 25000037 Requisition # Apply for Job Share this Job Sign Up for Job Alerts Department of Otolaryngology - HNS Physician...Full timeBank staffFlexible hours- ...reporting).Collect statements, photos, dashcam data, and ELD records.Coordinate with insurance providers, Admin Ops, and leadership on claims and follow-up.Track incidents to resolution and implement preventive measures.Dispatch Support & Issue De-EscalationSupport...ClaimsContract work
- ...effective revenue cycle management. Under the supervision of the Business Office Director and Supervisor, this role ensures timely claim submission, reimbursement accuracy, payer compliance, and exceptional customer service while maintaining patient confidentiality and...ClaimsWork at office
- ...SWBC is seeking a talented individual to investigate, evaluate, and negotiate auto claims, CPI and GAP, to determine the extent of liability by interpreting and calculating settlement. This individual will be responsible for issuing settlement payments to the Named Insured...ClaimsWork at office
- ...Position Type: Instructional Support/Head Start Floater Date Posted: 5/27/2026 Location: Roy Cisneros Leadership School (High-Needs School) Terms of Employment: 10 months/ 183 days per year. Salary is at Instructional Support Pay Grade IS1 at an...Hourly pay
- ..., obtains them. Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met. Evaluates claims for conflict of interest and criteria appropriateness. Works within established timeframes set by program parameters. Provides strong...ClaimsExtra incomeFreelanceWork at officeRemote work
- ...years, we have successfully advocated for property owners, supported by leadership with over 20 years of experience in the insurance claims industry. We pride ourselves on our longevity, high retention, and reputation for excellence. Many of our adjusters and office...ClaimsFor contractorsWork at office
- ...repair progress and updates to customers throughout the process Assist customers during vehicle delivery and pickup Coordinate claim initiation with insurance companies Manage insurance claim documentation and related administrative processes Maintain...ClaimsImmediate start
- ...Denial Management Analyst The Denial Management Analyst manages disputed or denied claims by analyzing medical records and payer policies to recover reimbursements in a hospital setting. Reviews and responds to payer audits. Ensures accurate ICD-10 coding, analyzes...ClaimsContract workWork at office
- ...standards. Revenue Cycle & Account Resolution Resolve and reconcile outstanding patient account balances Review and work claim edits and payer rejections for resubmission Respond to patient and payer inquiries via phone, written, and electronic...ClaimsContract workWork at officeMonday to FridayShift work
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