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
- ...Managing Director, Strategic Claims Oversight, Healthcare Severity About the Company Top provider of insurance products & related services Industry Insurance Type Public Company Founded 1897 Employees 5001-10,000 Categories Insurance...Claims
- CNA Insurance seeks a senior leader to oversee the Severity Team, guiding claim and litigation management with strategic direction. This role involves direct leadership, staff development, and ensuring alignment with business goals. The ideal candidate has JD and extensive...Claims
$130k - $180k
...estimating along with good management and communication skills are... ...including but not limited to: healthcare, hospitality, higher... ...team member allocation and oversight ~ Hiring Manager responsibilities... ...~ Oversight of project claims and resolution ~ Oversee...ClaimsTemporary workFor contractorsWork at office- ...Managing Director, Strategic Sourcing About the Company Top provider of insurance products & related services Industry Insurance... ...specialty insurance construction financial institutions healthcare manufacturing professional services real estate...SuggestedWork experience placement
$97k - $189k
...market leader in insuring Healthcare providers and entities... ...liability claims. This role is responsible... ...driving claim resolution, managing complex litigation including... ...The Healthcare Claims Severity & Excess Team manages... ...management.Provide strategic guidance during trials...ClaimsFull timeWork experience placementShift work$97k - $189k
...vendor solutions that enable the Claims strategy and operational... ...activities and has full management responsibility for the performance... ...requirements, develop strategic category plans and execute initiatives... ...contact ****@*****.***. #J-18808-Ljbffr 3M HEALTHCAREClaimsContract workWork experience placement- ...Executive Director, Strategic Initiatives About the Company Leading, multi-site healthcare organization driving enterprise growth and transformation. Industry Hospital... ..., and establishing an Enterprise Program Management Office to oversee high-impact initiatives....Work at office
- ...Executive Director, Strategic Sourcing About the Company Highly-regarded medical education... ...Medical Care Medical Centers Healthcare Ambulatory Services Ambulance... ...orthopedics transplant services weight management women's health neurology and...
- ...Executive Global Compliance For Ge Healthcare's Advanced Imaging Solutions This role serves... ...AIS's global operations, providing strategic leadership on compliance program design,... ...g., the Anti-Kickback Statute and False Claims Act), and other compliance risks specific...ClaimsLocal area
- ...A healthcare staffing agency is seeking a Dental Insurance Biller responsible for handling billing claims and ensuring accurate patient insurance records. The ideal candidate will have experience with insurance companies, possess excellent multitasking and communication...Claims
$72k - $141k
...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, influencing...ClaimsWork experience placementWork at office$62.1k - $105.3k
...multi-discipline coverage and claims that have been referred to... ...Special Investigations, Time Management Compensation Base compensation... ...for this role is comprised of several factors, including the base compensation... ..., HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star...ClaimsWork at officeWork from homeVisa sponsorshipWork visa- ...Executive Director of Strategic Initiatives EXECUTIVE DIRECTOR OF STRATEGIC INITIATIVES HAROLD WASHINTON... ...direction and administrative oversight across multiple areas of the college,... ...successful execution of major projects, managing all phases from planning and resource...Full timeWork experience placementWork at officeShift work
$97k - $189k
...third-party vendor solutions that enable Claims strategy and operational excellence.... ...through execution ensuring alignment to strategic priorities. A key focus area includes category... .... Balances rigorous vendor performance management with forward-looking innovation,...ClaimsFull timeContract workWork experience placement- 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
- ...multifaceted Medical Assistant to join our healthcare team, where you will play a crucial role... ..., ensuring a welcoming atmosphere. - Manage appointment scheduling and maintain an... ...:** - Process patient insurance claims efficiently and accurately, adhering to...ClaimsWork at office
- ...party administrator focused on self-funded healthcare operations and continued growth.... ...healthcare operations, stop-loss programs, and claims management. The successful candidate will be responsible for a combination of strategic and tactical activities to support the company...ClaimsRemote work
- ...Description Front Office Manager--Physical Therapy Hybrid/Full... ...status quo, and reimagined healthcare delivery. Over four years, through... ...Operations & Oversight Daily Oversight of all administrative... ...adjustments and ensure accuracy in claim posting and payer compliance....ClaimsFull time
$225k - $240k
...RESPONSIBILITIES Engagement Managers direct the day-to-day work of... ...consultants in complex analysis and strategic problem solving including:... ...or re-facing) programs in Healthcare industry Knowledge of IT and... ...and provider systems, such as claims systems, enrollment systems,...ClaimsMinimum wageWork at office$146.71k - $220.06k
...dental, and vision benefits that include healthcare navigation assistance. Access to a... ...met. Position Overview The Executive Director of Strategic Sourcing is the senior-most... ...advantage — through disciplined spend management, strategic supplier relationships, clinical...Contract workImmediate startShift work- ...The Senior Program Manager will support... ...implement work plans for several simultaneous... ...lived expertise, healthcare providers, and community... ..., and work with directors, contracts team,... ...Provide oversight and collect data... ...clients and ensure strategic alignment with other...Contract workFor contractorsFor subcontractorLocal areaShift work
- ...Automation About the Company Large healthcare technology and services organization... ...validation, end-to-end testing, and defect management. The role also involves building a quality... ...technology, particularly in pharmacy, claims, or health-plan environments, and experience...Claims
- ...of Sales About the Company AI-enabled healthcare revenue cycle management company serving complex medical billing and claims recovery. Industry Hospital & Health... ...team but also personally handling the most strategic deals. The ideal candidate for the Vice President...Claims
$150k - $200k
...Claims Counsel Job Type: Full Time Location: Downtown-Chicago... ...focused on handling low to high severity files from notice to... ...moderate training, mentorship, oversight, and management by an ORPRO supervisor. Job... ...changing environment, and strategic in decision-making....ClaimsFull timePrivate practiceWork at officeLocal areaRemote work- ...About the Company Innovative healthcare technology (HealthTech)... ...to supplemental networks claim cost repricer healthcare cost... ...of pharmacy economics. This strategic position is focused on translating... ...in medical claims cost management. As the VP of Technology Operations...Claims
- ...Administration and Management, as well as... ...FTCA. Oversees the Claims Management of the... ...Provides guidance and oversight of the risk... ...Behavioral Health Director to build and empower... ..., and multiple healthcare system executive... ...progress toward strategic organization SMART...ClaimsWork at officeLocal area
$42.54 - $65.94 per hour
...factors. Position Highlights: Position: Clinical Risk Manager Location: Evanston, IL Full Time:40 hours/week... ...events in order to decrease the frequency and severity of patient safety events and works closely with Claims Management to identify potential/actual professional...ClaimsHourly payFull timePart timeMonday to FridayFlexible hours- Assistant It Product Manager This position is for an Assistant IT Product Manager working in Healthcare Billing for a large Insurance Provider in the claims portfolio. The Assistant IT Product Manager will be responsible for assisting the IT Product Manager with lifecycle...Claims
$185k - $300k
...expertise and products and claims management for Inland Marine lines of... ...align with our strategy, have oversight of our operating unit... ...requirements. You will partner on strategic planning and overall... ...Authority and work with UW Quality Director and Field organization on...ClaimsFull timeWork at officeImmediate startRemote work- ...holding company that manages a diverse and broad portfolio... ...and delivery of strategic initiatives. This role... ...engines, underwriting, claims adjudication, and... ...management and contractual oversight skills within large,... ...great benefits including healthcare, parental leave and...ClaimsTemporary workWork at officeRemote workFlexible hours
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