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.
Functions
- Finance
- ...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
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- ...operations within a healthcare environment. This position is responsible for ensuring accurate billing, maximizing reimbursement, managing claims processing, resolving denials, and maintaining timely collections across multiple payer types. The ideal candidate will have...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 the...ClaimsWork at office
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- ...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
- ...not, 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...ClaimsExtra incomeFreelanceWork at officeRemote work
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- ...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
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- ...clients with phone calls and respond to voicemail messages and emails in a timely manner. Act as a liaison between the insurance company claims adjuster and the client in cases where there are claim disputes as needed. Update all policy information in the management system...ClaimsWork from homeFlexible hours
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$15k
...a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Desk Adjuster PRIMARY PURPOSE Handles losses and claims valued up to $15,000 for property and casualty insurers through the thorough examination of documents, records, loss reports, and other...ClaimsWork at officeLocal area$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- ...Product Manager / Product Owner – AI is responsible for end-to-end ownership of AI initiatives for a specific Line of Business or claims domain. This role partners directly with business stakeholders to define AI-enabled improvements to claims operations, cost control...ClaimsRemote work
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$600 per month
...roofing sales consultant, you'll be out in the field connecting with homeowners, performing inspections, and navigating them through the claims process with the support of a powerhouse team behind you. We offer $600 four weeks for training pay and weekly pay-plus uncapped...ClaimsWeekly payLocal area$83k - $100k
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- ...Head of Community Impact About the Company Internationally recognized network of NGOs providing technology solutions & support Industry Non-Profit Organization Management Type Non Profit Founded 1987 Employees 51-200 Specialties technology...Remote work
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