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
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- ...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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- 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
$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- Head of Acquisition About the Company Fast-growing online gaming brand redefining how players engage with casino entertainment. Industry Gambling & Casinos Type Privately Held About the Role The Company is seeking a Head of Acquisition to play a pivotal...
- ...adjusting experience is required for career-entry applicants. Are you interested in building a career as an Independent Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced and properly trained...ClaimsFlexible hours
- ...Head of Acquisition About the Company Fast-growing online gaming business building a differentiated North American casino entertainment platform. Industry Gambling & Casinos Type Privately Held About the Role The Company is seeking a Head of Acquisition...
$60k - $90k
...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 contractorsFlexible hours- ...Head of Revenue About the Company Ambitious private equity firm specializing in vertical software business acquisitions Industry Internet Type Privately Held, Private Equity-backed Founded 2015 Employees 1001-5000 Categories Information...
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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
- ...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
- ...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
$35k - $75k
...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- ...business successful, thus enhancing the career goals of every employee. We have an immediate opening for an experienced Property Claim Supervisor. Candidate must have excellent leadership and supervisorial skills with the ability to guide and develop a team of adjusters...ClaimsWork at officeImmediate start
- ...and/or patient experience. Must have professional and effective written and verbal communication. Billing Review and work on claim edits. Works payor rejected claims for resubmission. Works reports and billing requests. Demonstrates strong knowledge of...ClaimsFull timeWork at officeMonday to Friday
- Olmos Basin Golf Course & San Pedro Par 3 and Driving Range | San Antonio, Texas FULL-TIME LEADERSHIP ROLE MUNICIPAL GOLF IMPACT YEAR-ROUND AGRONOMY The Opportunity The Alamo City Golf Trail (ACGT) is seeking a knowledgeable, driven, and people-focused Golf Course Superintendent...Full timeFor contractorsSeasonal workLocal areaEarly shift
$20 - $23 per hour
...looking for experienced Insurance Follow-Up Representatives to join their team. Overview of Responsibilities: Monitor and track claim statuses, identifying and resolving claim rejections or denials promptly. Conduct regular follow-up with insurance companies to...ClaimsHourly payPermanent employmentContract workLocal areaWork from homeMonday to Friday2 days per week- ...Representative The Patient Account Representative's responsibilities include liaising with medical insurance providers to process claims in a timely and accurate manner, resolve payment issues, assist patients in understanding insurance claims, and processing patient...ClaimsWork at officeFlexible hours
- ...Kforce has a client in San Antonio, TX that is seeking an Auto Adjuster.Summary:Your work will focus on adjusting non-injury auto claims and you will work under supervision to investigate, evaluate, negotiate, and adjust low complexity auto insurance claims presented...ClaimsHourly payContract work
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