Managing Director Strategic Claims Oversight - Healthcare Severity
$97k - $189kCNA Financial
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. The Managing Director Strategic Claim Oversight leads the Severity & Excess Accounts team that both directly handles and oversees the highest exposure claims in Healthcare. Ensures the effective execution of claims handling practices and leads ongoing efforts to drive operational initiatives and continuous improvement. Accountable for the overall quality, customer service delivery and productivity of the team.JOB DESCRIPTION:Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: 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. #LI-KC2#LI-HybridIn 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: Chicago, IL, USA; Princeton, NJ, USA; US- CA73 - Los Angeles-633 West 5th Street; Tarrytown, NY, USA; Downers Grove, IL, USA; Boston, MA, USA; Irvine, CA, USA; New York, NY, USA; Lake Mary, FL, USA; Plano, TX, USA; Melville, NY, USA; Overland Park, KS, USAType: Full time
- ...recommends improvements for financial management of each billing area.... ...variance analysis• Insurance claim adjudication knowledge•... ...workload• Knowledge of HIPAA and healthcare compliance requirements Remote... ...'s base salary and/or rate, several factors may be considered as...ClaimsHourly payContract workWork at officeRemote workMonday to Friday
$72k - $141k
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...leader in insuring Allied Healthcare Providers, including... ...focused Complex Claims Consultant position, you... ...overall investigation, management and resolution of Allied... ...claims to include on oversight/watch lists, and preparing... ...RelationshipTypically Director or aboveSkills,...ClaimsFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work$24 per hour
...ready to leverage your background in healthcare billing and data management into a dynamic, high-growth... ...experience in medical collections, medical claims, revenue cycle management, or third-... ...successful candidate will be based on several factors including the candidate's...ClaimsHourly payPermanent employmentTemporary workWork experience placementImmediate startShift work- ...Description Expanding Seaford based Law Firm seeking Representatives to verify payment status on Healthcare Providers outstanding 'Workers' Compensation Insurance claims. Candidates must have strong customer service and communication skills with the ability to navigate...Claims
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...procedures. ~ Risk Management: Identify compliance... ...and documentation. ~ Claims & Authorization Integrity... ...windows. ~ Timeline Oversight: Monitor reassessment... ...for the Executive Director and Board; maintain audit... ...required; Master’s in Healthcare Administration, Public...ClaimsFull timeRemote workFlexible hours- ...assist members, physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. Primary... ...and support projects as directed by the management. Balancing the demands of the caller with program...ClaimsWork at officeFlexible hours
$100k
...regional partners, and the Director of AR Operations.This... ...denied and underpaid claims in a timely and... ...resources are effectively managed to support high-quality... ...with healthcare billing practices and... ...hospital care including several named "Best Of" by US...ClaimsTemporary workWork at office$147k - $241.5k
...potential. Leads a team of Claims Consultants and Consulting Directors that are responsible... ...effective team management and the resolution of... ...activities of medium to high severity specialized Claims... ...and retention.Provides oversight and strategic direction on claim files...ClaimsFull timeWork experience placementWork at officeLocal area$99k - $232k
...member’s unique strengths, and managing performance to deliver on... ...learning techniques to large-scale claims, clinical, and member data to... ...client accounts, focusing on strategic planning and mentoring junior... ...a significant impact in healthcare.Responsibilities- Apply advanced...ClaimsFull timeH1b$110k - $160k
...Island. Be a part of our team of healthcare heroes and discover why... ...Workplace! Job Details The Risk Manager conducts comprehensive... ...risk reduction initiatives and strategic clinical safety metrics. Actively... ...and potential patient claims. Conduct complete investigations...Claims- ...clinical services, provide administrative oversight and manage quality and safety performance metrics... ...as we work together to transform healthcare. We encourage all team members to actively... ...Hospital among the country's best in several pediatric specialties. The Icahn...Full timeTraineeshipLive inLocal area
- ...ensure timely resolution of all outstanding claims, via phone, emails, fax or... ...patients, insurance payors, co-workers, management and clientsMaintain confidentiality at all... ...following up on claimsBasic knowledge of healthcare claims processing including: ICD-9/10, CPT...ClaimsWork at officeLocal area
- ...A leading training organization in Melville, New York, is seeking Licensed Claims Adjusters to join their team amid growing demand for insurance claims professionals. This role offers comprehensive training to equip both seasoned and new adjusters with the skills needed...ClaimsFlexible hours
- ...institution providing education, healthcare & social justice services... ...systems with the organization's strategic and mission priorities, ensuring that resources are managed efficiently, transparently,... ...sustainably. This includes oversight of finance, HR, facilities, IT...
$8 per hour
...PracticeQ and Google Calendar. Manage weekly meetings, including... ...with EOB checks and weekly claims reviews. Identify missing... ...support, care coordination, or healthcare administration. Experience... .... Able to manage several workflows while staying organized...ClaimsFull timeWork at officeRemote workShift work$24 - $30 per hour
...direction of the Hospital RRC Supervisor/ Manager, the Hospital Patient Financial Services... ...timely manner, and to document account/claim status and actions appropriately in the... ...terminology, CPT, HCPCS, and ICD10 coding used in healthcare. Ability to work independently,...ClaimsContract workWork at office$38.46 per hour
...of property, casualty, risk management, life and health, employee benefits... ...Account Executive on Our Healthcare Solutions Team Our... ...captive management, actuarial, claims and loss prevention as required... ...of the clients' business, strategic priorities, risk strategies...ClaimsContract workLocal area$99k - $232k
...leveraging team member’s unique strengths, and managing performance to deliver on client... ...back office operations- Specialization in claims, enrollment, billing, and membership-... ...Experience with transaction lifecycles and Healthcare/Payer Services- Knowledge of COTS...ClaimsFull timeH1b- ...and success of Travelers.What Will You Do?Manage the profitability, growth, and retention... ...and frequently partner with your Managing Director (MD) to develop region/group sales plans.... ...a Must Have?Four years of underwriting, claim, operations, risk assessment, actuarial,...ClaimsFull timeLocal area
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$72k - $141k
...supported in using their talents to their fullest potential. This individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line...ClaimsFull timeWork experience placementWork at officeFlexible hours$50k
...a part of our team of healthcare heroes and discover why... ...Details The Executive Director is the primary... ...Executive Director will manage a small Foundation team... ...initiatives and anticipated strategic priorities as... ...support. Provide executive oversight of the Volunteer Services...
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