Managing Director, Strategic Claims Oversight, Healthcare Severity
Confidential
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
- B2B
- Enterprise
- Consulting & Professional Services
- Agents and Marketers
- Casualty
- Finance
- Multi-Line
- Property
- Property and Casualty Insurance
- Financial Services
- Information Technology
- Property Management
- Real Estate
- Risk Management
Specialties
- commercial insurance
- specialty insurance
- construction
- financial institutions
- healthcare
- manufacturing
- professional services
- real estate
- small business
- technology
- retail
- and wholesale distribution
Business Classifications
- B2B
- Enterprise
About the Role
The Company is seeking a Managing Director for Strategic Claims Oversight in Healthcare Severity. The successful candidate will lead a team that is responsible for the direct handling and oversight of the highest exposure claims in the healthcare sector. This role is pivotal in ensuring the effective execution of claims handling practices, driving operational initiatives, and leading continuous improvement efforts. The Managing Director will be accountable for the overall quality, customer service delivery, and productivity of the team, and will be expected to have a clear vision for their career, with the support of the company's leadership to help them achieve their professional goals. Key responsibilities for the Managing Director include leading and directing the work activities of the Severity Team, overseeing complex claim investigations, and determining claim strategies. The role also involves developing and maintaining collaborative relationships with internal and external business partners, and ensuring the team is in compliance with best practices. The ideal candidate will have a senior-level knowledge of claim and litigation management, excellent communication, negotiation, and facilitation skills, and the ability to manage ambiguous situations. A Bachelor's degree is required, with a JD preferred, and a minimum of ten years of claims or legal experience is typical, with a proven track record of positive results. The candidate should be value-driven, with a sense of urgency to advance the organization's priorities, and a strong ability to coach, mentor, and develop subordinate staff.
Hiring Manager Title
AVP
Functions
- Legal
- Operations
$97k - $189k
...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...ClaimsFull timeWork experience placementWork at office- ...Executive Director of Financial OperationsColumbia Engineering... ...accessibility of our healthcare, and the... ...financial framework; provides oversight of the Engineering... ...accounts payable, and cash management functions; delivers... ...transfers, and damage claims. Oversee compliance with...ClaimsWork at officeLocal area
$300k - $325k
...MetroPlusHealth’s Senior Management team and is vital in... ...assistance with the oversight, management, and supervision... ...Customer Success, and Claims. This position is... ...resolution at both a strategic and functional level.... ...at every stage of the healthcare management process...ClaimsFull timeContract workWork at officeFlexible hours$165k - $215k
...of what makes American healthcare expensive isn’t... ...higher premiums, denied claims, surprise bills, and a... ...plan and need to build several functions, capabilities... ...thought partner, lead strategic, cross-functional projects... ...new team roles, manage transition from "prototype...Claims- ...a forward-thinking Director of AI Innovation & Strategic Initiatives to lead... ...-related strategy, manage pilots and execution... ...with direct oversight of project resources... ...population health, claims, and member engagement... ...learning, automation, and healthcare innovation....Claims
$70k - $80k
...to apply for the Manager, Integrated (Media... ...and in the healthcare industry isn’t just... ...requiring minimal oversight to do your best work... ...sources claiming to be connected to... ...Solutions Manager, Strategic Accounts, Marketing... ...Temporary Associate Director, Cross-Channel Planning...ClaimsFull timeTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hours2 days per week$15 - $19 per hour
...pertinent to processing claim. Sort, organize and... ...specific special handling. Oversight of Cases Monitor,... ...Experience working in a healthcare (medical office,... ...environment. Ability to manage multiple tasks and quickly... ...will depend on several factors including the...ClaimsTemporary workWork at officeRemote workWork from home- ...the Division of Healthcare Management and Occupational... ...DHMOSH provides strategic and operational... ...the UN Medical Directors Network. The Advisory... ...on Compensation Claims (ABCC) is a UN... ...causality, severity, permanence, and... ...subordinates, provides oversight and takes...ClaimsPermanent employmentFixed term contractWork experience placementWork at office
$275k - $325k
## Managing Director: Senior Housing Sales DeskApplylocations: New York, NYtime type: Full timeposted... ...as a leader in multifamily and healthcare finance, with $13 billion in loan originations... ....**If you are contacted by someone claiming to represent Greystone and suspect the...ClaimsWork at office- ...apply policy guidelines and healthcare terminology and delineate when... ...are/are not met. Evaluates claims for conflict of interest and... ...cases. Provides clinical oversight to cases that are complex and... ...Third-Party Administrators, Managed Care Organizations, Employers...ClaimsExtra incomeFreelanceWork at officeRemote work
$189k - $231k
...Role Overview AIR’s Healthcare Transformation Program... ...seeking an experienced Managing Director (MD) to lead and... ...from administrative and claims data, while identifying... ...Set the strategic direction for a portfolio... ...requirements. Provide executive oversight across the full...ClaimsFull timeFor subcontractorH1bLocal area$200k - $250k
...impact?West Monroe is seeking a Healthcare Director to join our dental strategy... ...organizations - practice management, AI, workflow,... ...practice management platforms, claims platforms, etc.) Partner with... ...ecosystem, supporting innovative, strategic, and technical...ClaimsLocal areaImmediate startFlexible hours- ...is currently seeking a Director, Program Integrity, Health... ...:Provide technical and strategic advisory services related... ..., cost reporting, managed care oversight, and federal claiming, to identify and mitigate... ...experience in Medicaid finance, healthcare finance, reimbursement,...ClaimsH1bLocal area
$200k - $230k
...client is a major U.S. healthcare organization operating across... ...They are seeking a Director of Product Management – AI Claims Platform to lead a portfolio... ...This is both a strategic and hands-on product leadership... ...auditability, or human oversight Consulting experience...ClaimsContract workRemote work- A leading healthcare consulting firm is seeking a Managing Director for Omnichannel Strategy & Practice. This role involves developing innovative solutions, providing strategic guidance, and driving business growth within the life sciences industry. Candidates must possess...Remote job
- ...psychiatry programs by Becker’s Healthcare. The Lower East Side in New... ...partnership with the Medical Director of Acute Care and Vice Chair... ...SupervisionProvides clinical oversight and supervision for psychiatry... ...among the country’s best in several pediatric specialties. The Icahn...Full timeTraineeshipLive inLocal area
$28.85 - $35 per hour
...Specialist for a fast-growing healthcare revenue recovery organization... ...denied and underpaid insurance claims through disciplined, payer-specific workflows. You will manage assigned denial queues, submit... ...based on performance in the first several months. Converted employees...ClaimsHourly payTemporary workInterim roleRemote workFlexible hours- ...Operational Risk, Information Technology Oversight About the Company Rapid-growing... ...Processing Dayton General Electric Healthcare Financing Medical Financing My... ...with information security and risk management concepts, experience in IT operations or...
- ...building next-generation healthcare companies. We manage venture capital and venture... ...and an unmatched degree of strategic leverage and domain... ...the Role: As a Managing Director of New Ventures , you will... ...investment decision with minimal oversight. ~ Deep connectivity to...Full time
- ...About the Company Dynamic healthcare technology (HealthTech) company... ...Computing Healthcare Healthcare Claims Clearinghouse Provider Portal Revenue Cycle Management Solutions About the Role... ...activities, and driving strategic initiatives across the enterprise...Claims
- CVS Health is seeking a Director for Product Management-AI Claims Platform to build AI-powered solutions in healthcare. This role directs product strategy, manages a team of Product Managers, and collaborates with cross-functional partners to drive impact in health services...Claims
- ...BPM services with decades of healthcare domain expertise to help... ...offerings for clinical, case management, member engagement, provider... ...solutions, payment integrity, claims cost containment, and analytics... ...and timelines, and maintain oversight of the work and outcomes....ClaimsTemporary workWork experience placementCurrently hiringWork from homeFlexible hoursShift work
- ...Candor Health OpportunityCandor Health is a healthcare intelligence platform that is powering... ...certification boards, booking sites, claims, social media, and others, with human and... ....Lead vendor negotiations and renewals; manage relationships and contracts across legal...Claims
$180.5k - $285k
...shaping the future with your strategic vision and influence.J.P. Morgan Healthcare Payments supports healthcare... ...consumer experience.As a Product Director, Healthcare Claims Payments in Healthcare... ...vision, roadmap execution, risk management, and business growth outcomes...Claims$90k - $130k
...Insurance organization, is seeking to add a Claims Oversight Consultant - General Liability to... ...stakeholders to ensure effective risk management strategies are implemented across a... ...performance and reduce loss frequency/severity. Review and monitor claims activity...ClaimsContract workFor contractors$276.4k
Fidelis Care - New York seeks a Chief Medical Officer to provide medical oversight and leadership for our New York Health Plan. The successful candidate will ensure quality healthcare delivery, oversee clinical staff training, and engage with the local medical community...Local area$210k - $250k
...mission to transform the U.S. healthcare system — and we're the only... ...seeking an exceptional Senior Manager to join our Strategy & Operations... ...executing a diverse array of strategic initiatives across the... ...have been contacted by someone claiming to be a Garner recruiter or a...ClaimsWork at officeFlexible hours3 days per week- ...education, higher education, healthcare, and large commercial and... ...engineering, construction and project management concepts and practices,... .... Influence technical and strategic decisions to ensure... ...approve major change orders, claims, and recovery plans. Lead resolution...ClaimsContract workFor contractorsFor subcontractorWork at officeLocal areaWork from home
- DescriptionThe Clinical Risk Manager reports to the Director of Risk Management... ...safety events, claims management, loss... ...leadership, provides oversight of data aggregation... ...Root Cause Analysis or Healthcare Failure Mode and... ...the country’s best in several pediatric specialties...ClaimsTraineeshipLocal areaFlexible hoursShift work
$180k - $220k
...ultimately trickles down across the healthcare ecosystem, driving up costs... .... Alaffia is a new kind of claims operations partner for health... ...the CEO, you will serve as a strategic partner and force multiplier,... ...& Organizational Leverage Manage the CEO's priorities, prepare...ClaimsFull timeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Managing Director, Strategic Claims Oversight, Healthcare Severity. Be the first to apply!
- managing director of operations New York, NY
- chief New York, NY
- technology executive New York, NY
- chief medical officer cmo New York, NY
- chief development officer New York, NY
- chief executive officer New York, NY
- executive assistant to ceo New York, NY
- executive sales director New York, NY
- chief of psychiatry New York, NY
- chief officer New York, NY



