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
- ...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
$200k - $230k
...Our drive to transform healthcare is informed by our... ...Chemistry is looking for a Managing Director to join our growing... ...growth over the past several years, this person... ...accounts providing senior strategic counsel, building... ...unverified sources claiming to be connected to Real...ClaimsWork experience placementWork at officeLocal areaRemote work2 days per week$167k - $300.7k
The Role The Director, Clinical Monitoring Strategy and Oversight provides strategic leadership and oversight for... ...Risk & Compliance, Data Management, Biostatistics,... ...required in Life Sciences, Healthcare, Nursing, Pharmacy,... ...range will be based on several factors including,...SuggestedPermanent employmentFull timeWork experience placementWork at officeRemote workWork from home$178.5k
Posting Description MANAGING DIRECTOR, GLOBAL STRATEGIC ALLIANCES, Computer Science and Artificial Intelligence, will establish the goals, strategic... ...and events for the department. Alliances, comprised of several programs to facilitate connections and collaborations including...SuggestedFull timeVisa sponsorshipNight shift$275.85k - $337.15k
...the right way. Executive Director, Strategic Projects Position Overview... ..., milestones, and risks. Manage stakeholder expectations and... ...salary is determined by several factors including the candidate... ...offers from people claiming to work for or on behalf of...ClaimsMinimum wageFull timeWork at officeLocal areaFlexible hours$170k - $180k
Manager, Tech Strategy Advice - Healthcare & Life Sciences - ElevateIn the United States -Boston | ChicagoSimon-Kucher... ...and life sciences clients to solve strategic commercial and technology... ...provider-level prescribing, prescription claims, and other relevant healthcare data...ClaimsFull timeWork experience placementWork at officeWork from homeFlexible hours2 days per week3 days per week- ...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...
- ...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
- ...the way employers fund healthcare. As the largest and... ...insights, innovative risk management, and the collective... ...justify its economic and strategic role. Offensive... ...ownership Performance oversight and escalation... ...stop-loss economics and claims dynamics ~ Experience...ClaimsFor subcontractorFlexible hours
- ...second, we are a Management Services Organization... ...profits) provide several financial,... ...the organization’s strategic plan. The CFO serves... ...cost of care (claim cost)The CFO works... ...of the Board of Directors and/or the Executive... ...planning, oversight and managementDesired...ClaimsFull time
- ...operations of Travelers Claim Medical initiatives... ...industry. Develop medical management strategies that help... ...to medical and healthcare trends. This includes... ...Medical Direction and Oversight:Participate in the design... ...engagement of Regional Medical Directors, Medical Consortiums...ClaimsFull timeLocal area
- ...monitoring, population health management tools, and a CDC-... ...the ground up. The Director, Revenue Cycle Strategy... ...Own operational oversight across the full revenue... ...authorization, coding, claims submission, denial management... ...the billing team. Healthcare consulting with client...ClaimsFull timeTemporary workPart timeWork at officeRemote workRelocationFlexible hours
- ...specialty hospitals, a managed care organization,... ...related entities. Several of our hospitals... ...health and healthcare for all by translating... ...direction of the Director of Risk Capture, the... ...and external claims) that results in improvement... ...trainingClinical Oversight· Meet on a regular...ClaimsWork at officeRemote work
$120k - $135k
...Our drive to transform healthcare is informed by our... ...looking for an Associate Director, Medical Strategy tojoin... ...leadership, and/or strategic thinking.This is a hybrid... ...roles that involved management of medical writers and... ...any unverified sources claiming to be connected to...ClaimsWork at officeLocal areaRemote work2 days per week$209.6k - $313.38k
...marketed assets. The Medical Director, Global Medical... ...developing and executing strategic medical plans and... ...relationships with key external healthcare providers The Medical... ...for execution. Managing external providers,... ...processing fee, even if claimed you will be reimbursed...ClaimsTemporary workLocal areaFlexible hours$90k - $110k
...individuals committed to making healthcare more sustainable—and we’re... ...a trusted partner, this role manages complex calendars, prepares executives... ...expectations. This strategic role requires strong judgment... ...-related communication claiming to be from Arcadia, we encourage...ClaimsFull timeWork at officeRemote workFlexible hours$250k - $290k
...your discretion, subject to manager approval. For example, you may... ...Vice President, Transfer Agency Oversight to assist in building and... ...Success in this role will require strategic judgment and operational... ...offerings are influenced by several business factors, and eligibility...Full timeWork at officeLocal areaRemote work1 day per week$74.88k - $91.52k
## Cash Management AnalystApplylocations: Bostontime type... ...to help us transform healthcare? Bring your true... ...includes assisting with the oversight of Organization’s... ...processing for provider claim payments.* Complete monthly... ...will be based on several factors including, but...ClaimsTemporary workShift work$133k - $186k
...our core construction management services and complementary... ...clients across healthcare, life sciences, education... ...environments and the oversight of the design process... ...and building systems. Strategic mindset balancing design... ...salaries may be based on several factors including, but...Temporary workFor contractorsWork at officeFlexible hours$216k
...excellence or ambition. As a Managing Clinical Director, you'll do what you love... ...leadership, market oversight, and performance impact. Market... ...reviewing schedules in advance, strategizing in daily huddles, and... ..., team members, and other healthcare professionals in person and...Daily paidFull timeLocal areaShift work- ...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
- ...experience in sales, account management, or customer success within the healthcare industry? Are you... ...passionate about building deep strategic relationships that... ...SOPHiA GENETICS as our Director, Strategic Accounts -... ...are dependent on several factors including, but...Contract workTemporary workLocal area
- A healthcare solutions provider is hiring an EDI Specialist for their Bedford, MA location. This entry-level position involves filing insurance claims, reconciling payments, and ensuring accurate processing of EOBs. The ideal candidate will have proficiency in MS 365 and...Claims
- Director, Strategic Supply Chain Management Location: Remote Employee US, NH, US Req ID: 136159 Region: Americas... ...performing highly specialised roles in several major functions or departments.... ...installed as needed. Supports E&O claims, shortage management and follow up...ClaimsContract workWork at officeLocal areaRemote work
- ...adolescence Fellowship-trained team managing the full spectrum of... ...coverage of $5 million per claim and $10 million aggregate... ...the cultural, educational, and healthcare hub of Central Massachusetts.... ...manufacturing. The city is home to several renowned colleges and...ClaimsRelocationWork visa
$175k - $246k
...our core construction management services and complementary... ...clients across healthcare, life sciences, education... ...Role Summary The Senior Director of Talent &... .... Operating at both a strategic and executional level,... ...salaries may be based on several factors including, but...Temporary workFor contractorsWork at office$78k - $106k
...our core construction management services and complementary... ...serving clients across healthcare, life sciences,... ...Responsibilities The Claims Specialist under the supervision of the Director of Claims is responsible... ...impacts of losses across several lines of business. Responsibilities...ClaimsTemporary workFor contractorsFor subcontractorWork at office$115k
...business.We are hiring a Product Manager to take a hands-on leadership... ...product central to Trinity’s Strategic Planning & Forecasting... ...New Product Planning and/or healthcare secondary data analytics - technical... ...healthcare secondary data (claims) analyticsPharmaceutical...ClaimsFull timeWork at office- ...We are seeking a detail-oriented, organized, and proactive Healthcare Benefits Coordinator to support our clinical and administrative... ...timely insurance verification, prior authorizations, and claims management. Position Summary The Healthcare Benefits...ClaimsWork at office
- ...Screening Ambulance Health & Wellness Healthcare Hospitals & Clinics Specialties onsite clinic population health management disease management lifestyle... ...function dedicated to translating clinical and claims data into actionable insights. The...Claims
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