Director, Claims Operations Jobs

EASY APPLY

Ensure effective customer service delivery, administration and eligibility and claims processing to support business retention; other duties will include, but not be limited to, policy interpretation...

Provides guidance on technical matters, monitors claims reserves and extends settlement authority.

Coordinates strategic meetings, documentation and deliverables. Sets pace for meeting key timelines, manages expectations and ensures all collateral ready for review. Establishes and reviews key stra...

Negotiate cases to an acceptable resolution under moderate supervision. Set accurate and timely reserves. Analyze and address coverage issues timely and accurately under multiple policies...

Recommend and implement procedural and systems changes to deliver quality service to internal and external customers

Responsible for the direction, coordination, planning, budgeting and oversight of all activities related to the claims department work. Ensures compliance with internal policies and regulatory require...

Develops and implements new solutions and operational processes in order to ensure optimization and compliance with established organizational metrics, government standards, and regulations...

Participate in IT prioritization process and provide oversight of IT projects and enhancements to claims systems or claims related management, including ticketing systems...

Excellent organizational, writing, interpersonal communication, and negotiation skills. Excellent customer service skills and will be able to work with clients and business partners in a professional...

Assigns cases to outside counsel and manages claims-related engagements and litigation; works closely with adjusters and claim managers to analyze coverage issues and draft coverage correspondence...

Develops, implements, monitors and controls the necessary procedures to provide adjuster coverage at a claims call center site for situations where primary/handling adjuster is not available. Maintain...

Continuously identify and evaluate opportunities for innovation within existing programs and partners as well as unserved opportunities.

EASY APPLY

Be responsible for providing leadership/guidance for DC operational functions and growth of the business unit; assist in developing overall business planning/supply chain planning strategies...

Maintain a comprehensive understanding and knowledge of state and federal laws applicable to PD/BI/AI/PI claims and litigated claims arising from commercial primary casualty lines of business underwri...

Responsible for maintaining, reviewing and updating policies and procedures in relation to claims in response to regulatory and business updates, and communicating revisions to appropriate staff...

Develop world class sales and marketing content to support omni-channel selling that transforms our growth and ability to engage clients and partners across digital, virtual, or in-person engagements...

Analyze and address coverage issues timely and accurately under multiple policy contracts. Maintain well documented and articulate file notes.

Identify improvement opportunities in adherence to claim best practices, loss costs and regulatory compliance. Develop and oversee adherence to improvement plans to meet corporate goals and objectives...

In the absence of the General Manager, the Director of Operations will oversee all hotel operations. The Director of Operations will be assigned various special projects by the General Manager...

EASY APPLY

Responsible to lead, coach and mentor employees to new levels of skills, capabilities and performance; leading customer service through consistent on-time delivery...

EASY APPLY

Set and monitor product standards, examining samples of raw products or directing testing during processing, to ensure finished products are of prescribed quality...

The Director, Claims, New Brands Empowerment manages the technical integration of new acquired brands as it relates specifically to technical claims substantiation. This role combines the technical ex...

The successful Director of Operations will achieve goals and objectives, ensure the highest level of Security Officer Quality, retain quality clients by providing excellent customer service, build and...

The successful Director of Operations will achieve goals and objectives, ensure the highest level of Security Officer Quality, retain quality clients by providing excellent customer service, build an...

EASY APPLY

Collaborate with senior leadership to develop and implement plans for the operational infrastructure of systems, processes, and personnel designed to accommodate the rapidly changing healthcare enviro...