Senior Director of Claims

A company is looking for a Senior Director, Claims. Key Responsibilities Evaluate and analyze current claims operations to design process improvement strategies Collaborate with leadership to implement claims system performance strategies and ensure compliance with regulations Oversee the monitoring and improvement of claims processing to meet performance metrics and manage high-value claims Required Qualifications Bachelor's degree or equivalent experience (4 years) 15+ years in a cross-functional operations environment 3+ years of experience in a health plan or payer Extensive knowledge of claims operations, insurance products, and regulatory policies Experience in process analysis and improvement, along with team leadership skills

Mar 8, 2025 - 00:18

A company is looking for a Senior Director, Claims. Key Responsibilities Evaluate and analyze current claims operations to design process improvement strategies Collaborate with leadership to implement claims system performance strategies and ensure compliance with regulations Oversee the monitoring and improvement of claims processing to meet performance metrics and manage high-value claims Required Qualifications Bachelor's degree or equivalent experience (4 years) 15+ years in a cross-functional operations environment 3+ years of experience in a health plan or payer Extensive knowledge of claims operations, insurance products, and regulatory policies Experience in process analysis and improvement, along with team leadership skills