Directs and oversees the operations of an insurance claims department to meet operational, financial, and service requirements. Establishes policies and procedures for the administration of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Responsible for the strategic processing and payment of claims. Maintains up-to-date- knowledge of legislation, regulations, and industry events which pertain to insurance claims. Provides expert guidance and consultation to staff on the most complex claims. Requires a bachelor's degree. Typically ...reports to top management. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function.More Show Less
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A company is looking for a Claims Director to adjudicate accident and health medical claims and pharmacy benefits.Key ResponsibilitiesProduce claim reports and findings consistentlyMaintain regular communication with clients and intermediaries for assigned accountsAudit and review managed care and provider excess agreements and health plan contractsRequired QualificationsMinimum of 5 years medical claims experienceKnowledge of first dollar medica...
Company Details. Rated Best Places to Work 2024 by Business Insurance. Continental Western Group. is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted. . As a Berkley company, we enjoy operational flexibility tha...
Company Details. Rated Best Places to Work 2024 by Business Insurance. Continental Western Group. is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted. . As a Berkley company, we enjoy operational flexibility tha...