Director, Claims Solutions

Job not on LinkedIn

🕒 March 24

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📋 Description

• Select, negotiate, and manage relationships with solution providers. • Monitor vendor performance using KPIs and service standards. • Lead continuous improvement based on data insights and client feedback. • Develop go‑to‑market strategies and positioning for claim solutions. • Oversee profitability and financial performance of all solution lines. • Drive increased utilization, penetration, and standardization across clients. • Serve as subject matter expert for CBCS claim solutions. • Deliver training for claims, account management, and client service teams.

🎯 Requirements

• Bachelor’s degree in Business, Risk Management, Insurance, Healthcare Administration, or related field. • 10+ years of progressive experience in Property & Casualty claims. • Deep knowledge of managed care, litigation support, investigation, and Medicare compliance solutions. • Proven vendor management and contract negotiation experience. • Experience driving solution utilization and financial performance. • Strong financial analysis and P&L experience.

🏖️ Benefits

• Health insurance • Professional development opportunities • Flexible working hours • Paid time off

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