Claims Processing Director jobs in Columbia, MD

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director 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. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Director of Claims
  • Harford Mutual Insurance Group
  • Bel Air, MD OTHER
  • Job Details

    Level:    Senior
    Job Location:    Home Office - Bel Air, MD
    Position Type:    Full Time
    Education Level:    4 Year Degree
    Salary Range:    Undisclosed
    Travel Percentage:    Up to 25%
    Job Category:    Insurance

    Description

    WHO WE ARE:

    Harford Mutual Insurance Group is a growing, dynamic community partner located in Bel Air in Harford County, Maryland, offering a positive, diverse, and inclusive work environment with a rich company culture. We provide commercial property and casualty insurance products and services to a regional market. Founded in 1842 on the principles of mutuality for our business clients, our agents, and our company, we believe in insuring opportunity through mutual success® and invite our employees to continue that tradition with respect, integrity, exemplary service, and personal responsibility.

     

    THE OPPORTUNITY:

    The Director of Claims serves as the primary leader overseeing all commercial lines claims personnel and operations within a specific line of business.  Their duties include maintaining accurate case reserves, prioritizing quality customer service, ensuring thorough claims investigations and effective resolutions, fostering employee growth, safeguarding quality assurance, streamlining business processes within the line of business, overseeing, and leading claim system updates for casualty and property, and managing the casualty vendor relationships.

     

    WHAT YOU’LL DO:

    • Oversee the daily activities of the Auto Claims Team and manage all operational aspects of the Claims Department.
    • The ultimate supervisory role entails overseeing all commercial lines auto claims, supervisors, and examiners handling exposures up to $500,000. This responsibility includes ensuring accurate coverage interpretation, thorough claim investigations, and precise loss evaluations.
    • Guarantee adherence to claims guidelines and unfair claims practice laws across all states, while also being accountable for regular updates to these guidelines.
    • Verify that appropriate reserving, claim investigation, and settlement techniques and strategies are consistently employed.
    • Conduct regular reviews of claims with notable exposures.
    • Perform necessary review and audit of work performed by supervisors, examiners, independent adjusters, and counsel.
    • Work effectively with managers of other departments to assist with the company's overall performance.
    • Encourage employee development using both internal and external sources through the appropriate usage of the performance management process, including performance evaluations and managing disciplinary matters.
    • Collaborate with the management team to create, execute, and oversee a training initiative designed to expedite the onboarding process for new team members and equip them for future responsibilities.
    • Assist in developing strategic goals and objectives for the Claims Department.
    • Effectively manage allocated and unallocated loss adjustment expenses.
    • Respond to states’ insurance departments’ inquiries.
    • Provide necessary information to reinsurers.
    • Evaluate workloads and make appropriate changes as needed.
    • Provide appropriate settlement authority to supervisors and examiners.
    • Responsible for the formulation of the annual auto claims budget.
    • Performs other duties or special projects as required or as assigned by a supervisor.

     

    WHAT YOU’LL BRING:

    • Four-year college degree or comparable claims work experience
    • Minimum of 10 years of property and casualty experience
    • 10 years of supervisory/managerial experience involving commercial lines claims
    • Insurance Designation, or
    • Pursuit of CPCU or advanced designation

     

    WHO YOU ARE:

    • Extensive knowledge and understanding of the litigation process
    • Extensive knowledge and understanding of commercial auto coverage
    • Extensive knowledge and understanding of claims workflow, modern claim systems, and investigative processes.
    • Strong collaborating skills, and an ability to work effectively both independently and as part of a team
    • Comfortable in a fast-paced environment with frequent deadlines; high energy, self-motivated and proactive
    • Excellent communication and interpersonal skills
    • Ability to multitask, and be flexible regarding workload and assignments
    • Ability to exercise judgment

     

     

     

    Visit our Careers Page for more information on our competitive compensation/benefits packages.

    Qualifications


  • 23 Days Ago

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Claims Handler/Estimator
  • Fusion Claims Consultants, LLC
  • Belcamp, MD FULL_TIME
  • Company DescriptionAt Fusion Claims Consultants, we embody the spirit of unity and partnership, true to our name's promise. Located in Belcamp, MD, we're more than just a claims consultancy; we're a b...
  • 3 Days Ago

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Claims Representative II
  • Davies Claims North America
  • Baltimore, MD FULL_TIME
  • About Us At Davies, we get it... you are not just looking for a job, you are looking to build a life and a career. We believe in our people and realize that our success is a direct result of creating ...
  • 3 Days Ago

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Liability Claims Supervisor
  • Davies Claims North America
  • Baltimore, MD FULL_TIME
  • At Johns Eastern, we believe in our people and realize that our success is a direct result of creating a learning atmosphere, leadership opportunities, and promoting from within. We believe that engag...
  • 6 Days Ago

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Director Central Sterile Processing
  • University of Maryland Medical System
  • Baltimore, MD FULL_TIME
  • Job DescriptionGeneral Summary:The Director of CSP will manage day to day operations of sterile processing across all shifts. Primary contact of multi-site activities including material requirements, ...
  • 25 Days Ago

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Claims Examiner - Workers Compensation
  • Sedgwick Claims Management Services Inc.
  • Hunt Valley, MD FULL_TIME
  • The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option. Claims Examiner - Workers Compensation IF YOU...
  • 6 Days Ago

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0 Claims Processing Director jobs found in Columbia, MD area

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Security Assistance International Training Specialist
  • Office of the Secretary of the Army
  • Arlington, VA
  • Summary About the Position: The pay band NH-04 includes the General Schedule grade equivalent to GS-14 step 01 to GS-15 ...
  • 3/28/2024 12:00:00 AM

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Family Nurse Practitioner
  • Mary's Center
  • Silver Spring, MD
  • Mary's Center is committed to promoting diversity, equity and inclusion (DEI) within our organization and the communitie...
  • 3/28/2024 12:00:00 AM

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Staff Psychologist- BHIP Substance Use Disorder Specialist
  • Veterans Health Administration
  • Baltimore, MD
  • Summary This position is assigned to the Mental Health Clinical Center, VA Maryland Health Care System (VAMHCS). The pos...
  • 3/27/2024 12:00:00 AM

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Business Policy & Governance Director
  • Equiniti
  • Baltimore, MD
  • Management Level EQ US is a leading provider of ownership data management, analytics and advisory services to public and...
  • 3/27/2024 12:00:00 AM

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Excess & Surplus - Director Underwriting Specialty (Hybrid/Remote)
  • Careerbuilder
  • Washington, DC
  • Excess & Surplus - Director Underwriting Specialty (Hybrid/Remote) Thursday, February 15, 2024 For more than 170 years, ...
  • 3/26/2024 12:00:00 AM

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Deputy Director, Fiscal Services Division
  • State of Maryland
  • Baltimore, MD
  • Introduction Reimagine a career in public service. At WCC, we are collaborative and team oriented, innovative in our app...
  • 3/26/2024 12:00:00 AM

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Customer Service - Customer Service Specialist
  • Navy Mutual
  • Arlington, VA
  • **Customer Service - Customer Service Specialist** Arlington, VA, USA Req #66 Thursday, January 27, 2022 Financially str...
  • 3/25/2024 12:00:00 AM

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Mental Health Therapist
  • Ellie Mental Health, Columbia, MD
  • Columbia, MD
  • Job Description Job Description Ellie Mental Health is coming to Columbia, MD!! Who is Ellie? Ellie Mental Health is a h...
  • 3/25/2024 12:00:00 AM

The center of Columbia is located at 39°12.5′N 76°52′W / 39.2083°N 76.867°W / 39.2083; -76.867. Because it is unincorporated, there is confusion over the exact limits of Columbia. In the strictest definition, Columbia comprises only the land governed under covenants by the Columbia Association. This is a considerably smaller area than the census-designated place (CDP) as defined by the United States Census Bureau. The CDP has a total area of 32.2 square miles (83.4 km2), of which 31.9 square miles (82.7 km2) are land and 0.3 square miles (0.7 km2), or 0.80%, are water. The CDP includes a nu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$162,383 to $218,205
Columbia, Maryland area prices
were up 1.5% from a year ago

Claims Processing Director in Portsmouth, NH
Insurance claims and processing clerks work closely with insurance brokers and agents, handling the administrative duties behind insurance policy renewals, claims processing and new policies.
December 28, 2019
Claims Processing Director in Santa Barbara, CA
Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software.
February 08, 2020
Claims Processing Director in San Diego, CA
Pulpstream makes it possible for you to have one system for tracking all claims.
January 07, 2020