Claims Processing Director jobs in New York, NY

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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Claims Director
  • Everest National Insurance Company
  • New York, NY FULL_TIME
  • Title: Claims Director Company: Everest Insurance Company Job Category: Claims Job Description: Everest is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in the Europe, Bermuda, Canada, Singapore, US, and other territories. Our strengths include extensive product and distribution capabilities, a strong balance sheet, and an innovative culture. Throughout our history, Everest has maintained its discipline and focuses on creating long-term value through underwriting excellence and strong risk and capital management. But the most critical asset in this organization is our people. At Everest, we are committed to the development of our people. We offer dynamic training & professional development to our employees. You will benefit from career development and learning opportunities that will let you set career goals and fulfill them, including: • Generous tuition/continuing education reimbursement • Mentoring opportunities • Flexible work arrangements • Talent development initiatives • Networking groups Everest Insurance, a member of Everest Re Group, Ltd., has an opportunity for an experienced claims professional to join our Claims team as a Claims Director. The ideal candidate should possess the ability to handle complex Primary and Excess Management and Professional Liability claims with respect to Financial Lines, Transactional Liability (Reps & Warranties) and/or Private Equity insurance policies. More particularly, the ideal candidate will be able to analyze insurance coverage issues and resolve claims according to certain Best Practices and within stated authority limits relative to the Financial Lines, Transactional Liability and/or Private Equity segments. Responsibilities include but not limited to: Reviewing and analyzing complex coverage issues and preparing coverage positions letters Investigating, analyzing, and evaluating liability and damages Managing and directing outside counsel; reviewing & approving legal budgets and fee statements Preparing Large Claim Reports related to matters of significant reserve and trial activity Timely and appropriately setting case reserves Developing and executing negotiation and resolution strategies Monitoring and attending trials, mediations and settlement conferences Engaging with underwriting supporting policy construction and drafting, reporting claim trends, data analysis and risk assessment Extensive communications with insureds, brokers, reinsurers and other business contacts Attending client meetings and industry functions to support retention and development of client relationships and business. Qualifications, Education & Experience: The ideal candidate will have a minimum of 3 years of private equity and transactional liability claims experience along with following: Strong oral and written communication skills Strong analytical and organizational skills; Strong negotiation and investigation skills. Excellent interpersonal skills Ability to evaluate coverage involving a wide variety of loss scenarios and ability to think strategically In-depth knowledge of the litigation, arbitration, and trial process Currently holds or can readily obtain all required adjuster licenses. Knowledge of insurance industry, claims and the insurance legal and regulatory environment Ability to identify and use relevant data and metrics to best manage claims; Collaborative mind-set and willingness to work with people outside immediate reporting hierarchy to improve processes and generate optimal department efficiency Ability to and willingness to present to senior management and other stakeholders Ability to resolve complex disputed claims; J.D. (currently licensed) / experience practicing law preferred Travel required For NYC Only: The base salary range for this position is $130,000 - $180,000 annually. The offered rate of compensation will be based on individual education, experience, qualifications and work location. Our Culture At Everest, our purpose is to provide the world with protection. We help clients and businesses thrive, fuel global economies, and create sustainable value for our colleagues, shareholders and the communities that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors. Click here to learn more about our culture. Our Values are the guiding principles that inform our decisions, actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Diversity, Equity and Inclusion. Our Colleague Behaviors define how we operate and interact with each other no matter our location, level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together. All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve. #LI-Hybrid #LI-CK1 Type: Regular Time Type: Full time Primary Location: New York, NY Additional Locations: Warren, NJ Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Benefits at everestbenefits@everestglobal.com. Everest U.S. Privacy Notice | Everest (everestglobal.com) EVEREST is a leading international reinsurance and insurance group with an extensive distribution network that spans five continents. With roots dating back to 1973, Everest has developed a global footprint and deep client relationships that are largely unmatched by its peers. The Company’s principal business strategies seek to leverage its strengths to optimize returns over the underwriting cycle, thereby creating value for its shareholders and business partners.
  • 22 Days Ago

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Claims Handler ll
  • Sovereign Claims, LLC
  • Brooklyn, NY FULL_TIME
  • Key Responsibilities: Personally investigate and/or supervise outsourced investigations of CGL insurance claims and lawsuits, both bodily injury and property damage, arising out of construction projec...
  • 4 Days Ago

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Global Specialty Claims Coordinator
  • AIG Claims, Inc.
  • New York, NY FULL_TIME
  • At AIG, we are reimagining the way we help customers to manage risk. Join us as Global Specialty Claims Coordinator to play your part in that transformation. It’s an opportunity to grow your skills an...
  • 29 Days Ago

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DIRECTOR STERILE PROCESSING
  • Montefiore Medical Center
  • Bronx, NY FULL_TIME
  • SUMMARY OF POSITION: The Director of Sterile Processing Department for Montefiore Medical Center will have direct oversight for all Sterile Processing Department activities performed across Perioperat...
  • 1 Month Ago

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NY - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • New York, NY CONTRACTOR
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 20 Days Ago

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Director of Claims Quality
  • MetroPlus Health Plan
  • New York, NY FULL_TIME
  • Director of Claims Quality Job Ref: 97369 Category: Claims Department: CLAIMS Location: 50 Water Street, 7th Floor, New York, NY 10004 Job Type: Regular Employment Type: Full-Time Hire In Rate: $150,0...
  • 3 Days Ago

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0 Claims Processing Director jobs found in New York, NY area

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Claims Director, Personal Injury Protection
  • Plymouth Rock Assurance
  • Woodbridge, NJ
  • The Personal Injury Protection (PIP) Claims Director provides business leadership and strong technical skills for the Cl...
  • 4/18/2024 12:00:00 AM

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AVP, Claims Manager
  • Chubb
  • New York, NY
  • Job Description AVP, Claim Manager This Assistant Vice President position will have technical and administrative oversig...
  • 4/18/2024 12:00:00 AM

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General Liability Adjuster
  • Network Adjusters, Inc.
  • Farmingdale, NY
  • Network Adjusters, Inc. is a third-party administrative commercial lines handling company. Serving the insurance industr...
  • 4/18/2024 12:00:00 AM

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Senior Management Liability Underwriter (Level III Or AVP, Level IV)
  • Zurich Insurance Company Ltd.
  • New York, NY
  • Zurich E&S Financial Lines is currently looking to hire an experienced Senior Underwriter to join our Wholesale Public, ...
  • 4/18/2024 12:00:00 AM

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Director of Claims Quality
  • AppleOne Employment Services
  • New York, NY
  • Our client is a large health plan located in NYC. The client is looking to hire a Director of Claims Quality. This perso...
  • 4/16/2024 12:00:00 AM

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Director of Claims Quality
  • Appleone Employment Services
  • New York, NY
  • Our client is a large health plan located in NYC. The client is looking to hire a Director of Claims Quality. This perso...
  • 4/16/2024 12:00:00 AM

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Claims Director, Personal Injury Protection
  • Plymouth Rock Assurance
  • Woodbridge, NJ
  • The Personal Injury Protection (PIP) Claims Director provides business leadership and strong technical skills for the Cl...
  • 4/16/2024 12:00:00 AM

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Associate Director, Retail Claims Technology Solutions
  • Humana
  • Jersey City, NJ
  • Associate Director, Retail Claims Technology Solutions in Jersey City , New Jersey **Description** The Associate Directo...
  • 4/14/2024 12:00:00 AM

The City of New York, usually called either New York City (NYC) or simply New York (NY), is the most populous city in the United States. With an estimated 2017 population of 8,622,698 distributed over a land area of about 302.6 square miles (784 km2), New York is also the most densely populated major city in the United States. Located at the southern tip of the state of New York, the city is the center of the New York metropolitan area, the largest metropolitan area in the world by urban landmass and one of the world's most populous megacities, with an estimated 20,320,876 people in its 2017 M...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$185,257 to $248,949
New York, New York area prices
were up 1.6% 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