Claims Processing Director jobs in Wisconsin

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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Complex Claims Director
  • Berkshire Hathaway Specialty Insurance
  • Stevens, WI FULL_TIME
  • Who are we?
    A strong, trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI) provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers around the globe. Part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals with excellent capabilities and character. Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world?


    Job Opportunity:

    Berkshire Hathaway Specialty Insurance has an exciting opportunity for a Complex Claims Director who will independently handle a diverse mix of complex claims consisting of Cyber/Media/Tech/MPL claims underwritten out of the Executive and Professional Liability unit. We are seeking an experienced professional to join our growing team in Boston, Atlanta, Chicago, New York, or any BHSI office location. We are also open to Candidate must have strong technical and analytic skills, as well as excellent interpersonal skills, as this role will have a high level of interaction with customers, brokers, outside counsel (defense and coverage), mediators, underwriters, actuaries and senior management. Additional responsibilities include:


    Duties & Responsibilities:

    • Independently evaluate information on coverage, liability, and damages to determine the extent of exposure to the insured and the company.
    • Collaborate with defense counsel on strategy and resolution.
    • Handle mediations on complex claims.
    • Handle claims from first notice of loss through ultimate resolution, including working with and advising internal partners on claims, developing a proactive plan of action for ultimate resolution, obtaining budgets and meeting with clients, counsel, and brokers.
    • Communicate and work with insureds, brokers and underwriters on a regular basis.
    • Analyze and draft coverage letters and communicate complex coverage positions effectively.
    • Draft reports and make recommendations concerning reserve changes.
    • Travel to conferences, mediations, and client meetings, as necessary.


    Qualifications, Skills and Experience:

    • JD required.
    • 7 years substantives claim handling experience in professional lines.
    • Excellent interpersonal communications and negotiation skills.
    • Ability to thrive in a highly collaborative team environment.


    BHSI Offers:

    • A competitive package and exciting growth opportunities with a growing global organization .
    • A liberating, fast-paced culture, centered on always doing the right thing for our customers, teammates and our business.
    • A purposely non-bureaucratic organization that embraces simplicity over complexity, encourages innovation, and emphasizes individual excellence in a team framework.


    The base salary range for this position is from $140,000.00 to $165,000.00, along with annual bonus eligibility; a candidate’s salary is determined by their relevant skills and experience. We value our teammates – both their capabilities and character – as demonstrated by our amazing culture.

    Learn more about our unique culture and history.

  • Just Posted

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Director of Claims Management
  • American Foods Group, LLC
  • Green, WI FULL_TIME
  • Overview JOB SUMMARY Primary Responsibilities: Manage all Auto, General Liability, Workers’ Compensation, claim processes and partner with our TPA/Insured Locations and Legal to address claims. Identi...
  • 2 Months Ago

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Processing Technician (Office Automation)
  • U.S. Military Entrance Processing Command
  • Milwaukee, WI FULL_TIME
  • About the Position: The U.S. Military Entrance Processing Command (USMEPCOM) is a joint Department of Defense command responsible for processing applicants into five branches of military service (Army...
  • 14 Days Ago

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Director, Research & Training Division and AAAIF Foundation, AAAAI
  • Executive Director, Inc.
  • Milwaukee, WI FULL_TIME
  • Director, Research & Training Division and AAAAI Foundation ASSOCIATION: American Academy of Allergy, Asthma & Immunology (AAAAI) REPORTS TO: Executive Director DIRECT REPORTS: Development Manager, Pr...
  • 7 Days Ago

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Bilingual Employee Liaison / Talent Acquisition Partner - Central Processing Corp
  • CENTRAL PROCESSING CORP
  • Janesville, WI FULL_TIME
  • Central Processing Corporation connects candidates with rewarding careers in concrete manufacturing, an industry that’s growing faster than most. We work alongside individuals to leverage their skills...
  • 8 Days Ago

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Bilingual Employee Liaison / Talent Acquisition Partner - Central Processing Corp
  • CENTRAL PROCESSING CORP
  • Oconomowoc, WI FULL_TIME
  • Central Processing Corporation connects candidates with rewarding careers in concrete manufacturing, an industry that’s growing faster than most. We work alongside individuals to leverage their skills...
  • 8 Days Ago

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Director of Claims
  • Selby Jennings
  • Chicago, IL
  • Responsibilities: Develop and own the entire claims management process, working closely with our TPA with oversight of c...
  • 3/28/2024 12:00:00 AM

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Insurance Claims Director
  • Strategic Logistics
  • Goldsboro, NC
  • Job Description Job Description Express is now hiring for the below position. This will be a direct hire position. Start...
  • 3/28/2024 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...
  • 3/27/2024 12:00:00 AM

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Claims Director
  • Berkley
  • New York, NY
  • Company Details: Berkley Professional was founded in October 2008 as an operating unit of W. R. Berkley Corporation, one...
  • 3/27/2024 12:00:00 AM

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Claim Director-Environmental
  • Chubb
  • Jersey City, NJ
  • Job Description Chubb is seeking a Claim Director on the Environmental Claims team on a 3/2 hybrid work model. The Envir...
  • 3/27/2024 12:00:00 AM

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Sr. Claim Director - Aerospace
  • Chubb
  • Chicago, IL
  • Chubb seeks a Senior Claim Director on the Aerospace Casualty claims team that provides specialized claim handling on be...
  • 3/27/2024 12:00:00 AM

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Director of Claims Management
  • MoveUp Consulting
  • Wooster, OH
  • Job Description Job Description Job Title: Director of Claims Management Location: REMOTE - Wooster, OH Company: MoveUp ...
  • 3/24/2024 12:00:00 AM

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Claim Director - Complex Specialty
  • Axis
  • New York, NY
  • This is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We...
  • 3/24/2024 12:00:00 AM

Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast. With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$155,844 to $209,418

Claims Processing Director in Cedar Rapids, IA
The Manager-Claims Process evaluates existing business processes, procedures, and results to identify variance, recommend best practices that ensure high quality/low cost outcomes, and gain alignment across the business.
January 22, 2020
Getting a clear picture of your claims processes is key to containing future costs.
December 23, 2019
Claims Processing Director in Salem, OR
To file a claim, you would need to call the claims department or stop by your local agent’s office.  Some insurance companies also accept claims filed over the Internet.  Regardless of how you submit the claim, the information required will be similar.
February 17, 2020
Claims Processing Director in Baltimore, MD
Officials said the advance work will allow the files to be assigned immediately to claims processors for a decision within 30 days.
February 21, 2020