Director of Claims
- Employer
- Capstone Search Group
- Location
- Remote within Mountain West, Southwest, or Midwest
- Salary
- $90k to $100k
- Closing date
- Nov 18, 2021
View more
- Category
- Claims, Operations, Executive / Management
- Job Type
- Full Time
- Career Level
- Manager
Job Details
About the Role
The Director of Claims is responsible for developing and implementing claims management services for healthcare organizations which include hospitals, physician groups, and other related healthcare facilities. As the department leader, you lead internal claims operations, maintain control over all open claims, and review & manage all potential compensatory events.
Job SpecsLocation: Remote, work-from-home position within the Mountain West, Southwest, or Midwest. Your territory includes Montana, Idaho, Wyoming, & New Mexico. Expect travel to see clients in those four states.
Duties & Responsibilities
- Direct and coordinate claims activities including investigation, reporting, and resolution.
- Establish and maintain reserves.
- Determine actions to be taken on coverage questions and/or obtaining policy interpretations.
- Authorize and approve the extension of coverage, reservation or rights, denials of liability, settlement, and payments within established limits of authority.
- Review medical records and pertinent damage information for case value and exposure.
- Recommend appropriate payment of attorney, expert witness, related fees, and cost reimbursement.
- Manage litigation and settlement of claims within established limits of authority. Participate in dispute resolution forums, settlement conferences, and trials.
- Report claims activity, reserve changes, and loss/LAE information to reinsurers.
Skills & Experience
- Bachelor’s degree and completion of, or actively pursuing, AIC or other related claims certification course
- Five (5) years of Medical Professional Liability claims experience with at least two (2) years of supervisory experience
Compensation
Target compensation range of $90k to $100k depending on experience
Company
Capstone Search Group is an insurance recruiting firm that offers creative, unique staffing solutions for the insurance industry! Our clients include insurance companies, agencies, brokers and intermediaries. Our goal as insurance recruiters is to help insurance organizations identify, attract and retain experienced talent that impacts immediate openings and promotes future growth. We offer Direct Hire (Contingency Search, Engaged/Retained and Recruitment Process Outsourcing [RPO]) and Contract Solutions (long-term contract, 1099 and temp-to-perm).
- Website
- http://www.csgrecruiting.com/
- Telephone
- 5152165457
- Location
-
10647 Justin Drive
Urbandale
IA
50322
US
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