Claims Director jobs in Nashville, TN

Claims Director directs and oversees the operations of an insurance claims department to meet operational, financial, and service requirements. Establishes policies and procedures for the administration of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Director is responsible for the strategic processing and payment of claims. Maintains up-to-date- knowledge of legislation, regulations, and industry events which pertain to insurance claims. Additionally, Claims Director provides expert guidance and consultation to staff on the most complex claims. Requires a bachelor's degree. Typically reports to top management. The Claims 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 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, Litigation & Risk
  • Brookdale Corporate Nashville
  • Brentwood, TN FULL_TIME
  • Overview

    Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity

    Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us!  You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness.  Full suite of health insurance, life insurance and retirement plans are available and vary by employment status.  Additional benefits offered include, but are not limited to:
    • Tuition Reimbursement
    • Pet Insurance
    • Adoption Reimbursement Benefits
    • Variety of Associate Discounts
     Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. Please note, Brookdale is committed to complying with all applicable laws and regulations regarding mandatory COVID-19 vaccination. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.

    Responsibilities

    Serves as a member of the Claims, Litigation & Risk team by actively analyzing, managing and providing legal counsel on incidents, claims, and lawsuits. This team member will also take lead on identifying and implementing risk mitigation measures.

  • Performs initial evaluations of professional liability and general liability claims and litigation, including research and analysis of applicable laws, application of regulations and policies as well as assessing exposure and liability, and determining litigation strategy.

  • Partners with, directs, and manages outside counsel on litigation strategy.

  • Participates in mediations, arbitrations, settlement conferences, and trials.

  • Proactively identifies legal risks and develops mitigation measures.

  • Provides legal and risk mitigation support to cross-functional teams through the claims and litigation process by conducting interviews, evaluating witness credibility, analyzing and compiling records and documents, and preparing status updates on litigation and claim.

  • Reviews and assists in the preparation of material pleadings.

  • Coordinates and oversees the record production process. Handles confidential, sensitive, proprietary and privileged information, reviews requests, assesses production costs and expenses, and conducts review and evaluation of records for relevance, responsiveness, and privileged.

  • Provides legal advice to cross-functional teams.

  • Operates independently and in coordination with other members of the Claims, Litigation and Risk team to develop and execute strategy for a variety of claims and litigation including, but not limited to, professional liability, general liability, commercial, and complex matters.

  • Establishes and maintains relationships, credibility, and trust with clients, stakeholders, legal team members, and other colleagues.

     

  • This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor.

    Qualifications

    Education and Experience

  • Juris Doctor from an ABA accredited institution.
  • Five (5) plus years litigating professional liability, general liability, and complex litigation matters.
  • Ability to handle confidential, privileged, proprietary, and sensitive information required.
  • Effective leadership skills.
  • Strong attention to detail.
  • Effective organization and communication skills.
  • Certifications, Licenses, and Other Special Requirements

    Licensed to practice law and admitted to the bar in at least one state or the District of Columbia. Eligible for admission as an In-House Counsel in the state of Tennessee.

     

    Management/Decision Making

    Has strong analytic skills and an understanding of business organization and identifying and responding to issues. Uses sound, independent judgment and experience to perform initial evaluation and assessment of complex matters based on precedent, example, reasonableness, or a combination of these. Exercises sound judgment to identify risks and propose mitigation strategies. Effective leadership skills to direct and manage outside counsel. May present solutions to issues to a supervisor and collaborate with a team on implementation of solutions.

     

    Knowledge and Skills

    Has a proficient knowledge of the discipline and able to provide insight, advice and solutions on issues. Strong verbal and written communication skills. Team mentality. Motivated and willing to provide support to team members.

     

    Physical Demands and Working Conditions 
    • Standing
    • Walking
    • Sitting
    • Use hands and fingers to handle or feel
    • Reach with hands and arms
    • Climb or balance
    • Stoop, kneel, crouch, or crawl
    • Talk or hear
    • Taste or smell
    • Ability to lift:  up to 25 pounds
    • Vision
    • Requires interaction with co-workers, residents or vendors
    • Occasional weekend, evening or night work if needed to ensure shift coverage
    • Requires Travel:  Occasionally 
    • Requires Driving:  Drives self (Tier 2)
    Brookdale is an equal opportunity employer and a drug-free workplace.

    Salary Range Information

    $110,710 - $141,031 / year
  • 8 Days Ago

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Field Technician
  • Hancock Claims Consultants
  • Nashville, TN CONTRACTOR
  • CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
  • 2 Months Ago

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Beverage Director-The Underground Cocktail Club Nashville
  • Beverage Director The Underground Cocktail Club Nashville
  • Nashville, TN FULL_TIME
  • Beverage Director-The Underground Cocktail Club Nashville The Underground Cocktail Club Is Coming to Nashville! This will be the first Underground Cocktail Club in Nashville, The Underground nightclub...
  • 5 Days Ago

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Claims Coordinator
  • Patriot Angels
  • Hendersonville, TN FULL_TIME
  • A Claims Specialist has the opportunity to make a huge impact on the families we serve. You are the point of contact to help our clients through the process of filing a claim. You answer questions, co...
  • 1 Month Ago

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CLAIMS AUDITOR
  • ClarisHealth Inc
  • Nashville, TN FULL_TIME
  • The primary role of the Claims Analyst is to review, identify, and validate claim overpayments. Types of overpayment reviews will include, but are not limited to, Duplicate Payment, Contract Complianc...
  • 1 Month Ago

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Denial Claims Resolution Specialist
  • Parallon
  • Brentwood, TN FULL_TIME
  • Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Denial Claims Resolution Specialist opening with Parallon today and find out w...
  • 15 Days Ago

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0 Claims Director jobs found in Nashville, TN area

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Associate Director, Access & Reimbursement - Oncology - REMOTE
  • Proclinical Staffing
  • Nashville, TN
  • Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote Proclinical Staffing is seeking an Associate ...
  • 4/23/2024 12:00:00 AM

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Charge Master Analyst
  • Hca Healthcare Inc.
  • Nashville, TN
  • DescriptionIntroduction Do you want to join an organization that invests in you as a Charge Master Analyst? At Parallon,...
  • 4/22/2024 12:00:00 AM

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Office Manager
  • Star Dental Partners
  • Nashville, TN
  • Overview: BiTE Dentistry is now hiring a Dental Office Manager in beautiful Nashville, Tennessee! As a Full Time Dental ...
  • 4/22/2024 12:00:00 AM

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Administrative Assistant
  • ACL Digital
  • Nashville, TN
  • Job Title: Administrative Assistant Location: Nashville, TN Duration: Contract Duties include: Provide administrative su...
  • 4/22/2024 12:00:00 AM

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Regional Director of Operations
  • KIPP Nashville Public Schools
  • Nashville, TN
  • Position Overview: The Director of Regional Operation plays a critical role in realizing our mission by setting the visi...
  • 4/22/2024 12:00:00 AM

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Business Compliance Specialist (Flex Home/Office)
  • The General Automobile Insurance Services, Inc.
  • Nashville, TN
  • Provides a full range of compliance oversight, advice and services with specialist knowledge in support of the business....
  • 4/21/2024 12:00:00 AM

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Revenue Cycle Specialist (Medicare)
  • Alive Hospice, Inc.
  • Nashville, TN
  • Apply Description Revenue Cycle Specialist (Medicare)Full Time Location:Nashville, TNStatus:Regular Full TimeDays:Monday...
  • 4/21/2024 12:00:00 AM

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Pharmacy Quality Assurance Specialist
  • Elevance Health
  • Nashville, TN
  • Description Pharmacy Quality Assurance Specialist Location: This position will work a hybrid model (remote and office). ...
  • 4/21/2024 12:00:00 AM

Nashville is the capital and most populous city of the U.S. state of Tennessee. The city is the county seat of Davidson County and is located on the Cumberland River. The city's population ranks 24th in the U.S. According to 2017 estimates from the U.S. Census Bureau, the total consolidated city-county population stood at 691,243. The "balance" population, which excludes semi-independent municipalities within Davidson County, was 667,560 in 2017. Located in northern Middle Tennessee, Nashville is the main core of the largest metropolitan area in Tennessee. The 2017 population of the entire 14-...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Director jobs
$173,275 to $250,613
Nashville, Tennessee area prices
were up 1.3% from a year ago

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Conducts audits of the claims process to include coverage analysis, investigation, valuation, scope, estimate, reserving and the accurate disposition of claims.
February 06, 2020