Claims Processing Director jobs in Columbus, OH

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 Casualty Claims
  • Central Mutual Insurance Company
  • Dublin, OH FULL_TIME
  • Location- Hybrid Work Model
    Central’s Director of Casualty Claims heads all casualty lines (liability and workers’ compensation claims). This individual plays a critical role in achieving our mission in Claims to deliver exceptional hospitality to our policyholders, achieve optimal claim outcomes and operate with a high degree of efficiency. This individual is fully accountable for developing and executing on multiple line of business strategies as well as leading, managing and developing Central’s liability and workers’ compensation teams. They are responsible for defining technical excellence for casualty lines, controlling reserves and payment accuracy of complex claims up to a certain threshold, retroactive file review and feedback loops with underwriting, loss control, actuarial and other key stakeholders.
    In addition to leading high performing teams focused on managing Central’s most complex and/or high severity claims, this individual is expected to foster a culture of technical excellence, provide input into Central’s liability, workers’ compensation and litigation management training efforts and own various Claims processes such as a large loss watch list, proactive round tables and large loss/reinsurance reporting.

    What you will do:
    • Primary responsibilities include: 1) Line of business strategy development and leadership for liability and workers compensation claims, 2) Complex/large loss claims oversight and management, 3) Feedback loops with underwriting, loss control, actuarial and other key stakeholders
    • Ongoing development of and execution on line of business strategy for liability and workers compensation claims; ensure complex claims teams and the broader Claims organization are aware and adhering to line of business strategies
    • Maintain a deep understanding of the casualty claims/litigation landscape; attend applicable industry events/conferences; conduct line of business and industry research, identify and understand trends and make adjustments to line of business strategies accordingly
    • Provide formal updates to the executive team and other key stakeholders regarding overall line of business performance and on specific claims, cases and/or events; clearly communicate emergent strategies to Claims and the broader organization
    • Perform retroactive file reviews on select files to learn from Claims’ successes and failures and apply learnings over time; contribute to Claims’ vision of being the most intelligent organization possible
    • Ensure reserve and payment accuracy; provide reserve and payment authority up to a certain threshold; develop and maintain appropriate control mechanisms
    • Maintain a watch list of complex, large loss or potential large loss casualty claims; facilitate proactive round table discussions on appropriate claims with claims managers, supervisors and handlers; assist in developing claim-level strategy as needed
    • In collaboration with other members of the claims leadership team and the broader organization, develop and maintain Central’s large loss and reinsurance reporting processes and capabilities; facilitate annual reinsurance audit
    • Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions and developing capabilities
    • Make informed strategic and operational business decisions by identifying and analyzing trends and improvement opportunities through the effective use of resources, tools and metrics
    What you will bring:
    • Master’s degree in or related field and 6 years of casualty claims handling or case management experience in the Insurance industry including 2 years of management experience
    • Or Bachelor’s degree in or related field and 8 years of casualty claims handling or case management experience in the Insurance industry including 2years of management experience
    • Or 10 years of years of casualty claims handling or case management experience in the Insurance industry including 2 years of management experience
    Preferred Qualifications
    • CPCU, and/or juris doctor preferred
    • Claims experience in both Personal Lines and Commercial Lines
    • Knowledge Skills and Abilities
    • Technical and business management acumen; advanced claims investigations and resolution skills; advanced knowledge of insurance and claims handling principles, practices and procedures
    • Proven ability to manage complex litigation
    • Excellent analytical and problem-solving skills, with the ability to simultaneously manage multiple projects and teams
    • Knowledge of claims, loss control, underwriting and premium audit disciplines
    • Strong leadership skills, including coaching, team building, and conflict resolution
    • Advanced project management skills including time and risk management, resource prioritization, and project structuring
    • Advanced verbal and written communication skills, including negotiation, presentation, and influence skills
    • Advanced business acumen, technical knowledge, and extensive knowledge in applications and technologies
    It is the policy of Central that all recruiting, hiring, training, compensation, overtime, job classification and assignment, facilities, promotions, transfers, employee treatment and all other terms and conditions of employment shall be maintained in a manner which will not discriminate against any person because of race, color, age, sex, national origin, ancestry, religion, marital status, military status, or disability. The applicant should respond to questions on this application in a way that will not divulge such information. #LI-Hybrid #LI-AS1
  • 16 Days Ago

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Director Of Property Claims
  • Central Mutual Insurance Company
  • Dublin, OH FULL_TIME
  • Location: Hybrid Work Model Central’s Director of Property Claims heads our property line. This individual plays a critical role in achieving our mission in Claims to deliver exceptional hospitality t...
  • 17 Days Ago

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Claims Director- General Liability
  • Atlantic Casualty Insurance Company
  • Columbus, OH FULL_TIME
  • Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been c...
  • 20 Days Ago

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Director of Claims and Enrollments
  • Alcohol, Drug & Mental Health Board Franklin Cty.
  • COLUMBUS, OH FULL_TIME
  • The ADAMH Board of Franklin County provides a pathway to recovery for Franklin County residents needing resources for addiction and mental health. We need you to join our team and help support the wor...
  • 23 Days Ago

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Processing Lead
  • Daybreak Foods
  • Raymond, OH FULL_TIME
  • DescriptionSummary The processing lead is responsible for knowing all functions in the breaking room, breaker operation, liquid product filtration and cooling, liquid product storage, liquid product f...
  • Just Posted

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Processing Technician
  • East Central/Select Sires
  • Plain, OH FULL_TIME
  • FIND YOUR PASSION AT SELECT SIRES Select Sires is a dynamic global organization that is committed to developing and delivering innovative genetic solutions. We believe people truly are the cornerstone...
  • 6 Days Ago

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0 Claims Processing Director jobs found in Columbus, OH area

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Outpatient Mental Health Therapist
  • Ellie Mental Health - Westerville Ohio
  • Columbus, OH
  • Job Description Job Description Ellie Mental Health is coming to WESTERVILLE OH in March 2023! Who is Ellie? Ellie Menta...
  • 4/24/2024 12:00:00 AM

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

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Human Resources Assistant
  • Hamilton Parker
  • Columbus, OH
  • The Human Resources Assistant is responsible for supporting the Director of HR in the day-to-day HR operations for all o...
  • 4/23/2024 12:00:00 AM

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Manager Forensic Accounting NO SALES REQUIRED
  • Direct Search Systems
  • Columbus, OH
  • Job Description Job Description This Position can be in Columbus or any surrounding area, depending on the current level...
  • 4/23/2024 12:00:00 AM

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson Llp
  • Columbus, OH
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/22/2024 12:00:00 AM

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Safety Manager - Data Center Construction
  • PMCS Group
  • Columbus, OH
  • Job Description Job Description We're seeking a seasoned Safety Manager with 7 to 10 years of experience in critical fac...
  • 4/21/2024 12:00:00 AM

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Director of Specialty Bill Review Services - Remote
  • Rising Medical Solutions
  • Columbus, OH
  • As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strate...
  • 4/20/2024 12:00:00 AM

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson LLP
  • Columbus, OH
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/20/2024 12:00:00 AM

The confluence of the Scioto and Olentangy rivers occurs just north-west of Downtown Columbus. Several smaller tributaries course through the Columbus metropolitan area, including Alum Creek, Big Walnut Creek, and Darby Creek. Columbus is considered to have relatively flat topography thanks to a large glacier that covered most of Ohio during the Wisconsin Ice Age. However, there are sizable differences in elevation through the area, with the high point of Franklin County being 1,132 ft (345 m) above sea level near New Albany, and the low point being 670 ft (200 m) where the Scioto River leaves...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$155,755 to $209,305
Columbus, Ohio area prices
were up 1.3% 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