Claims Processing Director jobs in Lima, 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 Property Claims
  • Central Mutual Insurance Company
  • Van, 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 to our policyholders, achieve optimal claim outcomes and operate with a high degree of efficiency. This individual is fully accountable for developing and executing line of business strategies as well as leading, managing and developing Property teams. They are responsible for defining technical excellence for property 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 property management training efforts and own various Claims processes such as proactive round tables and large loss/reinsurance reporting.  What you will do: Defines technical excellence for the Property claims at all levels of the Claims organization including providing input and recommendations to executive management Thoughtfully organize and Develops and maintains a highly efficient operating model for Property Claims Ongoing development and delivery of a line of business strategy for Property Claims; ensures Property Claims professionals and the broader Claims organization are aware and adhering to the line of business strategy Maintains a deep understanding of the Property Insurance landscape; attend applicable industry events/conferences; conduct line of business research to identify and understand trends and make adjustments to strategy accordingly Performs 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 Communicates emergent strategies to Claims and the broader organization Develops robust feedback loops with Underwriting, Loss Control and Actuarial; coordinates/facilitates quarterly (and ad hoc) meetings; works closely with Regional Claims Managers to prepare comprehensive agendas Ensures reserve and payment accuracy; provide reserve and payment authority up to a certain threshold; develop and maintain appropriate control mechanisms In collaboration with other members of the Claims Leadership team and the broader organization, develops and maintains Central’s large loss and reinsurance reporting processes and capabilities Leads a team of technical Claims professionals comprised of one or more Consultants providing authority and guidance on claims as well as a team of Property Large Loss Specialists preforming technical claims handling Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions and developing capabilities Administers day-to-day operations of Central’s Property Large Loss Claims Organization Develops and manages Central’s CAT program including monitoring of developing risks, CAT procedures and processes including deployment of Central staff and external partners Maintains Central’s CAT reporting to key stakeholders and work with Risk and Marketing on approving proper CAT internal and external stakeholder communications; provides requested CAT data and information to internal stakeholders including CL, PL, LC and actuarial as needed Works with the Risk Department on reinsurance reporting of CAT losses Coordinates statutory CAT communications with state Departments of Insurance; maintain and file annual CAT reports and plans required by state Departments of Insurance; maintains and updates Property LOB staffing information as required by state Departments of Insurance Makes 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 Property claims handling experience in the Insurance industry including 2 years of management experience Or Bachelor’s degree in or related field and 8 years of Property claims handling experience in the Insurance industry including 2 years of management experience Or 10 years of Property claims handling experience in the Insurance industry including 2 years of management experience Technical and business management acumen; advanced claims investigations and resolution skills; advanced knowledge of insurance and claims handling principles, practices and procedures 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 Strong multi-tasking and prioritization skills Good understanding of Central Insurance’s policies and processes  Preferred Qualifications: CPCU, SCLA or AIC designations Claims experience in both Personal Lines and Commercial Lines
  • 19 Days Ago

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Director Of Casualty Claims
  • Central Mutual Insurance Company
  • Van, 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 ...
  • 19 Days Ago

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Sanitation - 3rd shift
  • Cooper Farms Processing
  • Van, OH FULL_TIME
  • Cooper Farms is a family-owned farm and food company based in Northwest Ohio for 85 years. A commitment to teamwork and quality has made us one of the top turkey, hog and egg companies in the U.S. and...
  • 18 Days Ago

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Turkey Loader - 3rd shift
  • Cooper Farms Processing
  • Fort Recovery, OH FULL_TIME
  • Cooper Farms is a family-owned farm and food company based in Northwest Ohio for 85 years. A commitment to teamwork and quality has made us one of the top turkey, hog and egg companies in the U.S. and...
  • 19 Days Ago

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Maintenance Technician - 2nd shift
  • Cooper Farms Processing
  • Coldwater, OH FULL_TIME
  • Cooper Farms is a family-owned farm and food company based in Northwest Ohio for 85 years. A commitment to teamwork and quality has made us one of the top turkey, hog and egg companies in the U.S. and...
  • 19 Days Ago

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Egg Sales Assistant
  • Cooper Farms Processing
  • Fort Recovery, OH FULL_TIME
  • Cooper Farms is a family-owned farm and food company based in Northwest Ohio for 85 years. A commitment to teamwork and quality has made us one of the top turkey, hog and egg companies in the U.S. and...
  • 19 Days Ago

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0 Claims Processing Director jobs found in Lima, OH area

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Property Field Claims Representative - Remote Northeast Ohio
  • Ohio Mutual Insurance Group
  • Celina, OH
  • How you will spend your time at Celina: Write, review, and adjust all estimates of property losses as assigned. Meet wit...
  • 4/25/2024 12:00:00 AM

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Remote Insurance Agent
  • Dorr Agency
  • Findlay, OH
  • Looking for your last career stop? Interested in an industry change? Seeking work-life balance? The Dorr Agency is seeki...
  • 4/25/2024 12:00:00 AM

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Part Time Mobile Phlebotomist (Lima, OH)
  • COC Consulting
  • Lima, OH
  • Job Title: Phlebotomist Location: Lima, OH Days and Hours: Monday, Wednesday and Friday 2-4 hours a day Compensation: DO...
  • 4/25/2024 12:00:00 AM

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Clinical Laboratory Technologist
  • Labcorp
  • Lima, OH
  • Are you an experienced Clinical Lab Professional? Are you looking to looking to embark on a new challenge in your career...
  • 4/25/2024 12:00:00 AM

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Radiology Tech | $10,000 Sign On Bonus
  • Bon Secours Mercy Health
  • Lima, OH
  • At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectivenes...
  • 4/25/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Findlay, Ohio
  • MileHigh Adjusters Houston Inc
  • Findlay, OH
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 4/24/2024 12:00:00 AM

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Weekend/PRN Case Aide
  • YWCA OF VAN WERT COUNTY
  • Van Wert, OH
  • Job Description Job Description Van Wert YWCA seeks professional, motivated and compassionate individual for PRN/Weekend...
  • 4/23/2024 12:00:00 AM

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Intervention Specialist
  • Ohio Department of Education
  • Ohio City, OH
  • Intervention Specialist Position Purpose * Under the general supervision of the School Principal, to maximize the learni...
  • 4/23/2024 12:00:00 AM

Lima (/ˈlaɪmə/ LY-mə) is a city in and the county seat of Allen County, Ohio, United States. The municipality is located in northwestern Ohio along Interstate 75 approximately 72 miles (116 km) north of Dayton and 78 miles (126 km) south-southwest of Toledo. As of the 2010 census, the city had a population of 38,771. It is the principal city of and is included in the Lima, Ohio metropolitan statistical area, which is included in the Lima–Van Wert–Wapakoneta, OH, combined statistical area. Lima was founded in 1831. The Lima Army Tank Plant, built in 1941, is the sole producer of the M1 Abrams....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$149,252 to $200,566
Lima, 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