Claims Processing Director jobs in Oakland, CA

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
  • San Ramon, CA 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.

  • 28 Days Ago

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CA - Field Representative
  • Hancock Claims Consultants
  • Oakland, CA FULL_TIME
  • With a 20-year history supporting property insurers, Hancock Claims Consultants provides a nationwide network of inspectors, contractors, and engineers who help adjusters quickly process claims. All 5...
  • 18 Days Ago

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Claims Assistant
  • Five Star Cleaners
  • Richmond, CA FULL_TIME
  • Come train as a Claims Assitant and be part Restoration team at a company that offers you the opportunity to help others, be challenged daily, and grow as an employee and individual.The Company: Renew...
  • Just Posted

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Claims Processor
  • Zenith American
  • Alameda, CA OTHER
  • Title: Claims Processor Department: Claims Bargaining Unit: Teamsters 853 Grade: 4 Position Type: Non-exempt Hours per Week: 40 Date Posted: 04/17/2024 Position Summary The Claims Processor provides c...
  • 6 Days Ago

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Claims manager
  • Five Star Cleaners
  • Richmond, CA FULL_TIME
  • Claims Manager Are you ready for a new career? One that will allow you to help people on a daily basis One that will challenge you every day. One that will require you to constantly learn and grow as ...
  • 11 Days Ago

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Claims Manager
  • Health Services & Benefit Administrators - (HS&BA, Inc.)
  • Dublin, CA FULL_TIME
  • ```Job Overview```We are seeking a highly skilled and experienced Claims Manager to join our team. As a Claims Manager, you will be responsible for overseeing the entire claims process and ensuring ef...
  • 1 Month Ago

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0 Claims Processing Director jobs found in Oakland, CA area

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Claims Specialist - Hybrid Remote
  • VetJobs
  • Alameda, CA
  • Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qual...
  • 4/25/2024 12:00:00 AM

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Underwriting Director
  • IAT Insurance Group
  • Walnut Creek, CA
  • The Inland Marine Business Unit within IAT has an immediate opening for an Underwriting Director who can work from IAT's...
  • 4/25/2024 12:00:00 AM

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Member Services Representative - Hybrid Remote
  • VetJobs
  • Alameda, CA
  • Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qual...
  • 4/25/2024 12:00:00 AM

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Member Services Representative I Bilingual Spanish - Hybrid Remote
  • VetJobs
  • Alameda, CA
  • Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qual...
  • 4/25/2024 12:00:00 AM

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Senior Compliance Manager
  • East Bay Asian Local Development Corporation (EBALDC)
  • Oakland, CA
  • Emphasizing our historic and continuing commitment to Asian and Pacific Islander communities, theEast Bay Asian Local De...
  • 4/24/2024 12:00:00 AM

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Substance Abuse Counselor
  • The Friendship House Association of American Indians
  • Oakland, CA
  • Job Description Job Description Summary: The Substance Abuse Counselor functions as the primary drug and alcohol counsel...
  • 4/24/2024 12:00:00 AM

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Director, Human Resources
  • WeDriveU
  • San Francisco, CA
  • Company Description: WeDriveU is the leader in transportation, specializing in workplace, campus and community transport...
  • 4/24/2024 12:00:00 AM

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Senior Project Engineer
  • Ghilotti Construction Company
  • Oakland, CA
  • Why GCC? With over a century of industry experience, GCC paves the way for the future. But what sets us apart is our unw...
  • 4/22/2024 12:00:00 AM

Oakland is in the eastern region of the San Francisco Bay. In 1991 the City Hall tower was at 37°48′19″N 122°16′21″W / 37.805302°N 122.272539°W / 37.805302; -122.272539 (NAD83). (The building still exists, but like the rest of the Bay Area, it has shifted northwest perhaps 0.6 meters in the last twenty years.) The United States Census Bureau says the city's total area is 78.0 square miles (202 km2), including 55.8 square miles (145 km2) of land and 22.2 square miles (57 km2) (28.48 percent) of water. Oakland's highest point is near Grizzly Peak Blvd, east of Berkeley, just over 1,760 feet (...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$193,505 to $260,033
Oakland, California area prices
were up 4.5% 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