Health Insurance Operations Director jobs in Lima, OH

Health Insurance Operations Director directs and oversees health insurance operations programs in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Manages vendors assigned to each operation. Being a Health Insurance Operations Director resolves issues within each service area. Has deep knowledge of health insurance operations. Additionally, Health Insurance Operations Director typically requires a bachelor's degree of business administration or its equivalent. Typically reports to top management. The Health Insurance Operations 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. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Health Insurance Operations Director typically requires 5+ years of managerial experience. (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
  • 20 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 ...
  • 20 Days Ago

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Operations Director
  • Brightview Llc
  • Lima, OH FULL_TIME
  • OPERATIONS DIRECTOR Are you a dynamic leader ready to make a transformative impact in addiction medicine? BrightView is seeking an Operations Director to facilitate the clinic workflow and lead the da...
  • 1 Month Ago

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Maintenance Director
  • CareCore Health
  • Lima, OH FULL_TIME
  • Carecore at Lima is currently seeking a Maintenance Director to oversee its beautiful facility. The Maintenance Director is responsible for leadership and oversight for the overall physical building a...
  • 1 Month Ago

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Insurance agent
  • Z Insurance Group
  • Findlay, OH FULL_TIME
  • You are an independent, outgoing individual who constantly strives to do your best. You are passionate about selling and helping area farmers manage their risks. You know the agriculture industry, peo...
  • 22 Days Ago

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Medical Director-Addiction Medicine
  • BrightView Health
  • Lima, OH FULL_TIME
  • The Medical Director supervises the medical operations of the treatment center and is medically responsible for oversight of all patients enrolled in the treatment program. The Medical Director provid...
  • 22 Days Ago

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0 Health Insurance Operations Director jobs found in Lima, OH area

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LAB - Medical Lab Scientist (MLS/MT) FT, PT, or PRN
  • Blanchard Valley Hospital
  • Findlay, OH
  • NOTE: Up to $15,000 signing bonus requires a 2 year commitment to BVHS and current associates are not eligible for this ...
  • 4/26/2024 12:00:00 AM

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Volunteer Coordinator - Thrift Shop
  • Bon Secours Mercy Health
  • Lima, OH
  • At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectivenes...
  • 4/26/2024 12:00:00 AM

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Owner Operator
  • Carrier One
  • Ohio City, OH
  • About Carrier One Carrier One Inc. is a privately owned flatbed company based in Griffith, Indiana, founded in 2003. Fir...
  • 4/26/2024 12:00:00 AM

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HANCO EMS - EMT Basic (PRN)
  • Hanco EMS
  • Findlay, OH
  • PURPOSE OF THIS POSITION The purpose of the HANCO EMS Emergency Medical Technician (EMT) is to deliver pre-hospital and ...
  • 4/26/2024 12:00:00 AM

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LAB - Phlebotomist Main Lab - 16 hrs/wk, 2nd shift
  • Blanchard Valley Hospital
  • Findlay, OH
  • PURPOSE OF THIS POSITION Performs the day-to-day phlebotomy duties in accordance with current federal, state and local s...
  • 4/26/2024 12:00:00 AM

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LAB - Medical Laboratory Scientist (MLS/MT) or Medical Lab Technician (MLT)
  • Blanchard Valley Hospital
  • Findlay, OH
  • NOTE: Up to $15,000 signing bonus requires a 2 year commitment to BVHS and current associates are not eligible for this ...
  • 4/26/2024 12:00:00 AM

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Manager- OB/GYN- Blanchard Valley Medical Practices
  • Bluffton Women's Care
  • Bluffton, OH
  • PURPOSE OF THIS POSITION The Manager of the facilities is responsible for managing daily operations at assigned faciliti...
  • 4/25/2024 12:00:00 AM

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Sports Director
  • Ymca Of Greater Dayton
  • Celina, OH
  • Sports DirectorGrand Lake Health/Premier Health North YMCACelina, OHFull-time/Exempt$39,500-$42,000/AnnuallyPosition Sum...
  • 4/24/2024 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 Health Insurance Operations Director jobs
$162,811 to $219,565
Lima, Ohio area prices
were up 1.3% from a year ago