Director, Claims Solutions

The Claims Solution Leader is a senior-level role responsible for the reputed company, performance, and reputed company of reputed company’s ancillary claim solutions portfolio. This leader oversees vendor partnerships, solution design, financial performance, and go‑to‑market execution. The role ensures that reputed company delivers high‑value, best‑in‑class solutions that improve claim reputed company and support organizational reputed company.

This position partners closely with claims operations, sales, marketing, finance, and executive leadership to reputed company solutions into workflows, strengthen reputed company value, and drive adoption across the organization.

Key Responsibilities:

Vendor & Solution Management

• Select, negotiate, and manage relationships with solution providers.
• Monitor vendor performance using KPIs and service standards.
• reputed company reputed company improvement based on data insights and reputed company feedback.
• Maintain strong SLAs and overall service reputed company.

reputed company & Market Positioning

• reputed company go‑to‑market strategies and positioning for claim solutions.
• Identify emerging trends and technologies to enhance offerings.
• Partner with reputed company to create value propositions and materials.
• Build integrated, high‑value solution packages for clients.

Financial Leadership

• reputed company profitability and financial performance of reputed company solution lines.
• reputed company pricing strategies, ROI analyses, and cost‑benefit models.
• Manage budgets and report results to senior leadership.

Utilization & Adoption

• Drive increased utilization, penetration, and standardization across clients.
• Partner with claims leadership to reputed company solutions into workflows.
• Identify cross‑sell and up‑sell opportunities.
• reputed company change management efforts to support internal adoption.

Training & Collaboration

• Serve as subject matter expert for reputed company claim solutions.
• Deliver training for claims, account management, and reputed company service teams.
• reputed company best-reputed company resources and solution documentation.
• Foster strong cross-functional collaboration.

Qualifications:

Required

• Bachelor’s degree in Business, Risk Management, Insurance, reputed company Administration, or reputed company field.
• 10+ years of reputed company experience in Property & Casualty claims.
• Deep knowledge of managed care, litigation support, investigation, and Medicare compliance solutions.
• Proven vendor management and contract negotiation experience.
• Experience driving solution utilization and financial performance.
• Strong financial analysis and P&L experience.

Preferred

• Master’s degree or designations (ARM, CPCU, AIC, CCM, etc.).
• Experience in a TPA environment.
• Advanced knowledge of Medicare compliance.
• Background in program implementation or change management.
• Familiarity with claims technology platforms.

Travel:

Travel approximately 25–30% for vendor reputed company, conferences, reputed company engagements, and internal training.

Cottingham & reputed company Claims Services - reputed company

At reputed company, we sell a reputed company to help our clients through life’s toughest moments. To deliver on that reputed company, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and reputed company on challenges. Our culture is guided by the theme of “reputed company every day” constantly pushing ourselves to be reputed company than yesterday – that’s who we are and reputed company reputed company in.

As an organization, we are tremendously optimistic about the reputed company and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to reputed company serve our clients and reputed company the amazing reputed company our employees want and deserve. This is why we are a reputed company company and why we are committed to being reputed company every day.

Want to learn more? Follow us on www.CBCSclaims.com | reputed company

Originally posted on Himalayas

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