... claims management processes and systems. Your input will help to shape and improve how we fulfill ... option plan. * Health, Dental, and Vision Coverage : We care about your health and that of your ...
... claims management processes and systems. Your input will help to shape and improve how we fulfill ... option plan. * Health, Dental, and Vision Coverage : We care about your health and that of your ...
Claims Manager
San Diego, CA · On-site
$127K - $153K/yr
The Claims Manager establishes and executes claim handling strategies, leverages data and ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Claims Manager
San Diego, CA · On-site
$127K - $153K/yr
The Claims Manager establishes and executes claim handling strategies, leverages data and ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
This role works in conjunction with Business Configuration, Network Management, Provider Data ... Minimum of 3 years' experience processing medical claims in the healthcare industry. * Prior ...
This role works in conjunction with Business Configuration, Network Management, Provider Data ... Minimum of 3 years' experience processing medical claims in the healthcare industry. * Prior ...
Enterprise Claims Manager
Minneapolis, MN · On-site
$99K - $140K/yr
Job Overview The Enterprise Claims Manager is responsible for leading claims strategy across the organization. The role is accountable for developing, maintaining, and managing all claims for ...
Enterprise Claims Manager
Minneapolis, MN · On-site
$99K - $140K/yr
Job Overview The Enterprise Claims Manager is responsible for leading claims strategy across the organization. The role is accountable for developing, maintaining, and managing all claims for ...
Claims Manager
Nottingham, MD · On-site
$87K - $134K/yr
The Claims Manager is responsible for the overall operation of a designated office. The Claims ... health and disability management industries. CorVel was founded in 1987 and has been publicly ...
Claims Manager
Nottingham, MD · On-site
$87K - $134K/yr
The Claims Manager is responsible for the overall operation of a designated office. The Claims ... health and disability management industries. CorVel was founded in 1987 and has been publicly ...
Enterprise Claims Manager
Minneapolis, MN · On-site
$99K - $140K/yr
Job Overview The Enterprise Claims Manager is responsible for leading claims strategy across the organization. The role is accountable for developing, maintaining, and managing all claims for ...
Enterprise Claims Manager
Minneapolis, MN · On-site
$99K - $140K/yr
Job Overview The Enterprise Claims Manager is responsible for leading claims strategy across the organization. The role is accountable for developing, maintaining, and managing all claims for ...
This role works in conjunction with Business Configuration, Network Management, Provider Data ... Minimum of 3 years' experience processing medical claims in the healthcare industry. * Prior ...
This role works in conjunction with Business Configuration, Network Management, Provider Data ... Minimum of 3 years' experience processing medical claims in the healthcare industry. * Prior ...
Vice President of Health Plan Operations and Claims
Ontario, CA · On-site
$150K - $250K/yr
Master's Degree in Business Management, Healthcare Administration, or other relevant fields. * A minimum of seven (7) to ten (10) years prior work experience in Claims Operations and Health Plan ...
Vice President of Health Plan Operations and Claims
Ontario, CA · On-site
$150K - $250K/yr
Master's Degree in Business Management, Healthcare Administration, or other relevant fields. * A minimum of seven (7) to ten (10) years prior work experience in Claims Operations and Health Plan ...
... health insurance, and dual retirement. Come discover the Triangle Difference! We are hiring an ... The Liability Claims Manager handles all aspects of property and commercial casualty claims ...
... health insurance, and dual retirement. Come discover the Triangle Difference! We are hiring an ... The Liability Claims Manager handles all aspects of property and commercial casualty claims ...
Claims Manager
Lafayette, LA · On-site
The Claims Managers overall responsibility is to deliver the highest customer service to our ... insurance plan * · Must be proficient with the following Microsoft applications: Excel, Word ...
Claims Manager
Lafayette, LA · On-site
The Claims Managers overall responsibility is to deliver the highest customer service to our ... insurance plan * · Must be proficient with the following Microsoft applications: Excel, Word ...
... health insurance, and dual retirement. Come discover the Triangle Difference! We are hiring an ... The Liability Claims Manager handles all aspects of property and commercial casualty claims ...
... health insurance, and dual retirement. Come discover the Triangle Difference! We are hiring an ... The Liability Claims Manager handles all aspects of property and commercial casualty claims ...
The AR Claims Manager is responsible for leading and managing the customer claims, deductions ... Plan, assign, and review work to ensure departmental objectives and service levels are achieved.
The AR Claims Manager is responsible for leading and managing the customer claims, deductions ... Plan, assign, and review work to ensure departmental objectives and service levels are achieved.
Health Plan Advisor
Honolulu, HI · On-site
Work in a cross functional team of Strategic Account Manager/Account Relationship Consultant ... Educates and advises administrators regarding their group health plan benefits and provisions, HMSA ...
Health Plan Advisor
Honolulu, HI · On-site
Work in a cross functional team of Strategic Account Manager/Account Relationship Consultant ... Educates and advises administrators regarding their group health plan benefits and provisions, HMSA ...
Insurance Claims Manager
Charlotte, NC · On-site
$175K - $225K/yr
Plan, direct and control activities of Litigation unit in accordance with established claim ... paid health and wellness benefits, company matched 401(k), profit sharing, stock options, and ...
New
Quick apply
Insurance Claims Manager
Charlotte, NC · On-site
$175K - $225K/yr
Plan, direct and control activities of Litigation unit in accordance with established claim ... paid health and wellness benefits, company matched 401(k), profit sharing, stock options, and ...
New
CLAIMS EXAMINER II
Burlingame, CA · On-site
$36.92 - $41.85/hr
Responsible to prepare files and documents for the annual health plan delegation oversight audits, assist Claims Supervisor with MSO management reports, and other special projects as needed.
CLAIMS EXAMINER II
Burlingame, CA · On-site
$36.92 - $41.85/hr
Responsible to prepare files and documents for the annual health plan delegation oversight audits, assist Claims Supervisor with MSO management reports, and other special projects as needed.
Property Claims Manager
Boston, MA · On-site
$100K - $150K/yr
Medical, vision, and dental insurance * 3 weeks accrued PTO * 100% matching 401(k) retirement plan ... Manages the activities of the property field claims unit. Duties * Ensures the timely investigation ...
Property Claims Manager
Boston, MA · On-site
$100K - $150K/yr
Medical, vision, and dental insurance * 3 weeks accrued PTO * 100% matching 401(k) retirement plan ... Manages the activities of the property field claims unit. Duties * Ensures the timely investigation ...
Claims Manager I
Des Moines, IA · On-site
The Weitz Company is hiring a Claims Manager I to support the administration, analysis ... Generous Paid Time Off Provisions * 401K Retirement Savings Plan with Company Match * Tuition ...
Quick apply
Claims Manager I
Des Moines, IA · On-site
The Weitz Company is hiring a Claims Manager I to support the administration, analysis ... Generous Paid Time Off Provisions * 401K Retirement Savings Plan with Company Match * Tuition ...
Health Plan Claims Analyst I- Environmental Medicine
Manhattan, NY · On-site
$64K - $81K/yr
Description The Health Plan Claims Analyst I is responsible for multiple components of specific health plan operations. He/she is responsible for providing administrative, operational and ...
Health Plan Claims Analyst I- Environmental Medicine
Manhattan, NY · On-site
$64K - $81K/yr
Description The Health Plan Claims Analyst I is responsible for multiple components of specific health plan operations. He/she is responsible for providing administrative, operational and ...
Auto Insurance Claims Manager
Mount Prospect, IL · On-site +1
$90K - $120K/hr
Auto Insurance Claims Manager Location: Mount Prospect, IL (Hybrid preferred, remote available ... Health & Wellness: Choice of Blue Cross Blue Shield PPO, HMO, or HSA plans, Dental and vision ...
Quick apply
Auto Insurance Claims Manager
Mount Prospect, IL · On-site +1
$90K - $120K/hr
Auto Insurance Claims Manager Location: Mount Prospect, IL (Hybrid preferred, remote available ... Health & Wellness: Choice of Blue Cross Blue Shield PPO, HMO, or HSA plans, Dental and vision ...
Manage relationships with a portfolio of Health Plan customers across all stages of the customer lifecycle to maximize customer outcomes, satisfaction, and retention. * Serve as a leader and mentor ...
Manage relationships with a portfolio of Health Plan customers across all stages of the customer lifecycle to maximize customer outcomes, satisfaction, and retention. * Serve as a leader and mentor ...
Claims Manager Health Plan information
See salary details
$35K - $44.5K
4% of jobs
$44.5K - $53.9K
4% of jobs
$53.9K - $63.4K
10% of jobs
$67K is the 25th percentile. Wages below this are outliers.
$63.4K - $72.8K
18% of jobs
$72.8K - $82.3K
12% of jobs
The median wage is $83.8K / yr.
$82.3K - $91.7K
13% of jobs
$91.7K - $101.2K
14% of jobs
$101.6K is the 75th percentile. Wages above this are outliers.
$101.2K - $110.6K
12% of jobs
$110.6K - $120.1K
7% of jobs
$120.1K - $129.5K
4% of jobs
$129.5K - $139K
2% of jobs
$35K
$87.9K
$139K
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Claims Manager
Remote
Full-time
Medical, Dental, Vision, Retirement
Re-posted 24 days ago
Job description
As a member of the Claims team, you will be one of the initial users of, and key feedback providers for, our active claims management processes and systems. Your input will help to shape and improve how we fulfill our mission of providing world-class service through tightly managing legal costs, making data-driven decisions when analyzing a claim's value, and ensuring that other potentially responsible parties pay their fair share. This will necessitate close collaboration with Claims leadership, our internal Data and Engineering teams, and our carrier partners.
YOU WILL
- Complete accurate and timely investigations into the coverage, liability, and damages for each claim assigned to you.
- Actively manage each claim assigned to you in a way that produces the most timely and cost-effective resolution.
- Build and maintain positive and productive working relationships with internal and external customers, including policyholders, brokers, carrier partners, and Risk Engineers.
- Direct and monitor assignments to experts and outside counsel, and hold those vendors accountable for meeting or exceeding our service standards.
- Support our data collection efforts and models by effectively using the Counterpart claim system to fully and accurately capture critical details about each claim assigned to you.
- Identify and escalate insights into emerging claims trends across industries, geographies, and key business segments.
- Offer user-level feedback and insights to support the continuous improvement of our claim handling processes, guidelines, and systems.
- Ensure that every touchpoint with our insureds and brokers is representative of our brand, mission, and vision.
YOU HAVE
- At least 5 years of professional experience, with at least 2 years of experience litigating or managing claims in one or more of the following areas:
- Employment Practices Liability
- Miscellaneous Professional Liability
- Directors and Officers Liability
- Errors and Omissions Liability
- Previous carrier or broker experience is a plus
- Bachelor's degree required; law degree (J.D.) and professional designations (RPLU, AIC, etc.) highly preferred.
- Must possess all required state claim adjuster licenses, or be able to obtain them within 90 days of hire.
- Proven ability to work both independently on complex matters and collaboratively as a team player to assist others as needed.
- High level of personal initiative and leadership skills.
- Exceptional time management, problem solving and organizational skills.
- Comfort and skill operating in a paperless claims environment and using Microsoft Office products (Word, Excel, etc.). Additional familiarity with Google Docs Editors suite is a plus.
- Willingness to use creative thinking and data-driven insights to overcome obstacles to resolution.
- Strong communication skills, both verbal and written.
- Ability to succeed in a full remote workplace environment, and travel as necessary (approximately 10-15%).
WHO YOU WILL WORK WITH:
- Tobias Schuler, Head of Data Analytics: After becoming a Fellow of the Casualty Actuarial Society and working as a consultant actuary at EY for several years, Tobias went on to drive the actuarial data & systems teams at QBE. He further leveraged his deep insurance and technical expertise at Munich Re Digital Partners in North America, where he headed data and analytics and oversaw the data infrastructure behind some of their largest programs.
- Chris Shafer, Special Projects: Chris is a published scientific author, having studied the neural correlates of gratitude at the lauded Brain and Creativity Institute. He has since helped to launch numerous businesses in which he held a variety of critical roles from product management to business operations to strategic partnerships. Chris received his bachelor's degree in Biological Sciences from the University of Southern California.
- Tanner Hackett, CEO & Founder: Having founded two other major startups, including Button and Lazada, Tanner now spends his time focused on mental health through his philanthropy, Openminded.org, in addition to reading, surfing, yoga, and enjoying the outdoors.
WHAT WE OFFER
- Stock Options: Every employee is able to participate in the value that they create at Counterpart through our employee stock option plan.
- Health, Dental, and Vision Coverage: We care about your health and that of your loved ones. We cover up to 100% of your monthly contributions for health, dental, and vision insurance and up to 80% coverage for family members.
- 401(k) Retirement Plan: We value your financial health and offer a 401(k) option to help you save for retirement.
- Parental Leave: Birthing parents may take up to 12 weeks of parental leave at 100% of their regular pay following the birth of the employee's child, and can choose to take an additional 4 unpaid weeks. Non-birthing parents will receive 8 weeks of parental leave at 100% of their regular pay.
- Unlimited Vacation: We offer flexible time off, allowing you to take time when you need it.
- Work from Anywhere: Counterpart is a fully distributed company, meaning there is no office. We allow employees to work from wherever they do their best work, and invite the team to meet in person a couple times per year.
- Home Office Allowance: As a new employee, you will receive a $300 allowance to set up your home office with the necessary equipment and accessories.
- Wellness stipend: $100 per month to spend toward an item or service that supports your wellness (i.e. massage or gym membership, meditation app subscription, etc.)
- Book stipend: To support your intellectual development, we offer a book stipend that allows you to purchase books, e-books, or educational materials relevant to your role or professional interests.
- Professional Development Reimbursement: We provide up to $500 annually for you to invest in relevant courses, workshops, conferences, or certifications that will enhance your skills and expertise.
- No working birthdays: Take your birthday off, giving you the opportunity to relax, enjoy your special day, and spend time with loved ones.
- Charitable Contribution Matching: For every charitable donation you make, we will match it dollar for dollar, up to a maximum of $150 per year. This allows you to amplify your charitable efforts and support causes close to your heart.
COUNTERPART'S VALUES
- Conjoin Expectations - it is the cornerstone of autonomy. Ensure you are aware of what is expected of you and clearly articulate what you expect of others.
- Speak Boldly & Honestly - the only failure is not learning from mistakes. Don't cheat yourself and your colleagues of the feedback needed when expectations aren't being met.
- Be Entrepreneurial - control your own destiny. Embrace action over perfection while navigating any obstacles that stand in the way of your ultimate goal.
- Practice Omotenashi ("selfless hospitality") - trust will follow. Consider every interaction with internal and external partners an opportunity to develop trust by going above and beyond what is expected.
- Hold Nothing As Sacred - create routines but modify them routinely.Take the time to reflect on where the business is today, where it needs to go, and what you have to change in order to get there.
- Prioritize Wellness - some things should never be sacrificed. We create an environment that stretches everyone to grow and improve, which is fulfilling, but is only one part of a meaningful life.
Our estimated pay range for this role is $120,000 to $160,000. Base salary is determined by a variety of factors, including but not limited to, market data, location, internal equitability, and experience.
Counterpart is committed to being a welcoming and inclusive workplace for everyone, and we are intentional about making sure people feel respected, supported and connected at work-regardless of who you are or where you come from. We value and celebrate our differences and we believe being open about who we are allows us to do the best work of our lives.
We are an Equal Opportunity Employer. We do not discriminate against qualified applicants or employees on the basis of race, color, religion, gender identity, sex, sexual preference, sexual identity, pregnancy, national origin, ancestry, citizenship, age, marital status, physical disability, mental disability, medical condition, military status, or any other characteristic protected by federal, state, or local law, rule, or regulation.