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Head Claims Jobs (NOW HIRING)

AXIS Capital

Head of Specialty Complex Claims

Red Bank, NJ · Hybrid

  • Medical

  • Retirement

  • PTO

AXIS Capital, Head of Specialty Complex Claims About AXIS This is your opportunity to join AXIS Capital - a leading provider of specialty insurance and global reinsurance. We give people and ...

AXIS Capital

Head of Specialty Complex Claims

New York, NY · Hybrid

  • Medical

  • Retirement

  • PTO

AXIS Capital, Head of Specialty Complex Claims About AXIS This is your opportunity to join AXIS Capital - a leading provider of specialty insurance and global reinsurance. We give people and ...

Axis Capital

Head of Specialty Complex Claims

New York, NY · On-site

  • Medical

  • Retirement

  • PTO

AXIS Capital, Head of Specialty Complex Claims About AXIS This is your opportunity to join AXIS Capital - a leading provider of specialty insurance and global reinsurance. We give people and ...

AXIS Capital

Head of Specialty Complex Claims

Manhattan, NY · On-site

$250 - $270/hr

  • Medical

  • Retirement

  • PTO

Head of Specialty Complex Claims AXIS Capital is a leading global provider of specialty lines insurance and reinsurance. We are committed to outstanding client service, intelligent risk taking and ...

HITT Contracting

Head of Claims

Falls Church, VA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Head of Claims The Senior Manager, Claims & Risk Management leads HITT's enterprise claims function across all property and casualty lines for HITT Contracting and its affiliated operating companies.

New

HITT Contracting, Inc.

Head of Claims

Falls Church, VA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Head of Claims The Senior Manager, Claims & Risk Management leads HITT's enterprise claims function across all property and casualty lines for HITT Contracting and its affiliated operating companies.

New

ClaimSorted Inc

Head of Claims

New York, NY · On-site

$180K - $250K/yr

  • Medical

  • Retirement

  • PTO

Now we're looking for a Head of Claims to help redefine how claims should operate in the modern world. Not optimize around the edges. Not maintain legacy processes. Rebuild the function entirely. The ...

MLabs

Head of Claims

New York, NY

$150K - $200K/yr

  • Medical

  • Retirement

  • PTO

Our client is seeking an ambitious, hands-on Head of Claims to lead, redesign, and scale their global claims function. This is not a traditional insurance leadership role. This position is designed ...

MLabs

Head of Claims

New York, NY · On-site

$150K - $200K/yr

  • Medical

  • Retirement

  • PTO

Our client is seeking an ambitious, hands-on Head of Claims to lead, redesign, and scale their global claims function. This is not a traditional insurance leadership role. This position is designed ...

MLabs

Head of Claims

Manhattan, NY · On-site

$150 - $200/hr

  • Medical

  • Retirement

  • PTO

Our client is seeking an ambitious, hands‑on Head of Claims to lead, redesign, and scale their global claims function. This is not a traditional insurance leadership role. This position is designed ...

Lockton, Inc.

Head of Casualty Claims

Kansas City, MO · On-site

The Head of Casualty Claims is a senior national leadership role responsible for building and leading the U.S. Casualty Claims function. This role elevates claims from a reactive service to a ...

AXIS Capital

Head of Claims Value Stream

Alpharetta, GA · On-site

  • Medical

  • Retirement

  • PTO

AXIS is seeking a Head of Claims Value Stream to join our Business Technology Services (BTS) division. This role is accountable for end-to-end ownership of the Claims value stream, driving enterprise ...

AXIS Capital

Head of Claims Value Stream

Chicago, IL · On-site

  • Medical

  • Retirement

  • PTO

AXIS is seeking a Head of Claims Value Stream to join our Business Technology Services (BTS) division. This role is accountable for end-to-end ownership of the Claims value stream, driving enterprise ...

AXIS Capital

Head of Claims Value Stream

New York, NY · On-site

  • Medical

  • Retirement

  • PTO

AXIS is seeking a Head of Claims Value Stream to join our Business Technology Services (BTS) division. This role is accountable for end-to-end ownership of the Claims value stream, driving enterprise ...

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All JobsHead Claims Jobs

Head Claims information

See salary details

$83.5K

$126.9K

$178K

How much do head claims jobs pay per year?

As of Aug 13, 2026, the average yearly pay for head claims in the United States is $126,879.00, according to ZipRecruiter salary data. Most workers in this role earn between $105,500.00 and $141,000.00 per year, depending on experience, location, and employer.

What is the difference between Head Claims vs Claims Manager?

AspectHead ClaimsClaims Manager
CredentialsTypically requires insurance certifications, management experienceRequires insurance knowledge, leadership skills, often certifications
Work EnvironmentStrategic oversight, senior leadership roleOperational management, team supervision
Industry UsageUsed in large insurance companies, corporate settingsCommon across insurance firms, claims departments
Search & Comparison IntentUnderstanding senior claims leadership rolesManaging claims teams, operational roles

While both roles involve overseeing claims processes, the Head Claims typically holds a senior leadership position responsible for strategic direction and policy oversight. The Claims Manager focuses more on day-to-day operations and team management. The Head Claims sets policies and manages large teams, whereas the Claims Manager handles operational execution within those policies.

What are the key skills and qualifications needed to thrive as a head claims?

To excel as a Head of Claims, you need extensive insurance industry knowledge, strong analytical skills, and experience in claims management, often supported by a relevant degree and professional certifications such as AIC or CPCU. Familiarity with claims management systems, data analytics tools, and regulatory compliance platforms is essential. Exceptional leadership, negotiation, and communication skills help drive team performance and manage complex stakeholder relationships. These competencies are vital for optimizing claims processes, ensuring regulatory compliance, and maintaining customer satisfaction.

What are some common challenges faced by a head claims, and how can they be addressed?

A Head of Claims often faces challenges such as managing high claim volumes, ensuring regulatory compliance, and maintaining excellent customer service standards. Balancing the need for efficient claim processing with the accuracy of assessments can be demanding, especially during peak periods or in complex cases. To address these challenges, strong leadership, effective process optimization, and fostering a culture of continuous improvement within the team are essential. Additionally, leveraging technology for automation and analytics can help streamline workflows and enhance decision-making.

What does a head claims do?

A Head of Claims is responsible for overseeing the entire claims process within an insurance company or organization. They manage claims teams, set policies and procedures, and ensure that claims are processed efficiently, accurately, and in accordance with legal and regulatory requirements. This role also involves analyzing claims data, implementing strategies to reduce losses, and maintaining customer satisfaction by resolving complex or high-value claims. The Head of Claims often works closely with other departments such as underwriting, legal, and customer service to streamline operations and improve claims outcomes.
More about Head Claims jobs
What cities are hiring for Head Claims jobs? Cities with the most Head Claims job openings:
What are the most commonly searched types of Claims jobs? The most popular types of Claims jobs are:
What states have the most Head Claims jobs? States with the most job openings for Head Claims jobs include:
What job categories do people searching Head Claims jobs look for? The top searched job categories for Head Claims jobs are:
Head Claims jobs near you
Infographic showing various Head Claims job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, 1% Contract, and 1% Nights. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $126,879 per year, or $61 per hour.

Service Delivery Head, Claims BPaaS DeliveryService Delivery Head, Claims BPaaS Delivery

Wipro Limited

Tampa, FL • On-site

$200K/yr

Full-time

Medical, Dental, PTO

Re-posted 5 days ago

Wipro rating

7.8

Company rating: 7.8 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

86th of 223 rated it services

Job description

Job Title: Service Delivery Head, Claims BPaaS DeliveryService Delivery Head, Claims BPaaS Delivery
City: Tampa
State/Province: Florida
Posting Start Date: 12/10/25
Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients' most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world. For additional information, visit us at www.wipro.com.
Job Description:
Job Description
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Job Title: Service Delivery Head, Claims BPaaS Delivery
Band: D1
Location: Tampa
Summary
The Service Delivery Head, Claims BPaaS Delivery is a senior, hands-on leader responsible for the end-to-end delivery of health insurance payor claims operations and platform solutions at WHPS. This role requires deep expertise in health insurance payor claims (not provider claims), technology, the broader claims ecosystem-including internal teams, external vendors, and third-party integrations-and the payment integrity lifecycle (claims editing, audit, recovery, and fraud/waste/abuse prevention). In addition to operational excellence, the successful candidate must possess advanced technical acumen, with the ability to architect, evaluate, and troubleshoot complex claims platform solutions, drive automation, and lead technology-enabled transformation initiatives. The Service Delivery Head will serve as a primary client-facing leader, ensuring exceptional service delivery, operational excellence, and compliance. Success in this role requires strategic vision, strong accountability, analytical thinking, business acumen, and the ability to build effective relationships across all levels of staff, clients, and partners. The ideal candidate will have experience with multiple claims platforms, including Beacon SpyGlass, Plexis, and HealthEdge.
Essential Duties and Responsibilities
Operational Leadership & Delivery
  • Oversee day-to-day health insurance payor claims operations, ensuring timely, accurate, and compliant processing across all lines of business (ACA, Medicare, Medicaid, Commercial, ASO).
  • Lead, motivate, develop, and mentor managers and staff, fostering a culture of accountability, continuous improvement, and hands-on problem solving.
  • Be a hands-on leader, actively engaging in the details of claims delivery, issue resolution, and process optimization.

Claims Ecosystem & Vendor Management
  • Understand and manage the entire health insurance payor claims ecosystem, including internal teams, external vendors, and third-party partners.
  • Oversee integration and ongoing relationships with vendors and third parties, ensuring seamless interoperability and service delivery.
  • Proactively identify and address risks, gaps, and opportunities within the claims ecosystem.

Platform & IT Delivery
  • Serve as the subject matter expert on health insurance payor claims platforms and related IT systems.
  • Oversee the implementation, upgrade, and optimization of claims technology solutions, ensuring alignment with business needs and regulatory requirements.
  • Demonstrated expertise in multiple claims administration platforms; direct experience with Beacon SpyGlass, Plexis, and HealthEdge is highly preferred.
  • Collaborate with IT and external partners to ensure platform stability, scalability, and integration.
  • Lead technical assessments and solution architecture for claims platform enhancements, integrations, and automation opportunities.
  • Troubleshoot complex technical issues, partnering with IT and vendors to resolve platform and data challenges.
  • Drive the adoption of new technologies, automation tools, and data analytics capabilities to improve operational efficiency and accuracy.
  • Ensure robust data security, privacy, and compliance across all technical solutions and integrations.

Payment Integrity Lifecycle
  • Lead and oversee the payment integrity lifecycle, including claims editing, pre- and post-payment audits, recovery, and fraud/waste/abuse prevention.
  • Ensure payment integrity processes are integrated with claims operations and platform delivery, working closely with internal teams and external vendors.
  • Monitor and report on payment integrity metrics, trends, and outcomes to drive continuous improvement and compliance.

Client-Facing Leadership
  • Serve as the primary point of contact for clients on all payor claims-related matters, representing WHPS with professionalism and expertise.
  • Build and maintain strong relationships with clients, providers, internal departments, vendors, and executive leadership.
  • Lead client meetings, presentations, and issue resolution, ensuring high levels of satisfaction and trust.

Compliance & Reporting
  • Ensure compliance with state, federal, and industry regulations, including HIPAA and CMS guidelines.
  • Prepare and present regular reports on claims performance, payment integrity, trends, and department metrics.
  • Conduct audits and reviews to maintain high standards of accuracy and compliance.

Stakeholder Engagement
  • Build and maintain effective working relationships and work collaboratively with all levels of staff, clients, vendors, and partners.
  • Collaborate with cross-functional teams to optimize processes and systems to support claims operations.

Project Management
  • Oversee the implementation of upgrades and new products related to claims systems.
  • Facilitate effective inter-departmental communication to ensure the impact of procedural changes and system enhancements are fully understood.
  • Prioritize objectives and tasks, set target dates, track project completion, and determine the most effective methods to accomplish project goals.

Skills and Competencies
  • Strong analytical and problem-solving skills.
  • Excellent verbal and written communication skills.
  • Exceptional time management and organizational skills.
  • Ability to develop effective working relationships and work collaboratively with all levels of staff, vendors, and partners.
  • Demonstrated ability to lead, motivate, develop, and mentor others.
  • Solid business acumen, decision-making, research, and analytical skills.
  • Integrity and trust.
  • Customer focus.
  • Advanced technical expertise in health insurance claims platforms, systems integration, and data management.
  • Proficiency in solution architecture, platform evaluation, and technical troubleshooting.
  • Experience with automation, process optimization, and technology-enabled transformation initiatives.
  • Strong understanding of data security, privacy, and compliance requirements in healthcare technology.
  • Written/oral communication.
  • Accountability - ability to accept responsibility and account for actions.
  • Active listening - ability to attend to, convey, and understand comments and questions of others.
  • Autonomy - ability to work independently.
  • Creative thinking - ability to generate new concepts and ideas.
  • Customer orientation - ability to take care of clients' needs while following company procedures.
  • Detail orientation - ability to pay attention to the minute details of projects and tasks.
  • Interpersonal skills - ability to get along well with a variety of personalities and individuals.
  • Ability to work under pressure and complete assigned tasks in stressful situations.
  • Knowledge of industry best practices and trends.
  • Strong negotiation and relationship-building skills.
  • Ability to analyze data and make informed decisions.
  • Expertise in payment integrity lifecycle, including claims editing, audit, recovery, and fraud/waste/abuse prevention.

Education and Experience
  • Bachelor's Degree in Business Administration, Healthcare Administration, Information Technology, or a related field (Master's preferred).
  • Minimum of 10 years of experience in health insurance payor claims operations, with at least 5 years in a senior leadership role.
  • Proven experience managing large, geographically dispersed teams.
  • Strong knowledge of health insurance industry, including ACA, Medicare, Medicaid, Commercial, and ASO.
  • Extensive experience with multiple health insurance claims platforms; direct experience with Beacon SpyGlass, Plexis, and HealthEdge is highly preferred.
  • Deep understanding of claims policies, procedures, regulatory requirements, and industry standards (including HIPAA, CMS, AMA, CCI edits).
  • Demonstrated experience managing payment integrity functions within health insurance payor claims operations.
  • Experience managing vendor and third-party integrations within the claims ecosystem.
  • Significant hands-on experience with technical solution design, platform integration, automation, and data analytics in health insurance claims operations.

The expected compensation for this role ranges from $190,000.00 to $265,000.00.
Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.
Applicants are advised that employment in some roles may be conditioned on successful completion of a post-offer drug screening, subject to applicable state law.
Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.
Reinvent your world. We are building a modern Wipro. We are an end-to-end digital transformation partner with the boldest ambitions. To realize them, we need people inspired by reinvention. Of yourself, your career, and your skills. We want to see the constant evolution of our business and our industry. It has always been in our DNA - as the world around us changes, so do we. Join a business powered by purpose and a place that empowers you to design your own reinvention.

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