Director of Claims Health Insurance
InsuranceJobs.comCleveland, OH, Ohio, United Statesjob_description.job_card.variable_days_ago
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job_description.job_card.job_descriptionHybrid work environment for flexibility Competitive wages based on experience & qualifications Comprehensive benefits package including medical, dental, vision, disability, retirement plan, savings plan, life insurance, pet insurance
Solidarity Health Network, Inc. is seeking an experienced Director of Claims to join our team!
Position Highlights :
- Minimum 5 years’ experience in health insurance claims
- Strong ability to multi-task and lead operations
- Provide strategic leadership and direction to the claims department, including managers, supervisors, and claims examiners
- Oversee claims adjudication, payment accuracy, and compliance with CMS, ERISA, and state regulatory guidelines
- Develop and implement policies, procedures, and workflows to maximize efficiency, accuracy, and cost savings
- Ensure timely adjudication of complex claims, appeals, and escalations
- Provide executive leadership with regular reporting, analytics, and strategic recommendations
- Monitor key performance indicators (KPIs) including turnaround times, accuracy, pending claims, and inventory
Compensation Highlights :
Immediate hire opportunity!
If you’re ready to grow your career with a company that values innovation, teamwork, and service, we’d love to hear from you.
Apply today and be part of a nationally recognized Best Employer (Crain’s 2025) with a supportive and collaborative culture!
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Director Of Health • Cleveland, OH, Ohio, United States