Director, Claims Solutions
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Job Description
Claims Solution Leader managing vendor partnerships and financial performance for CBCS’s claim solutions portfolio. Collaborating with various departments to enhance workflows and client value.
Responsibilities:
- Select, negotiate, and manage relationships with solution providers.
- Monitor vendor performance using KPIs and service standards.
- Lead continuous improvement based on data insights and client feedback.
- Develop go‑to‑market strategies and positioning for claim solutions.
- Oversee profitability and financial performance of all solution lines.
- Drive increased utilization, penetration, and standardization across clients.
- Serve as subject matter expert for CBCS claim solutions.
- Deliver training for claims, account management, and client service teams.
Requirements:
- Bachelor’s degree in Business, Risk Management, Insurance, Healthcare Administration, or related field.
- 10+ years of progressive 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.
Benefits:
- Health insurance
- Professional development opportunities
- Flexible working hours
- Paid time off
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