Executive Director, Claims Job at Reinsurance Group of America (Bangsar, Wilayah Persekutuan Kuala Lumpur)

Director, Payment Integrity

The Director, Payment Integrity provides strategic leadership and oversight for ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

10 years of experience in Payment Integrity, Special Investigation Unit, or healthcare anti-fraud
7+ years of experience in management role
2+ years of experience in Vendor Partner Oversight
contracting and vendor management of external payment vendors and/or audit firms
Demonstrated success in developing and executing enterprise-wide strategies
Bachelor's Degree in business, statistics, healthcare administration or related field of study
Intermediate PC proficiency
Intermediate skill in use of office equipment
Basic skill in word processing and presentation software
Intermediate proficiency in spreadsheet, statistical analysis, query / data mining, and business intelligence software

Job Responsibility

Develop and execute enterprise-wide Payment Integrity strategy aligned with organizational objectives and cost of care targets
Lead the design, implementation, and continuous improvement of payment integrity programs, including pre- and post-payment audits, recovery, and investigative functions
Establish and maintain governance structures, including cross-functional committees, to oversee payment integrity controls and policy development
Representing the organization in internal and external forums, collaborating with industry peers, regulatory bodies, and vendor partners to share best practices and drive innovation
Stay abreast of emerging trends, technologies, and regulatory shifts in the healthcare payment integrity space
Oversee day-to-day operations, ensuring timely, accurate, and compliant claims payment and recovery activities
Direct vendor management, including contracting, performance oversight, and strategic partnerships for payment integrity solutions
Drive automation and technology adoption to enhance payment integrity processes and reporting capabilities
Lead cost-benefit analyses to determine optimal resource allocation (internal vs. outsourced functions)
Set and monitor KPIs, SMART goals, and financial targets for payment integrity initiatives

Fulltime

Commercial Broker

This impressive broking company is looking for a technical broker to join their ...

Location

United Kingdom , Glasgow

Salary:

34000.00 - 44000.00 GBP / Year

Lawes Consulting Group

Expiration Date

Until further notice

Requirements

minimum 5 years commercial insurance broking experience
Knowledge of Acturis would be preferred
A good knowledge of commercial insurance products including motor, EL, PL, property, commercial combined, etc.
Experienced gained in handling large and/or complex risks
Confident with most classes of commercial insurance risk including property, motor, EL, PL, commercial combined, etc.

Job Responsibility

To understand existing client business risks and to administer commercial insurance programmes designed for the protection of the client against these risks
Provide day to day servicing, and administration of allocated clients insurance programmes in a timely, technically accurate and cost effective manner, in accordance with procedures and performance standards
Assist in developing less experienced members of staff by imparting knowledge and expertise
Build strong working relationships with clients and insurers
Working closely with directors, executives, claims and risk management team

What we offer

Cont pension
Bonus
Full flexible benefits suite
Assistance with CII qualifications

Fulltime

Managing Director of Risk Management and Compliance

The Managing Director of Risk Management and Compliance is responsible for devel...

Location

United States , Philadelphia

Salary:

Not provided

Public Health Management Corporation

Expiration Date

Until further notice

Requirements

Bachelor’s degree required
master’s degree preferred in Risk Management, Business Administration, Public Administration, Law, Public Health, or a related field
Minimum of 8 years of progressive leadership experience in risk management, compliance, insurance, or related disciplines
Demonstrated experience advising executive leadership and Boards of Directors
Experience in complex, multi-site nonprofit, public health, or healthcare-adjacent organizations strongly preferred
Strong analytical, strategic thinking, and problem-solving skills
Excellent written and verbal communication skills
Proven negotiation skills with brokers, carriers, and external partners
High level of judgment, integrity, and discretion
Effectively manage professional team

Job Responsibility

Develop, implement, and maintain a comprehensive enterprise risk management framework encompassing operational, financial, regulatory, reputational, and workforce-related risks
Identify, assess, prioritize, and monitor risks across all business units and subsidiaries
Communicate risk exposure, trends, and mitigation strategies to executive leadership and the Board of Directors
Lead the development and execution of corrective action plans to address identified risks and compliance gaps
Manage the organization’s insurance portfolio, including property, general liability, professional liability, directors and officers (D&O), workers’ compensation, cyber, and specialty coverages
Partner with Legal and Finance to review real estate transactions, program operations, and city, state, and funder partnerships to identify insurance and indemnification requirements
Negotiate coverage terms, limits, and pricing with brokers and carriers to ensure appropriate coverage and cost efficiency
Oversee insurance renewals, underwriting submissions, and broker relationships
Oversee organizational safety programs and ensure compliance with applicable federal, state, and local regulations
Direct the management of significant incidents, investigations, and large-loss claims, including documentation, root cause analysis, and resolution

Fulltime

Vice President, Risk Management

ChristianaCare is one of the nation’s largest and most innovative health systems...

Location

United States , Wilmington

Salary:

Not provided

Kirby Bates Associates

Expiration Date

Until further notice

Requirements

Juris Doctor (JD) required
10+ years of progressively responsible legal experience in healthcare law, including litigation and risk management
Demonstrated success leading multi-disciplinary teams and managing external counsel
Deep knowledge of healthcare liability, insurance, and enterprise risk management
Experience in an integrated health system or academic medical center preferred

Job Responsibility

Provides strategic leadership for enterprise risk management, clinical risk mitigation, claims management, and insurance portfolio
Integrates legal, operational, and clinical expertise to reduce exposure, protect organizational assets, and support a culture of safety and high-quality care delivery
Leads the Directors of Clinical Risk Management and Claims Management
Partners closely with senior executives, clinical and operational leaders, outside counsel, brokers, and claims consultants

Account Executive

A fantastic opportunity to join a Top 100 UK insurance broker with multiple offi...

Location

United Kingdom , Redhill, Surrey

Salary:

45000.00 - 70000.00 GBP / Year

Lawes Consulting Group

Expiration Date

Until further notice

Requirements

Proven experience as a Commercial Account Executive / Director within the insurance industry
In-depth knowledge of various commercial insurance products, risk management principles, and underwriting processes
Proven track record in hitting sales targets and bringing in new business
Excellent communication and negotiation skills
Must be an active user of Acturis software and Microsoft Office suite
Relevant insurance qualifications (e.g., CII) would be advantageous

Job Responsibility

Client Relationship Management
Policy Management
Risk Assessment and Analysis
Negotiations and Renewals
Claims Handling Support
Market Knowledge

Fulltime

Junior PA

Join Our Team as a Junior PA! Our client is seeking a Junior Personal Assistant ...

Location

United Kingdom , London

Salary:

28000.00 - 30000.00 GBP / Year

Office Angels

Expiration Date

Until further notice

Requirements

Strong organisational, planning, multitasking, and prioritising skills
Resourcefulness and excellent problem-solving abilities
Strong communication and interpersonal skills
A team-oriented mindset with the ability to work collaboratively
Initiative and proactiveness in task execution
Solid research skills

Job Responsibility

Manage the Director's diary by booking and recording appointments
Schedule and record meetings in team diaries
Provide comprehensive administrative support during the sales process and research
Assist with raising fee accounts for the Director and team
Reconcile the Director's credit card expenses and process claims on their behalf
Organise access to properties for surveys, EPCs, plans, and viewings
Register the Director's interest for new properties/transactions with various agents
Prepare documents, emails, letters, and templates in line with company standards
Take meeting minutes, ensuring actions are agreed upon and followed up
Answer phone calls and pass messages to relevant team members

Fulltime

Junior PA

This is an ideal role for a Graduate looking to fast-track their career as a PA....

Location

United Kingdom , London

Salary:

28000.00 - 30000.00 GBP / Year

Office Angels

Expiration Date

Until further notice

Requirements

Strong organisational, planning, multitasking, and prioritising skills
Resourcefulness and excellent problem-solving abilities
Strong communication and interpersonal skills
A team-oriented mindset with the ability to work collaboratively
Initiative and proactiveness in task execution
Solid research skills

Job Responsibility

Manage the Director's diary by booking and recording appointments
Schedule and record meetings in team diaries
Provide comprehensive administrative support during the sales process and research
Assist with raising fee accounts for the Director and team
Reconcile the Director's credit card expenses and process claims on their behalf
Organise access to properties for surveys, EPCs, plans, and viewings
Register the Director's interest for new properties/transactions with various agents
Prepare documents, emails, letters, and templates in line with company standards
Take meeting minutes, ensuring actions are agreed upon and followed up
Answer phone calls and pass messages to relevant team members

Fulltime

Director, Client Migrations

We're seeking an experienced leader who can oversee a team of solution design an...

Location

United States

Salary:

135000.00 - 150000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

10+ years in healthcare, insurance, or TPA environments required
At least 5 years in leadership roles with proven success overseeing teams managing large-scale client implementations
Prior TPA experience strongly preferred
Strong understanding of claims administration platforms and digital engagement tools
Advanced project management skills (PMP or similar certification preferred)
Ability to guide teams through complex technical transitions and platform migrations
Exceptional leadership: Committed to coaching and mentoring team members for professional growth and development
Strategic alignment: Ability to align implementation strategies with organizational goals and client objectives
Decision-making excellence: Makes timely, data-driven decisions under pressure while managing complex, competing priorities
Change management expertise: Skilled in guiding clients and teams through complex transitions with confidence and clarity

Job Responsibility

Lead team excellence: Develop high-performing team with diverse roles managing client migrations while setting priorities, allocating resources, and ensuring accountability for project delivery
Foster collaborative culture: Build culture of collaboration, continuous improvement, and client-centricity while serving as leadership liaison to Enterprise Project Management team
Provide executive oversight: Monitor all client implementation projects ensuring on-time delivery within scope and aligned with client expectations and organizational standards
Serve as escalation point: Address critical issues and client concerns with strategic problem-solving while maintaining strong relationships with client executives and stakeholders
Define strategic direction: Establish implementation strategies for claims platform and digital experience migrations while partnering with cross-functional leaders across organization
Manage risk proactively: Monitor project risks and drive resolution of complex challenges while ensuring technical solutions meet client requirements and compliance standards
Guide technical excellence: Direct team in understanding claims administration systems and digital engagement platforms while ensuring solutions align with client needs
Communicate effectively: Provide clear project status updates, risk assessments, and milestone tracking to stakeholders at all organizational levels including executive leadership

What we offer

Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts
Flexible work arrangements
Retirement planning support
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders
Learning budget
Unlimited PTO policy

Fulltime

Executive Director, Claims

Reinsurance Group of America

Location:
Malaysia , Bangsar, Wilayah Persekutuan Kuala Lumpur

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 01, 2026

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