Senior Claims Manager Jobs

Senior Manager - Reimbursements (Pharmaceutical Industry experience required)

Job Role/Title: Senior Manager - Reimbursements

Remote-Work Options: Hybrid work - 3 days per week in the office required.

Minimum 5+ years previous Reimbursement/Drug Coverage/Insurance experience or equivalent demonstrated experience (e.g., Specialty Pharmaceuticals)

Minimum 3+ years of experience leading teams

Ability to manage complex projects independently

Help management arrive at informed decisions, by providing value-add perspectives by providing credible valuations

Provide support to team members in valuation technical skills, industry knowledge and soft skills

Experiences And Skills You’ll Use To Solve

Deliver in-depth understanding of the value of each entity or asset, along with relevant technical and industry knowledge

Establish credibility with existing clients by demonstrating subject matter expertise and knowledge

Manage Valuations teams while supporting team members in reviewing their work outputs

We're hiring a Virtual Senior Manager to help support our clients in a fully remote position.

✅ Manage the accounting team and ensure the timely completion of statements

⭐ 8+ years of experience working with a public practice accounting firm

⭐ Comfortable working remotely and using remote collaboration tools

We heavily leverage technology and value high-quality work done efficiently. 🤖

✅ Review of compilation and review engagement financial statements

Act as the key point of contact for property management and operations departments in response to claims.

Canadian Risk Management (CRM) designation considered an asset.

A competitive salary commensurate with skills and experience

Manage internal claims within a corporate self-insured retention (SIR) model.

Minimum of three (3) years of claims handling experience.

Excellent written and verbal communication skills.

Ensures the timely, effective and efficient management of benefits, programs and services to stakeholders of the system in a cost-effective manner.

Keeps abreast of current relevant WorkplaceNL information and trends to ensure appropriate and effective management and continuous improvement of assigned areas.

This position requires strong analytical, interpretive and leadership abilities combined with strong communication skills.

Past experience and demonstrated ability in effectively managing people and multiple projects is an asset.

Ensures the highest level of customer service by promoting a quality service-oriented approach in the provision of services to clients.

Develops, monitors and implements appropriate programs and services that will aid decision-makers in fulfilling their objectives.

Assist in the management of claims

Manage, organize, and retain insurance claims records (electronic files), submissions and other correspondence

Manage the appropriate level of resources across the assigned territory

Manage the quality and appropriateness of client service agreements

Key Duties/responsibilities Include, Without Limitation, The Following

Document and communicate claim activity to clients timely and effectively

Prepare monthly, quarterly, whole year revenue and expense forecasts for submission to Wealth Management and Finance.

Minimum of three years work experience at a management level position within the Financial Services Industry.

Recommend and develop financial models and set target levels and/or strategic benchmarks to Wealth Management business heads and management.

Work with PB Management to ensure timeliness of completion and accuracy of data

Ability to provide strong analysis and recommendations to Senior Management relating to the business lines' performance.

Ability to deal with all levels of management

Experience adapting to challenges, providing support, and guiding communications in a constantly changing retail environment

You have demonstrated leadership ability with at least five years of experience in a customer-facing sales setting.

Cross-industry experience is welcome - a retail background is not necessary.

Proven ability to inspire, coach, train, and develop store team members to consistently provide exceptional customer service and drive for results

You have a passion for learning about Apple technology and products.

You’re fluent in English (both written and spoken) and the local language. Multilingual ability is a plus.

Relevant degree or accounting / finance professional qualification(s)

Excellent written and spoken communication skills, with the ability to provide coaching and leadership to less experienced team members

Funded CA qualification and additional study support classes to foster continuous learning

Oversee valuations research offering value-added insights into comparable companies and transactions, industry trends and market conditions

Significant accounting valuations experience, ideally gained within an accounting, boutique valuations or investment firm setting

CFA or MAppFin qualification(s) or other relevant overseas qualification(s) would be highly regarded

Skillfully manage and lead a team of Staff Accountants, Senior Staff Accountants, and Managers

2+ years of experience in a managerial position within an accounting firm.

Assume full responsibility for managing the entire engagement process, from initiation to completion, ensuring a seamless and satisfactory experience for clients.

Conduct comprehensive reviews of completed work, offering valuable feedback for each engagement, thereby promoting continuous improvement.

Display excellent interpersonal skills and a collaborative approach to teamwork.

Take initiative in identifying and seizing new business opportunities, actively participating in initiatives to foster business growth.

Strong quantitative skills with experience creating data-driven recommendations

Our Client is hiring a Manager and Senior Manager (DOE) to support their internal management consulting team.

Experience at top-tier strategy Consulting Firm

Experience in commodities (oil, gas, mining, metals, chemicals, etc)

Excellent interpersonal and communication skills, both written and verbal, with exceptional presentation skills and high emotional intelligence

Experience “managing up” to business executives

·Strong leadership and team management abilities, with a track record of successfully mentoring and developing staff.

·Minimum of 5-6 years of experience in assurance and tax, preferably in a managerial or senior role.

Your primary responsibilities will include:

·Post-secondary education (college or university) in accounting.

·Strong knowledge of Canadian accounting and tax principles, standards, and regulations.

·Proven experience in managing and leading assurance and tax engagements.

We invest time and effort into our team members for the hands-on learning experience required to become a successful professional.

2+ years post-CPA experience with recent experience in a public accounting firm

Experience and interest in leading and developing junior team members and enjoy working with quirky out-of-box accountants

You will be working with Managers, Principals and Partners to plan, perform and complete engagements

Focus on building and managing meaningful client relationships

Comfortable working with Caseware, TaxPrep and Microsoft Office product, and are always eager to learn new technologies

University degree in electrical engineering (Bachelor’s Degree or higher) or equivalent education/industry experience.

Manage electrical engineering consultants for the production of relevant specifications, studies and drawings as required to support project development and interconnection.

Evaluate, engage and manage Owner’s Engineer and Independent Engineer firms as required to support project development.

Develop bidding and technical specifications and testing requirements

Research and recommend cost and optimization benefits of emerging technologies.

Understand and assimilate applicable interconnection rules and procedures in all applicable jurisdictions

·Strong leadership and team management abilities, with a track record of successfully mentoring and developing staff.

·Minimum of 5-6 years of experience in assurance and tax, preferably in a managerial or senior role.

Your primary responsibilities will include:

·Post-secondary education (college or university) in accounting.

·Strong knowledge of Canadian accounting and tax principles, standards, and regulations.

·Proven experience in managing and leading assurance and tax engagements.

5-10 years’ experience influencing product creation, business ‘thinking’ and unlocking new knowledge

Manage human insights, applied scientific research, make, and raw material creation through a wide array of techniques

Acknowledge the presence of choice in every moment and take personal responsibility for your life.

Lead and develop team members

Deliver understandable, translatable, and immersive evaluations of products and technologies supporting the business in strategic decision making

Determine how and where to scale innovation and be accountable to maintaining the integrity and intention of those innovations

Proven data management and analytical skills

Day to day management of marketplace sales, promotions, marketing, and forecasting

Drive growth and hit financial targets in partnership with Senior Management

Manage and track performance and profitability of channel

Experience at using data to create actionable strategies

2 years+ experience in managing marketplace sales

Strong understanding of the SABS (Statutory Accident Benefits Schedule)

Post-secondary school education College Diploma/University Degree

Minimum 5-7 years’ experience within the P&C Insurance industry

A minimum of 2-3 years of demonstrated People Leadership experience

We are invested in helping you grow in your career through education assistance, internal mobility, and mentoring programs.

People Leadership: you are able to motivate, encourage, and support a team of CSR’s

Handle relationships with internal and external partners involved in management of customer claims

Acquire and maintain appropriate provincial adjuster licenses and comply with continuing education requirements – where required

Communicate policy coverage and benefits to customers

Identify and report on any suspicions of fraud or financial irregularities in line with existing internal and external requirements and procedures

CIP or FCIP Industry designation or other relevant professional insurance qualification

University Degree or College Diploma or equivalent Property technical work experience

Familiarization with the requirements of the appropriate provincial/state legislation and/or regulations related to the type of claim being reviewed.

Perform all necessary benefit calculations and ensure all related activities are in compliance with provincial/state statutory and internal standards.

5 – 7 years experience adjudicating complex claims, including contestable claims;

Knowledge of the interpretation and application of claims adjudication regulations across the United States, knowledge of Canadian regulations an asset

Advanced verbal and written communication skills to effectively communicate with internal and external customers/partners and vendors.

Strong analytical skills for research, review and assessment of claims.