Director, Claims Solutions
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Job Location:
Dubuque, IA - USA
Monthly Salary:
Not Disclosed
Posted on:
10 hours ago
Vacancies:
1 Vacancy
Job Summary
The Claims Solution Leader is a senior-level role responsible for the strategy performance and growth of CBCSs ancillary claim solutions portfolio. This leader oversees vendor partnerships solution design financial performance and gotomarket execution. The role ensures that CBCS delivers highvalue bestinclass solutions that improve claim outcomes and support organizational growth.
This position partners closely with claims operations sales marketing finance and executive leadership to embed solutions into workflows strengthen client value and drive adoption across the organization.
Key Responsibilities:
Vendor & Solution Management
- 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.
- Maintain strong SLAs and overall service quality.
Strategy & Market Positioning
- Develop gotomarket strategies and positioning for claim solutions.
- Identify emerging trends and technologies to enhance offerings.
- Partner with sales and marketing to create value propositions and materials.
- Build integrated highvalue solution packages for clients.
Financial Leadership
- Oversee profitability and financial performance of all solution lines.
- Develop pricing strategies ROI analyses and costbenefit models.
- Manage budgets and report results to senior leadership.
Utilization & Adoption
- Drive increased utilization penetration and standardization across clients.
- Partner with claims leadership to embed solutions into workflows.
- Identify crosssell and upsell opportunities.
- Lead change management efforts to support internal adoption.
Training & Collaboration
- Serve as subject matter expert for CBCS claim solutions.
- Deliver training for claims account management and client service teams.
- Develop best-practice resources and solution documentation.
- Foster strong cross-functional collaboration.
Qualifications:
Required
- Bachelors 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.
Preferred
- Masters degree or designations (ARM CPCU AIC CCM etc.).
- Experience in a TPA environment.
- Advanced knowledge of Medicare compliance.
- Background in program implementation or change management.
- Familiarity with claims technology platforms.
Travel:
Travel approximately 2530% for vendor visits conferences client engagements and internal training.
Cottingham & Butler Claims Services - CBCS
At CBCS we sell a promise to help our clients through lifes toughest moments. To deliver on that promise we aim to hire train and grow the best professionals in the industry. We look for people with an insatiable desire to succeed are committed to growing and thrive on challenges. Our culture is guided by the theme of better every day constantly pushing ourselves to be better than yesterday thats who we are and what we believe in.
As an organization we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
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Required Experience:
Director
