MLTSS Claims Manager

Location
Virginia Beach, VA
Posted
Mar 01, 2017
Closes
Apr 04, 2017
Function
Management
Industry
Healthcare
Hours
Full Time
Job Description:

Claims Manager is responsible for sustaining and developing departmental policies and procedures,
providing oversight to staff responsible for claims processing activities, and ensuring that the
organization┬┐s service, quality, productivity, and financial standards or goals are achieved. Oversee
high dollar, complex claims auditing, monitor claims interest, perform detailed claims analyses and
compose correspondence and/or detailed reports. Monitor and oversee direct reports to include
Team Coordinators and employees. Assist with internal and external audits by thoroughly analyzing
all errors and grievances. Create new claims policies or make recommendations to existing policies
in the Claims P&P

Education Level
Bachelor's Level Degree required.

Experience
Required: 3 years related experience

License
None unless noted below

Skills
None unless noted below

Other
Three years of health plans claims disbursement experience required.