Manager, Claims

Location
Norfolk, VA
Salary
Competitive
Posted
Jul 29, 2020
Closes
Oct 09, 2020
Ref
137224BR
Function
Other
Industry
Healthcare
Hours
Full Time
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

Qualifications

Education Level
Bachelor's Level Degree

Experience
Required: Related - 3 years

Preferred: None, unless noted in the "Other" section below

License
None, unless noted in the "Other" section below

Skills
Required:

Preferred: None, unless noted in the "Other" section below

Other
3 years of health plans claims disbursements required. Applicants who do not have their Bachelor's Degree will be required to sign a Bachelor's Degree agreement committing to successfully obtain their Bachelors within 5 years of hire.

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