What are the responsibilities and job description for the Claims Processing Manager position at Criterion Executive Search, Inc.?
The Claims Payment Processing Manager is responsible for overseeing the daily operations of a claims payment processing. This role involves managing a team of claims payment processors, resolving complex issues, and implementing strategies to improve departmental performance.
- Manage and monitor the entire claims payment process, from initial submission to final payment, ensuring accuracy and timeliness.
- Manage multiple payment channels, including both electronic payments and payments by check.
- Develop procedures for electronic claim payment handling. Work with a broad, cross-department team to implement an electronic claim payment platform.
- Serve as an escalation point for complex or high-value claim payments and resolve disputes with internal and external parties.
- Analyze claims data to identify trends, enhance workflows, and implement process improvements to increase efficiency and reduce costs.
- They would like a person with Bachelor's degree and at least 5 years in claims Payment processing
- They pay 100% of your health ins and 50% of your dependents .
Salary : $80,000 - $95,000