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```Job Overview```
We are seeking a highly skilled and experienced Claims Manager to join our team. As a Claims Manager, you will be responsible for overseeing the entire claims process and ensuring efficient and accurate handling of claims. This is a critical role that requires strong leadership, excellent communication skills, and a deep understanding of claims management.
```Responsibilities```
- Manage a team of claims adjusters and ensure they are meeting performance goals
- Develop and implement strategies to improve claims processing efficiency
- Review and analyze claims data to identify trends and areas for improvement
- Collaborate with other departments to resolve complex claims issues
- Ensure compliance with regulatory requirements and company policies
- Provide guidance and support to adjusters on complex or high-value claims
- Investigate potential fraud or suspicious activity related to claims
```Experience```
To be successful in this role, you should have the following experience and skills:
- Minimum of 10 years of experience in health and welfare benefit plan administration preferably in a multi-employer environment.
- Strong knowledge of insurance policies, procedures, and regulations
- Experience with ICD-9 coding or medical coding is preferred
- Excellent analytical and problem-solving skills
- Strong leadership abilities with the ability to motivate and inspire a team
- Exceptional communication skills, both written and verbal
If you are a highly motivated individual with a passion for claims management and have the required experience, we encourage you to apply for this position. We offer competitive compensation packages and opportunities for career advancement.
Please note that only qualified candidates will be contacted for further consideration.
Job Type: Full-time
Pay: $97,550.00 - $120,000.00 per year
Benefits:
Schedule:
Supplemental pay types:
Ability to Relocate:
Work Location: Hybrid remote in Dublin, CA 94568
Full Time
$145k-185k (estimate)
03/25/2024
06/29/2024
The job skills required for Claims Manager include Leadership, Claims Management, Problem Solving, Claim Processing, Communication Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Manager. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Manager positions, which can be used as a reference in future career path planning. As a Claims Manager, it can be promoted into senior positions as a Claims Manager, Senior that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Manager. You can explore the career advancement for a Claims Manager below and select your interested title to get hiring information.