- Buscador de trabajo
- raleigh nc
- claims auditor
Claims auditor Empleos en Raleigh nc
- Oferta promocionada
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CuriRaleigh, NC, United States- A tiempo completo
Title
Director, Claims
Location
Remote - covering NC, VA and PA
About Us
Curi is a full-service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and thoughtful partners, Curi's advisory, capital, and insurance offerings deliver valued advice that is grounded in client priorities and elevated by their outcomes. From data-driven advisory services to private wealth offerings to tailored medical malpractice insurance solutions and beyond, we deliver performance that is time-tested and trusted-in medicine, business, and life.
The Role
We are looking for a self-motivated individual with strong management skills to work on our team as a Director of Claims for North Carolina, Virginia and Pennsylvania. In this role, you will report to the Vice President of Claims and be responsible for the supervision of senior claims examiners and claims examiners, including, but not limited to, reviewing files, providing input on strategy for case handling and negotiating, attending Claims Review Committee meetings and various monthly manager meetings, providing input on employee development and succession planning.
Key Result Areas
- Handle a reduced caseload of select cases
- Audit files and provide guidance to staff consistent with best practices, claims handling, litigation, and billing guidelines
- Analyze coverage issues and coordinate interaction with coverage counsel
- Assure direct reports perform timely reserving of files
- Assist direct reports with negotiation strategy
- Attend and participate in Claims Review Committee meetings to provide strategy on claims file management
- Monitor examiner caseloads to ensure adequate staffing
- Complete performance reviews and provide feedback to direct reports regarding goals and performance at review time and when potential issues are identified
- Up to 25% travel (some overnight) is anticipated for this position
Key Skills
Qualifications
Benefits
Curi offers eligible team members and their dependents comprehensive health benefits, including medical, dental, vision, and life insurance.Other benefits for eligible team members include education assistance, 401(k) and employer match, short-term disability, long-term disability, flexible time off, and 13 paid holidays annually.