Claims manager Jobs in Birmingham, AL
Last updated: 1 day ago
Hybrid schedule with regular work onsite at the VIVA HEALTH corporate office and some work-from-home opportunities.VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health...Show moreLast updated: 3 days ago
Join Our Team at The nin Group.Are you a detail-oriented professional with a passion for workers compensation claims management? Do you thrive in a fast-paced environment where you can make an impa...Show moreLast updated: 7 days ago
Provide claim advocacy and consulting services for Commercial Lines clients with a focus n the Condominium market.Monitor and measure financial impact of USI reviews and communicate results to clie...Show moreLast updated: 1 day ago
The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision, supporting the goals of cla...Show moreLast updated: 30+ days ago
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Show moreLast updated: 30+ days ago
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team.This job handles entry-level insurance claims under close supervision through the life-c...Show moreLast updated: 30+ days ago
A company is looking for a Manager Claims responsible for supervising and managing Claim Analysts and vendor staff to meet client and corporate commitments.
Key ResponsibilitiesManage performance of...Show moreLast updated: 22 days ago
We are on the lookout for a Claims Analyst to join our team in the Healthcare industry, located in Birmingham, Alabama.The role of the Claims Analyst is primarily to carry out data processing tasks...Show moreLast updated: 4 days ago
If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Pro...Show moreLast updated: 30+ days ago
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is you...Show moreLast updated: 30+ days ago
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.A career at Sedgwick means experiencing our culture of caring.It means having fle...Show moreLast updated: 30+ days ago
The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location.
The full salary range for this role reflect...Show moreLast updated: 30+ days ago
We're Mobilitas, a commercial insurance company created by CSAA Insurance.Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for t...Show moreLast updated: 30+ days ago
ESSENTIAL DUTIES AND RESPONSIBILITIES.Accountable for the full handling and control of all claims assigned, including : coverage analysis and letter writing.
investigation; incident response; evalua...Show moreLast updated: 30+ days ago
- Promoted
Claims Manager
Triton Health SystemsBirmingham, AL, USFull-time
- Promoted
Workers Compensation Claims Specialist
The Onin GroupBirmingham, AL, USFull-time
- Promoted
Commercial Lines Claims Consultant (Condo Unit)
USI Holdings CorporationBirmingham, AL, United StatesFull-time
Medical Only Claims Specialist
CorVel CorporationBirmingham, Alabama, United States$15.98–$25.69 hourly
Full-time
Call Center and Claims Representative
HumanaRemote, AlabamaRemote
Full-time
Auto Claims Representative
Auto-Owners InsuranceBirmingham, ALFull-time
- Promoted
Claims Manager
VirtualVocationsBirmingham, Alabama, United StatesFull-time
- Promoted
Claims Analyst
Robert HalfBirmingham, AL, USFull-time
- Promoted
Claims Research Associate - High School Graduate
Blue Cross Blue Shield of AlabamaBirmingham, AL, United States Claims Benefit Administration (CBA) area supports the analysis, design and implementation of group benefits, the creation of Summary Plan Descriptions, the development of Blue Exchange records, the...Show moreLast updated: 23 days ago
Field Claims Specialist II, Property (Birmingham, AL)
Nationwide Private ClientRemote, Alabama, USRemote
Full-time
Independent Insurance Claims Adjuster in Bessemer, Alabama
MileHigh Adjusters Houston IncBessemer, AL, USQuick Apply
Claims Representative - Auto
SedgwickRemote, Alabama, USFull-time
- Promoted
Claims CSR II Birmingham AL
Alfa Insurance Corporate CareersBirmingham, AL, United States Alfa Insurance® is an A-rated insurance carrier that offers an excellent array of auto, home, life, farm and business insurance products.
Alfa® is known for its superior service and received the hig...Show moreLast updated: 14 days ago
Field Property Claims Adjuster
Liberty Mutual InsuranceBirmingham, Alabama, United StatesFull-time
Senior Workers Compensation Claims Adjuster
PMA CompaniesBirmingham, AL As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve approp...Show moreLast updated: 30+ days ago
Specialty / Commercial Casualty Claims Specialist - Remote
501 CSAA Insurance Services, Inc.Alabama, United StatesRemote
Full-time
Field Claims Adjuster
EAC Claims Solutions LLCBirmingham, Alabama, United States At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency.Join us in delivering exceptional service while upholding the highest standards of professionalism and co...Show moreLast updated: 30+ days ago
Cyber and Executive Risk Claims Specialist
StephensBirmingham, AL, USAFull-time
Claims Manager
Triton Health SystemsBirmingham, AL, US3 days ago
Job type
- Full-time
Job descriptionProvide team leadership to ensure inventory and other functions of responsibility are performed in a high-quality manner and timeliness standards are met. Ensure benefits are administered based on regulatory compliance standards of CMS, DOI, EOC, COC, etc. during adjudication of claims. Encourage and promote a positive work environment by being a team player, providing leadership, and supervision to assigned staff. Successfully multi-task and be open to change. Encourage high quality and production standards in a manner that enhances morale and the productivity of employees. Interview, hire, and collaborate with the department trainer to ensure employees receive adequate training to perform essential job functions and have a clear understanding of processes and procedures. Identify error trends based on documented information received from Quality Assurance and other sources. Ensure affected employees are re-educated and provided coaching as needed. Ensure steady queue workflow of claims processing. Monitor staffing and provide staffing recommendations to the department leaders based on changes in inventory levels ensuring department and team goals be met. Create and update policies and procedures ensuring employees have access to the most current versions to allow quality performance with essential job functions. Provide reporting and data analysis as required and as requested by management. Provide work efficiencies recommendations for internal and external departments. Strive to resolve issues as they arise. Alert department leadership of escalated issues and offer recommendations to resolve the issues. Bachelor’s Degree or 4 years’ experience in a supervisory or management position 5 years’ experience with adjudication of HCFA / UB claims Knowledge of regulatory and accrediting agency guidelines, HIPPA laws, and regulations Knowledge of ICD9-10, HCPCS and CPT4 coding, HCFA uniform billing codes, and coordination of benefit remark codes Ability to work with internal and external auditors to ensure completion of audits Ability to manage workflow to meet and maintain goals, multi-task, and oversee multiple projects while simultaneously being open to the many changes that have the potential to occur in the department Highly motivated, goal oriented, and willing to work over and above a 40-hour week to satisfy department needs Ability to exercise confidentiality, discretion, diplomacy, and professionalism with interpersonal and conflict management skills Proficient in Medical Terminology Proficient in Microsoft Word, Excel, PowerPoint, etc. Ability to communicate effectively verbally and in writing Knowledge of PowerSTEPP, auditing knowledge
Job Description
Job Description
Claims Manager
Location : Birmingham, AL
Work Schedule : Hybrid schedule with regular work onsite at the VIVA HEALTH corporate office and some work-from-home opportunities.
Why VIVA HEALTH?
VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.
VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan, receiving a 5 out of 5 Star rating - the highest rating a Medicare Advantage Plan can achieve and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
Benefits
- Comprehensive Health, Vision, and Dental Coverage
- 401(k) Savings Plan with company match and immediate vesting
- Paid Time Off (PTO)
- 9 Paid Holidays annually plus a Floating Holiday to use as you choose
- Tuition Assistance
- Flexible Spending Accounts
- Healthcare Reimbursement Account
- Paid Parental Leave
- Community Service Time Off
- Life Insurance and Disability Coverage
- Employee Wellness Program
- Training and Development Programs to develop new skills and reach career goals
- Employee Assistance Program
See more about the benefits of working at Viva Health - https : / / www.vivahealth.com / careers / benefits
Job Description
The Claims Manager is responsible for providing the necessary leadership to ensure all claims functions and responsibilities are handled in accordance with regulatory compliance standards including the Centers for Medicare and Medicaid Services (CMS), the Department of Insurance (DOI), Evidence of Coverage (EOC), Certificates of Coverage (COC), etc.
This role ensures adherence to regulatory compliance guidelines, internal corporate, and department policies and procedures. This individual is accountable to ensure all aspects of work in preparation of audits is complete. The Claims Manager is responsible for managing team staff levels and makes necessary recommendations for staffing changes based on trends and analysis to ensure objectives are met.
Key Responsibilities
REQUIRED :
PREFERRED :