Claims supervisor Jobs in Portland, OR
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Claims supervisor • portland or
Last updated: 18 hours ago
Let’s do great things, together!.Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality.
Today, like then, we’re focused on building a better future...Show moreLast updated: 15 days ago
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through reso...Show moreLast updated: 8 days ago
Supervises data collection / interpretation by providing guidance and support to others on implementing required system configuration changes, monitoring and guiding others on inputting claims detail...Show moreLast updated: 30+ days ago
Alera Group is looking for a Claims Consultant.We are seeking highly motivated colleagues who bring experience and enthusiasm to our team – joining us may be the perfect fit for you! .Alera Group w...Show moreLast updated: 8 days ago
A leading healthcare provider in Portland, Oregon, is looking for a Supervisor of Claims Data Management.The role involves supervising data collection and guiding a team on claims processing, ensur...Show moreLast updated: 1 day ago
Schedule : Full-Time Salary Range : USD $61000.Job Category : Claims Description The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine...Show moreLast updated: 9 days ago
Department Management - Overseeing workflows, developing policies and procedures, and ensuring compliance with regulations.
Team Leadership - Managing, training, and developing staff, particularly t...Show moreLast updated: 1 day ago
National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers evolving needs.
We offer home, auto and accident and...Show moreLast updated: 18 hours ago
A company is looking for a Claims Supervisor to join its corporate risk and claims team.Key Responsibilities Review and process daily, weekly, and monthly claims reports Adjudicate general liabi...Show moreLast updated: 16 days ago
In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected.As one of the world's largest insurance brokers, our focus is dedicated to providing our cus...Show moreLast updated: 5 days ago
The Claims Assistant will support the claims staff in the set-up and administration of workers’ compensation claims / case management and other tasks depending on the specific customer needs.ESSENTIA...Show moreLast updated: 30+ days ago
Our client is seeking a Senior Claims Processor to support a long-standing benefits organization.Benefits, a small, experienced claims processing team within a multi-employer trust environment.This...Show moreLast updated: 5 days ago
We're thrilled that you are interested in joining us here at the Amynta Group!.A Claims Advocate III is an experienced worker's compensation technician who can work independently with minor supervi...Show moreLast updated: 30+ days ago
Make a difference with a career in insurance.At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations.
To put this into action, we're looking for ...Show moreLast updated: 5 days ago
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outco...Show moreLast updated: 30+ days ago
Below, youll find other important information about this position.Responsible for managing patient account balances including accurate claim submission, compliance will all federal / state and third ...Show moreLast updated: 22 hours ago
As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice.
In this role utilize your prior claims and...Show moreLast updated: 30+ days ago
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...Show moreLast updated: 10 days ago
Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safe...Show moreLast updated: 1 day ago
Supervisor Medical Claims Support
Moda HealthPortland, OR, USFull-time
- Promoted
Claims Specialist
Liberty Mutual Insurance GroupLake Oswego, OR, USFull-time
- Promoted
Supervisor, Claims Operations - Must be based in the NW region
Portland StaffingPortland, OR, USFull-time
Claims Consultant
Alera Group, Inc.Portland, Oregon, USFull-time
Claims Operations Supervisor : Data-Driven Leadership & Compliance
Kaiser PermanentePortland, OR, United StatesFull-time
- Promoted
Claims Specialist
Liberty Mutual InsuranceLake Oswego, Oregon, United StatesFull-time
Claims Manager
CorSource Technology GroupPortland, OR, United StatesFull-time
- New!
Telephone Claims Adjuster
AllstatePortland, OR, United StatesFull-time
- Promoted
Claims Supervisor
VirtualVocationsVancouver, Washington, United StatesFull-time
Senior Claims Advocate
HUB InternationalLake Oswego, OR, United StatesFull-time
Claims Assistant
CorVel CorporationPortland, OR, USAFull-time
- Promoted
Senior Claims Processor
Oregon StaffingPortland, OR, USFull-time
- Promoted
Claims Advocate III-
Amynta GroupPortland, OR, USFull-time
Claims - Field Claims Representative
The Cincinnati Insurance CompaniesPortland, OR, United StatesFull-time
Claims Specialist
CorVel Enterprise Claims, Inc.Portland, OR, USFull-time
- Promoted
- New!
Insurance Claims Specialist HB
WVU MedicinePortland, OR, USFull-time
Workers Compensation Claims Supervisor - Remote Oregon Residency Required
PMA CompaniesPortland, ORRemote
Full-time
- Promoted
Claims Specialist
CorVelPortland, OR, USFull-time
- Promoted
ESIS Claims Associate, WC
ChubbPortland, OR, USFull-time
- newspaper delivery (from $ 22,500 to $ 302,900 year)
- group project manager (from $ 79,229 to $ 250,000 year)
- chief information officer (from $ 114,289 to $ 244,100 year)
- chief operations officer (from $ 145,000 to $ 244,100 year)
- owner operator (from $ 78,000 to $ 235,000 year)
- pediatrician (from $ 38,688 to $ 233,413 year)
- chief operating officer (from $ 112,320 to $ 228,108 year)
- dentist (from $ 37,440 to $ 225,000 year)
- healthcare manager (from $ 85,332 to $ 225,000 year)
- investment banking (from $ 105,000 to $ 222,200 year)
The average salary range is between $ 67,584 and $ 100,026 year , with the average salary hovering around $ 80,000 year .
Supervisor Medical Claims Support
Moda HealthPortland, OR, US15 days ago
Job type
- Full-time
Job descriptionMedical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays High School diploma or equivalent. 10 years of claim experience including claim processing and / or customer service and / or claim support. Excellent oral and written communication skills and the ability to interact professionally, patiently, and courteously both in person and over the phone. Demonstrated strong, effective, diplomatic interpersonal skills with external clients as well as employees of all levels. Strong analytical, problem solving, and decision-making skills with demonstrated ability to handle and resolve complaints, correct errors and resolve departmental issues in accordance with Moda Health contracts and Moda Health Inc. policies. Strong knowledge of Microsoft Office products including Word and Excel. Strong reading, writing and verbal communication skills. Possess strong interpersonal skills necessary to deal with difficult issues and people. Possess analytical, problem solving and decision-making skills. Computer word processing and spreadsheet knowledge helpful. Must maintain confidentiality and project a professional business presence and appearance. Ability to come into work on time and daily. Must be able to work well under the pressure of supervising Sr. Level Processors and other class level staff responsible for a wide variety of key, non-routine functions requiring broad knowledge and excellent organizational and decision-making skills. Review and advise on the team’s response to provider inquiries, appeals, vendor pricing, and denials. Coordinate research for response with other departments. Ensure the timely and accurate response to written correspondence or phone calls on a wide variety of subjects including medical necessity for durable medical equipment appeals, subrogation, APC claims, vendor edits, and rental network pricing etc. Review and approve requests to change or revise benefit programming or contract wording resulting from claim processing problems. Log, track, and follow-up to ensure UPM revisions are completed. Oversee Quality Assurance Review and reporting. Ensure consistency in Q / A procedures and reporting. Oversee clerical staff responsible for reject queue, fax / copier / printer maintenance, supplies, interoffice / interdepartmental mail. Oversee RxPricing claims and pharmacy code edit process. Review and determine equitable settlement on Third Party Liability / Subrogation claims. Responsible for Department Reporting. Responsible for ensuring prompt and accurate response to inquiries to Moda Health Website. Work closely with La Grande for Quality Assurance, complaints, appeals, and other claim support services. Ensure PPO pricing is performed promptly and accurately. Monitor Claim Support phone service and ensure adequate backup for Customer Service. Personnel administration including timekeeping, performance appraisals, interviewing and hiring, counseling, etc. Work with HealthCare Services and providers to obtain preauthorization. Perform other duties as assigned including membership in interdepartmental committees and projects. Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Internally with Customer Service, Claims, Healthcare Services, Sales / Service, Membership Accounting, Benefit Configuration, Actuarial, IT, and Provider Relations. Externally with members, providers, policyholders, and vendors.
Job Description
Job Description
Let’s do great things, together!
About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Position Summary
Provides supervision, coaching and support to Claim Support staff. Establishes goals, procedures and provide direction to ensure prompt and accurate support services. Ensures department reports are prepared and quality assurance conducted. The ideal candidate resides near or within commuting distance of our Portland, Oregon office to support a hybrid work arrangement, however, remote status will be considered for out-of-area candidates.
Pay Range
$64,394.27 - $80,498.01 annually (depending on experience)
- This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Please fill out an application on our company page, linked below, to be considered for this position.
https : / / j.brt.mv / jb.do?reqGK=27770051 &refresh=true
Benefits :
Required Skills, Experience & Education :
Primary Functions :
Working Conditions :
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.