Claims Manager

A company is looking for a Claims Manager to lead the Claims team in the U.S. Benefits department.

Key Responsibilities

Organize, manage, and direct claims processors to achieve service performance and retention targets

Supervise team members, including hiring, training, and evaluating performance

Manage processes for efficiency, support business initiatives, and identify process improvements

Required Qualifications

Bachelor's degree plus 2 years of management and medical insurance claims experience (or 6 years of relevant work experience in lieu of a degree)

Current knowledge of health information technologies and their applications

Working knowledge of CPT, ADA, HCPCs, ICD-10 codes, and insurance regulations

Experience with budget management and processing metrics

Ability to manage competing deadlines and work with matrix partners