Health Claims Manager

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General Information

Job Posting ID 3540664 Creation Date Jan 05, 2018
Employer Posting No --- Closing Date Mar 12, 2018
Job Site Address WACO, Texas 76710 Employer Type Private Sector
Openings 1

Job Description

Job Description
Oversee claims activities relating to Claims and support in connection with the organization's products. This includes some technical support, health claims examination, and project management. Responsible for executing the company’s Claims strategy, meeting key performance measures within expense projections.
•Attainment of all performance measure standards including but not limited to turnaround, quality, service level, and customer satisfaction.
•Develop and utilize effective forecasting and capacity planning to accurately predict required staffing.
•Network and work closely with operational and administration teams.
•Manage customer escalations effectively and timely.
•Oversee quality assurance, issue resolution, efficiency potential, and development of performance metrics.
•Establish and execute processes to make the team more efficient and productive.
•Manage resources by setting clear expectations, creating accountability, and enhancing collaboration to meet or exceed service level and quality standards.
•Deliver reports and analysis to members of the leadership team including evaluation of overall performance, trend identification, best practices, problem resolution, and risk mitigation.
•Serve as liaison to other departments to gather requirements and implement Claims initiatives.
•Establish and maintain cross organizational relationships that align with company goals.
•Act as a resource and role model for all members of the Claims department.
•Morale and motivation of the management support team.
Required Skills

•Strong analytical skills, accuracy and attention to detail are critical
•Excellent written and oral communication skills
•Highly organized, with the ability to multi-task and to meet deadlines
•Proven management/leadership skills required
•Strong use of Microsoft Office applications including Word and Excel required.
•Ability to work in a faced paced environment while demonstrating persistence and problem solving skills
Required Experience •A./B.S. in Accounting, Finance or a related field preferred
•4+ years in accounting/auditing experience, ideally in a corporate setting
•Previous Health claims experience a plus

•Monday-Friday; 8:00am -5:00pm
•Overtime as needed
Supervisory Experience Required No
Additional Pay Details Depends on Experience
Shift Days (First) Duration Regular
Workweek Full Time
Veterans Only No
Federal Contractor No
Eagle Ford Shale Job No
Is this job related to Hurricane Harvey Clean-up/Restoration? No

Job Requirements

Occupation Managers, All Other
Minimum Experience and Education  0 yrs   0 mos and High School Diploma/GED

- OR -

Occupation Insurance Claims and Policy Processing Clerks
Minimum Experience and Education  0 yrs   0 mos and High School Diploma/GED

- OR -

Occupation Insurance Claims Clerks
Minimum Experience and Education  0 yrs   0 mos and High School Diploma/GED

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Job Title Health Claims Manager
The employer did not provide an internal job posting number. Please locate this number on their web site and enter it here: Job Posting Number.
Job Closing Date Mar 12, 2018
Open Until Filled No

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