Claims Director directs and oversees the operations of an insurance claims department to meet operational, financial, and service requirements. Establishes policies and procedures for the administration of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Director is responsible for the strategic processing and payment of claims. Maintains up-to-date- knowledge of legislation, regulations, and industry events which pertain to insurance claims. Additionally, Claims Director provides expert guidance and consultation to staff on the most complex claims. Requires a bachelor's degree. Typically reports to top management. The Claims Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Full-time 80 hours every 2 weeks | Mon-Fri flexible schedule between 6a-6p | Denial management experience desired | After minimal in-office training this position can be worked from home
JOB SUMMARY:
Responsible for the timely submission and resolution of all insurance claims per regulatory, payer and Corporate Compliance requirements. Functions as a resource in the area of third party, state and federal government payers. Responsible for integrating system practice management and other available system technologies into the billing process consistent with corporate guidelines. Supports and implements patient safety and other safety practices as appropriate. Supports and demonstrates Family Centered Care principles when interacting with patients, their families and with co-workers.
"My team’s culture is friendly and united, everyone on the team engages in a positive way and helps each other out when needed." ~Michele (Current Claims Assistant)
QUALIFICATIONS:
CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employers.
Clear All
0 Claims Director jobs found in Saint Cloud, MN area