Claims Director jobs in Saint Louis, MO

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)

N
Director, Claims
  • nimble
  • Chesterfield, MO FULL_TIME
  • Description

      

    We are excited to talk to you about what nimble solutions does and the impact nimble has on our employees, clients, and the healthcare community. Nimble solutions has over 20 years of specialized, surgical focused revenue cycle management experience that spans across the Ambulatory Surgical Center industry and other affiliated services adjacent to the ASC space, such as anesthesia billing services, professional billing services, transcription services and many others.

    We provide services in nearly every US state and our team of experts works around the globe managing over $10 billion in net revenue as we continue to build and innovate a world class organization with people like you.

    Together, we embrace challenges, fuel innovation and strive to exceed expectations. Healthcare means a lot more to us. We care about creating an environment where our coworkers, clients, and communities social, financial, and physical health is at the forefront of everything we do.


    Requirements

    • Manage the employees within the Claims Department, including monitoring and tracking productivity and time keeping
    • Ensure the team is meeting department and individual KPI's 
    • Manage claim submissions, along with tasks, edits, and rejections 
    • Collaborate with other departments in order to resolve any problems causing delays in claims submissions 

    Education Required

    • High School Diploma or equivalent 
    • Minimum 3 years experience in field preferred 
    • Familiarity with working electronic loops and segments 
    • Familiarity with the most common payer rejections
    • Regular use of clearinghouses 
    • Experience submitting paper and electronic claims 
    • Knowledge of commonly used insurance billing concepts 

    Skills Required 

    • Detail Oriented 
    • Organizational skills 
    • Ability to multitask efficiently 
    • Computer proficiency 
    • Good written and verbal communication skills 

    Work Environment

    • Office setting- This is an onsite position 
    • Maintain strict patient confidentiality polices (both medical and financial)
    • Participates in departmental training and staff meetings
    • Adhere to all compliance and company polices and procedures 

    Physical Demands

    • Uses telephone, computer, fax, copier equipment
    • Ability to work in moderately noisy environment with frequent interruptions 
    • Ability to remain seated for majority of day in a cubicle setting with general office lighting 
    • Ability to perform other job duties upon request
  • 17 Days Ago

M
Director of Claims
  • Missouri Employers Mutual
  • Cape Girardeau, MO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual. At MEM, we’ve created a casual, values-driven work culture that’s making a positive impact on the way peop...
  • 1 Month Ago

M
Director of Claims
  • Missouri Employers Mutual
  • Columbia, MO FULL_TIME
  • JOB PURPOSE The Director of Claims is integral in steering the strategic direction andoperational excellence of the claims department at MEM. Responsibilities for thisrole include leading a team of cl...
  • 1 Month Ago

I
Titles Specialist (Vehicle Insurance Claims)
  • Innovative Claims Service
  • Brentwood, MO FULL_TIME
  • The Current Opportunity Innovative Claims Services, a progressive industry leader that provides comprehensive and tailored services for the insurance and transportation industries, is seeking a Titles...
  • 9 Days Ago

S
Managing Director Liability Claims
  • SN Branding
  • Saint Louis, MO FULL_TIME
  • Stop searching. Start growing. It’s time to build a meaningful career where you can grow, your ideas can thrive, and you are recognized and valued. Join a team committed to your excellence, and apply ...
  • 2 Days Ago

I
Insurance Claims Administrator: Recovery, Tow & Storage Specialist
  • Innovative Claims Service
  • Brentwood, MO FULL_TIME
  • The Current Opportunity - Recovery, Tow & Storage Specialist Innovative Claims Services, a progressive industry leader that provides comprehensive and tailored services for the insurance and transport...
  • 11 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Claims Director jobs found in Saint Louis, MO area

P
Housekeeper
  • Peopable
  • Saint Louis, MO
  • Can you be a real, true friend? Is it your nature to be open, listen deeply, know your heart, respond genuinely, and car...
  • 3/28/2024 12:00:00 AM

C
Housekeeper
  • Cedarhurst Senior Living
  • Saint Louis, MO
  • Can you be a real, true friend? Is it your nature to be open, listen deeply, know your heart, respond genuinely, and car...
  • 3/28/2024 12:00:00 AM

T
Insurance Advisor with Sports Background
  • The Banderman Group
  • Saint Louis, MO
  • Job Description Job Description Benefits: 401(k) Bonus based on performance Company parties Flexible schedule Health ins...
  • 3/28/2024 12:00:00 AM

T
Insurance Advisor with Sports Background
  • The Banderman Group
  • Villa Ridge, MO
  • Job Description Job Description Benefits: 401(k) Bonus based on performance Company parties Flexible schedule Health ins...
  • 3/28/2024 12:00:00 AM

L
Home Health Business Manager
  • LHC Group
  • Saint Louis, MO
  • Job Description We are hiring for a full-time Home Health Business Manager to join our passionate team in Creve Coeur, M...
  • 3/27/2024 12:00:00 AM

A
Clinical Documentation Specialist (Academic Medical Center Exp) - 100% Remote
  • Amerit Consulting
  • St. Louis, MO
  • Overview: Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest...
  • 3/26/2024 12:00:00 AM

E
Outpatient Mental Health Therapist
  • Ellie Mental Health
  • Saint Louis, MO
  • Ellie Mental Health recently opened in Saint Louis on Hampton Avenue near Forest Park in May 2023! Who is Ellie? Ellie M...
  • 3/25/2024 12:00:00 AM

C
Director of Contracts & Procurement
  • Computer World Services (CWS)Corporation
  • Fairview Heights, IL
  • Job Description The Director of Contracts & Procurement will support multiple Information Technology (IT) programs and m...
  • 3/25/2024 12:00:00 AM

St. Louis (/seɪnt ˈluːɪs/) is an independent city and major inland port in the U.S. state of Missouri. It is situated along the western bank of the Mississippi River, which marks Missouri's border with Illinois. The Missouri River merges with the Mississippi River just north of the city. These two rivers combined form the fourth longest river system in the world. The city had an estimated 2017 population of 308,626 and is the cultural and economic center of the St. Louis metropolitan area (home to nearly 3,000,000 people), which is the largest metropolitan area in Missouri, the second-largest ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Director jobs
$180,560 to $261,130
Saint Louis, Missouri area prices
were up 0.7% from a year ago

Claims Director in Casper, WY
Construction defect claims can present many landmines in terms of determining fault and coverage.
November 29, 2019
Claims Director in Everett, WA
Some claims adjusters work as self-employed public adjusters.
February 22, 2020
Claims Director in Worcester, MA
Conducts audits of the claims process to include coverage analysis, investigation, valuation, scope, estimate, reserving and the accurate disposition of claims.
February 06, 2020