Claims Processing Director jobs in Atlanta, GA

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing 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 Processing 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)

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Supervisor Claims Processing
  • Delta Dental Ins.
  • Alpharetta, GA FULL_TIME
  • JOB DESCRIPTION

    The Supervisor of Claims Processing is a people leader role responsible for providing leadership, support, and development of Claim Examiners and Claim Processing Coordinators. This role is responsible for departmental daily work distribution, team performance, and engaging and leading a claims processing workforce while ensuring turnaround times and accuracy results meet or exceed our customer expectations.

    RESPONSIBILITIES
    • Oversees the day-to-day operations of Claims Processing staff and functions. Supervises staff including determining staffing needs, setting goals, interviewing, selecting, coaching, recognizing, and evaluating the performance of all direct reports.
    • Monitors workload and inventory within the department; re-allocates the claims workforce and respective staff as needed to maintain efficiency, accuracy, and meet established performance expectations.
    • Monitors adherence to customer performance guarantees and develops and implements corrective actions as needed.
    • Ensures that training is delivered to staff on an ongoing basis and collaborates with the department and/or enterprise trainer to develop training materials and procedures.
    • Evaluates work processes to identify opportunities for reducing error trends and increasing productivity through automation leading to improved operational efficiencies.
    • Reviews and approves recommended training as proposed by, but not limited to; Claim Coordinators, Claims Audit & Enablement team.
    • Resolves complex escalated claims processing issues.
    • Provides support in the proper implementation of claims processing regulatory and compliance requirements. Balances the requirements of multiple major commercial and government clients including performance guarantees and processing turnaround time requirements.

    QUALIFICATIONS
    • 5 years as IC w/Associate's degree; 0 years supervisory
    • Minimum 4 years' experience in insurance claims role (or comparable experience); or relevant degree with 1 year supervisory/management experience.
    • Strong organizational/time management skills and multi-tasking abilities.
    • Interpersonal and communications skills to work effectively with all levels of staff.
    • Critical thinking and analytical skills to identify and evaluate business solutions.
    • Working knowledge of claims processing flow and adjudication required.
    • Ability to interpret, develop and ensure adherence to enterprise and departmental policies and procedures.
    • Licenses

      • Six Sigma Green Belt Certification. within 180 Days Pref'

    Base Pay Information

    The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. $52,000 - $104,300

    ADDITIONAL INFORMATION

    Rewards to make you smile! We don't just want to make our customers happy - we want to give our employees a reason to smile, too. Delta Dental's comprehensive benefits package includes:


    • Generous paid time off plus 12 holidays and your birthday off!
    • Low-cost premium medical insurance options
    • 100% paid dental and vision insurance
    • Generous 401(k) matching and flat contribution
    • Social responsibility and volunteer opportunities, including 16 paid volunteer hours annually
    • Employee LiveWell program, focusing on overall employee well-being
    • Fertility and diabetes benefits
    • Employee discount program: AT&T/Verizon, entertainment, travel, and more!
    • Culture of learning: career development and tuition reimbursement
    • Career growth: we love promoting from within

    Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

    #LI-Hybrid

    ABOUT THE TEAM

    At Delta Dental, our success is only as strong as the people who execute it! We take enormous pride in being the nation's most recognized and widely-used provider of dental insurance - and we've come this far by living our core values of innovation, excellence, service and trust. Our vision is to motivate and empower every employee so that we're all inspired to take exceptional care of our customers, providers and ourselves. We believe in integrity, accountability, collaboration, and giving every employee equitable opportunity for their voice to be heard and development to be fostered.

    If you're excited about the prospect of transforming the future of health care and growing in your career, join our smile revolution!

    To see some of the smiling faces behind Delta Dental and to learn more about what our values and culture look like in action, connect with us on social media: Delta Dental Ins. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram, Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn.

    We are part of the Delta Dental Plans Association, a network of companies that provides dental coverage to 74 million people in the U.S. Delta Dental of California, Delta Dental of New York, Inc., Delta Dental of Pennsylvania and Delta Dental Insurance Company, together with our affiliate companies, form one of the nation's largest dental benefits delivery systems, covering 33 million enrollees. All of our companies are members, or affiliates of members, of the Delta Dental Plans Association, a network of 39 Delta Dental companies throughout the country.

    Delta Dental is an equal opportunity employer. We are committed to building and maintaining a diverse and inclusive workplace for all employees. Applicants will not be discriminated against because of race, color, religion, creed, national origin, ancestry, citizenship status, sex (including pregnancy), sexual orientation, gender or identity expression, age, disability, marital status, medical status, veteran status or any other status protected under federal, state, or local law. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

    Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico or other US Territories at this time.

    Proof of eligibility to work in the United States must be provided if selected for hire.

    Delta Dental* has enacted a COVID-19 vaccination policy to protect all employees and the communities we serve due to the ongoing impacts of the COVID-19 pandemic. Accordingly, we require all employees to be fully vaccinated for COVID-19. Are you able to comply with our policy of being fully vaccinated by your start date if an offer is made or have a medical or sincerely held religious exemption for receiving a COVID-19 vaccine? Failure to comply with our policy and submit proof of compliance or receive approval for a valid medical or sincerely held religious belief exemption prior to your start date will nullify any offer of employment extended to you.

    • Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York
  • 9 Days Ago

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Commercial General Liability Claims Adjuster
  • TheBest Claims Solutions
  • Alpharetta, GA FULL_TIME
  • Commercial General Liability Claims Adjuster ALPHARETTA, GA 30022 | TEMPORARY $35.00 - $45.00 PER HOUR, DEPENDING ON EXPERIENCE Job Description Our client is seeking to add multiple Commercial General...
  • 18 Days Ago

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GA - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Atlanta, GA FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 6 Days Ago

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Claims Director-Worker's Compensation
  • Chubb External
  • Alpharetta, GA FULL_TIME
  • Chubb is currently seeking a Worker’s Compensation Claim Director for our Southeast Region located in either the GA or Philadelphia, PA office. RESPONSIBILITIES: · Direct handle all aspects of workers...
  • 21 Days Ago

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Administrative Assistant
  • Cat Claims
  • Atlanta, GA FULL_TIME
  • Cat Claims is a leading national independent adjusters and claims handling firm. We provide a comprehensive line of service offerings including daily claims, commercial property, auto claims, as well ...
  • 1 Month Ago

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Adjusters
  • Cat Claims
  • Atlanta, GA FULL_TIME
  • Cat Claims only recruits Adjusters with at least 5 years of experience in any particular field of adjusting Cat Claims is very selective when searching for experienced adjusters and we are constantly ...
  • 1 Month Ago

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Assistant Director of Parking
  • LAZ Parking
  • Atlanta, GA
  • *Details* Full-Time Salary: $85,000 - $95,000 plus Bonus (DOE) Must be able to work days, nights, weekends, and holidays...
  • 3/28/2024 12:00:00 AM

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Senior Specialist, EUSHIP Insurance (Student Health Services) - Campus Life
  • Emory University
  • Atlanta, GA
  • Discover Your Career at Emory University Emory University is a leading research university that fosters excellence and a...
  • 3/28/2024 12:00:00 AM

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Safety Manager - Data Center Construction
  • PMCS Group
  • Atlanta, GA
  • Job Description Job Description We're seeking a seasoned Safety Manager with 7 to 10 years of experience in critical fac...
  • 3/27/2024 12:00:00 AM

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Clinical Documentation Specialist (Academic Medical Center Exp) - 100% Remote
  • Amerit Consulting
  • Atlanta, GA
  • 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

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Director of Sales - Southeast Region
  • HeadsUp Healthcare
  • Atlanta, GA
  • Job Description Job Description Candidates who send a detailed cover letter and resume to careers@headsupcare.com will b...
  • 3/26/2024 12:00:00 AM

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Medicare Part A Insurance Representative (Remote)
  • Wakefield & Associates
  • Atlanta, GA
  • Medicare Part A Insurance Representative Summary: The EBO Government Insurance Specialist is responsible for working wit...
  • 3/25/2024 12:00:00 AM

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Senior Construction Project Manager
  • Synergy Development Partners, LLC
  • Atlanta, GA
  • Job Description Job Description Senior Construction Project Manager Summary: The Senior Construction Project Manager dir...
  • 3/25/2024 12:00:00 AM

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$80K-$100K Contact Center National Sales Manager (Insurance)
  • RemX The Workforce Experts
  • Atlanta, GA
  • Job Description Job Description RemX is seeking a Contact Center National Sales Manager for our client. In this role you...
  • 3/24/2024 12:00:00 AM

Atlanta (/ætˈlæntə/) is the capital of, and the most populous city in, the U.S. state of Georgia. With an estimated 2017 population of 486,290, it is also the 38th most-populous city in the United States. The city serves as the cultural and economic center of the Atlanta metropolitan area, home to 5.8 million people and the ninth-largest metropolitan area in the nation. Atlanta is the seat of Fulton County, the most populous county in Georgia. A small portion of the city extends eastward into neighboring DeKalb County. Atlanta was originally founded as the terminating stop of a major state-sp...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$155,399 to $208,821
Atlanta, Georgia area prices
were up 1.4% from a year ago

Claims Processing Director in Portsmouth, NH
Insurance claims and processing clerks work closely with insurance brokers and agents, handling the administrative duties behind insurance policy renewals, claims processing and new policies.
December 28, 2019
Claims Processing Director in Santa Barbara, CA
Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software.
February 08, 2020
Claims Processing Director in San Diego, CA
Pulpstream makes it possible for you to have one system for tracking all claims.
January 07, 2020