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)
This Claims Administrator will focus on the support and improvement of the Financial and Reporting infrastructure of the Claims Department. This position will handle a wide range of responsibilities by monitoring the administration of claims while monitoring the records for these claims ensuring accuracy on all fronts.
· Serves as reporting liaison between the Claims Department and Finance/Accounting.
· Ensures adherence to company SOP, policies, and guidelines at the project level.
· Identify value adding opportunities for claims functions.
· Worker’s Compensation Accidents, Overage, Shortage, and Damage (OS&D) instances, etc.
· Serve as liason between Claims Department and Breakdown to ensure proper coding of accident costs.
· Work with outside vendors to ensure payments are processed properly and timely.
· Analyze and report financial trends of claim development.
· Ensures that the resolution is for the optimal claim outcome and is fair, cost effective, consistent and expedited whether it is a settlement, subrogation or a denial.
· Completes resolution strategy and negotiation strategy to assist in the resolution of the claim.
· Excellent organizational, detail, and time-management skills.
· Ability to work with multiple levels of internal infrastructure.
· Experience in written and verbal business communications
· Experience with Windows 10 and Microsoft Office 365
· Knowledge of Excel required
· Understanding of Insurance and Transportation terminology preferred
· Demonstrated problem solving and decision-making skills
· Analytical abilities to review, analyze, and trend data
· Possesses research and investigative skills
· Ability and desire to work with limited direction
· Must be self-motivating, result driven, and comfortable with change
· Highschool Diploma or equivalent required.
· Higher education preferred.
· 2 years of claims experience.
· Transportation experience preferred.
· Prior experience in risk management, claims or similar field desired.
Competitive Compensation
Covenant’s compensation philosophy’s intent is to use a competitive total compensation strategy to determine the current market value of a position while also considering individual factors such as performance in current position, time in seat of current position, experience, level of responsibility/accountability, and longevity with the company. The system will be objective and non-discriminatory.Pay Range: $45,007.59-$69,574.81Pay Grade: 7
401(k) match, Serious Health Condition PayFull Health Benefits Package
Medical, Dental, Vision, Telemedicine, Short & Long Term Disability, Health Savings Account, Life InsurancePaid Time Off & Holidays
Cultural Perks
Casual Dress, Tuition Reimbursement, Employee Discount Program, Dependent Care Flexible Spending Account, Adoption Assistance and Employee Assistance ProgramLandair is an Equal Opportunity EmployerM/F/Disability/VeteranVEVRAA Federal Contractor
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