Claims Processing Director jobs in Denver, CO

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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Director of Claims
  • Missouri Employers Mutual
  • Denver, CO 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 people live and work. We offer a hybrid work model,
    with positions to accommodate the changing needs of today’s employees. Our
    team enjoys a variety of different work environments, which allows for more
    flexibility, less time spent commuting, and greater ability to address personal and
    family needs. This is a place where you can grow with confidence – because
    that’s what safety and success really mean to us.

    MEM is headquartered in Columbia, MO, and our virtual team serves our
    policyholders and partners from across the U.S.

    JOB PURPOSE
    The Director of Claims is integral in steering the strategic direction and
    operational excellence of the claims department at MEM. Responsibilities for this
    role include leading a team of claims professionals, partnering with executive
    leadership to develop and execute strategies that drive towards overall claims
    risk management and mitigation, while driving a focus to continuously improve
    return to work and claim outcomes.

    This further includes monitoring and enhancing quality assurance and technical
    training programs, in accordance with MEM strategic objectives. Leadership at
    this level will drive the team towards efficiency, effectiveness, and high-quality
    service delivery, ensuring the company's competitive edge in the workers'
    compensation insurance market.

    ESSENTIAL DUTIES AND RESPONSIBILITIES

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    Leadership and Direction
    Identify and communicate the actions needed to implement the function's
    strategy and business plan within the business area or department; explain the
    relationship to the broader organization's mission, vision, and values; motivate people to commit to these tenets and do extraordinary things to achieve
    business goals.
    Policy Development and Implementation
    Oversee the development of policies and procedures to ensure consistent and
    efficient implementation of best practices.
    Resource Allocation
    Prioritize and allocate resources based on complexity and risk, so that the team
    can operate efficiently and ensure high quality service and outcomes.
    Relationship Management
    Oversee agent and policyholder relationships to ensure effective communication
    and realization of customer value. This also includes regular cross-functional
    partnerships with units across the business (e.g., SRS, CompLegal).
    Team Management
    Provide support to team members to enable effective delivery of services
    according to expected standards. Includes leading in the areas of performance
    management, coaching, and identifying development needs.
    Performance Management
    Help establish and monitor department metrics and key performance indicators
    to drive action and results. Manage and report on the performance of the
    department; set appropriate performance objectives for direct reports and
    departmental teams and hold individuals accountable for achieving them; take
    appropriate corrective action where necessary to ensure the achievement of
    team/individual objectives.
    Solutions Analysis
    Develop innovative solutions by integrating and analyzing complex and diverse
    information sources and market trends.
    Regulatory and Compliance Management
    Ensure appropriate processes and controls are in place to comply with legal and
    regulatory requirements.
    Organizational Capability Building
    Use the organization's formal development framework to identify the team's
    individual development needs. Plan and implement actions, including continuing
    professional development specified by professional or regulatory institutions, to
    build their professional capabilities. Provide informal training or coaching to
    others throughout the organization in own area of expertise to enable others to
    improve performance and fulfill personal potential.
    Budgeting
    Develop and manage an operational budget that aligns with the company
    strategy and priorities.

    QUALIFICATIONS:
    Education:
    Bachelor's Degree or Equivalent Experience

    Experience:
    10 years workers compensation claims experience
    10 years management experience

    Our home office is located in vibrant Columbia, Missouri — #6 in Livability’s 2019 Best Places to Live.
  • 7 Days Ago

C
CO - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Denver, CO 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...
  • 1 Month Ago

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Director, Claims - Workers Compensation
  • Pie Insurance
  • Denver, CO FULL_TIME
  • The Director, Workers' Compensation Claims will develop, lead, and steward Pie’s workers' compensation claims strategy. This role is responsible for managing and implementing claims programs for the w...
  • 5 Days Ago

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Interim Director of Sterile Processing
  • Thaxton Interim Leadership
  • Aurora, CO TEMPORARY,CONTRACTOR,FULL_TIME
  • Job #1760702 Education/License/Certification: BSN or BA in health care related field required. Masters degree preferred. Current California RN license required. Graduate of accredited school of nursin...
  • 28 Days Ago

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Director, Claims - Denver Health Medical Plan
  • Denver Health
  • Denver, CO FULL_TIME
  • We are recruiting for a Director, Claims - Denver Health Medical Plan to join our team!We are here for life's journey.Where is your life journey taking you?Being the heartbeat of Denver means our hear...
  • 6 Days Ago

D
Director, Claims - Denver Health Medical Plan
  • Denver Health
  • Denver, CO FULL_TIME
  • We are recruiting for a Director, Claims - Denver Health Medical Plan to join our team!We are here for life's journey.Where is your life journey taking you?Being the heartbeat of Denver means our hear...
  • 6 Days Ago

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0 Claims Processing Director jobs found in Denver, CO area

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IT Project Manager - Full Performance Level
  • National Reconnaissance Office (NRO)
  • Denver, CO
  • WE ARE THE NRO For sixty years, the NRO has developed, acquired, launched and operated the satellites that are the found...
  • 4/24/2024 12:00:00 AM

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Complex Financial Instruments Director
  • Grant Thornton Llp
  • Denver, CO
  • Grant Thornton LLP Complex Financial Instruments Director Denver , Colorado Apply Now As a CFI Director, youll assist cl...
  • 4/24/2024 12:00:00 AM

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Associate Director, Access & Reimbursement - Oncology - REMOTE
  • Proclinical Staffing
  • Denver, CO
  • Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote Proclinical Staffing is seeking an Associate ...
  • 4/23/2024 12:00:00 AM

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Director, Service and Operations
  • Pie Insurance
  • Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We ...
  • 4/23/2024 12:00:00 AM

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DNR - Accounting Technician II (Remote/Hybrid)
  • State of Colorado
  • Denver, CO
  • Salary : $3,484.00 - $4,095.00 Monthly Location : Denver, CO Job Type: Full Time Job Number: PAA 00513 04/24 Department:...
  • 4/23/2024 12:00:00 AM

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PFO Account Manager
  • Colorado Allergy and Asthma Centers
  • Denver, CO
  • Job Description Job Description Position: PFO Account Manager Location: Denver Hours: Full-Time, 40 hours per week (flex...
  • 4/23/2024 12:00:00 AM

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IT Project Manager - Full Performance Level
  • National Reconnaissance Office (NRO)
  • Denver, CO
  • WE ARE THE NRO For sixty years, the NRO has developed, acquired, launched and operated the satellites that are the found...
  • 4/22/2024 12:00:00 AM

S
Health Compliance Inspector, Assisted Living Residences HFEMS - Health Professional III FAA-02049
  • State Of Colorado
  • Denver, CO
  • Health Facilities and Emergency Medical Services Division - Assisted Living Residences Hiring for a Health Professional ...
  • 4/22/2024 12:00:00 AM

Denver is in the center of the Front Range Urban Corridor, between the Rocky Mountains to the west and the High Plains to the east. Denver's topography consists of plains in the city center with hilly areas to the north, west and south. According to the United States Census Bureau the city has a total area of 155 square miles (401 km2), of which 153 square miles (396 km2) is land and 1.6 square miles (4.1 km2) (1.1%) is water. The City and County of Denver is surrounded by only three other counties: Adams County to the north and east, Arapahoe County to the south and east, and Jefferson County...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$161,465 to $216,978
Denver, Colorado area prices
were up 0.4% 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