Claims Processing Director jobs in Kansas City, MO

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
  • Kansas, 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 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.
  • 26 Days Ago

M
Director of Claims
  • Missouri Employers Mutual
  • Independence, 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...
  • 27 Days Ago

R
Director of Claims Management
  • RAILCREW XPRESS LLC
  • Kansas, MO OTHER
  • Job Details Job Location: Corporate [1000] - North Kansas City, MO Salary Range: Undisclosed DescriptionThis position manages, coordinates, and monitors all claims involving company property, employee...
  • 17 Days Ago

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Supervisor Trainee
  • Ag Processing Inc
  • Saint Joseph, MO FULL_TIME
  • AGP is hiring for a Supervisor Trainee in St. Joseph, MO! The person in this role will be responsible for partnering with management and our operations crew to learn how to effectively supervise our t...
  • 14 Days Ago

4
Production Employee
  • 4G Meat Processing LLC
  • KANSAS CITY, MO FULL_TIME
  • DescriptionOverviewThe production associate will be responsible for utilizing provided equipment to trim meat to company and order standards and comply with all USDA and OSHA regulations. Develops goo...
  • 2 Months Ago

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Human Resources Assistant (Military/Office Automation)
  • U.S. Military Entrance Processing Command
  • Kansas, MO FULL_TIME
  • Duties Greets and accounts for visitors/applicants in and out of the Military Entrance Processing Station (MEPS). Questions applicants to obtain and/or verify complete data required for final data pro...
  • 26 Days Ago

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0 Claims Processing Director jobs found in Kansas City, MO area

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Externship Coordinator - Medical Office Assistant
  • Concorde Career Colleges, Inc.
  • Kansas City, MO
  • Overview Join Our Mission: Shape the Future of Healthcare as a Externship Coordinator! Are you a dedicated and passionat...
  • 3/19/2024 12:00:00 AM

B
DVP, Provider Relations & Engagement
  • Blue KC
  • Kansas City, MO
  • **Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensur...
  • 3/19/2024 12:00:00 AM

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CDD ~ Director of Program Compliance
  • Center for Developmentally Disabled
  • Kansas City, MO
  • DIRECTOR OF PROGRAM COMPLIANCE Center for Developmentally Disabled (CDD) is a private, not-for-profit corporation founde...
  • 3/18/2024 12:00:00 AM

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Certified Pharmacy Technician
  • Hy-Vee
  • Kansas City, MO
  • At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a...
  • 3/18/2024 12:00:00 AM

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Clinical Documentation Specialist (Academic Medical Center Exp) - 100% Remote
  • Amerit Consulting
  • Kansas City, MO
  • Overview: Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest...
  • 3/16/2024 12:00:00 AM

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PT Human Resources Business Partner- HYBRID/REMOTE
  • Mission Edge
  • Kansas City, MO
  • Join our dynamic Human Resources Team! Who We Are: At Mission Edge, our mission is to help other nonprofits and small bu...
  • 3/16/2024 12:00:00 AM

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PT Human Resources Business Partner- HYBRID/REMOTE
  • Careerbuilder
  • Kansas City, MO
  • Join our dynamic Human Resources Team! Who We Are: At Mission Edge, our mission is to help other nonprofits and small bu...
  • 3/16/2024 12:00:00 AM

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Client Service Manager
  • Gallagher
  • Kansas City, MO
  • About Us: Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's glob...
  • 3/15/2024 12:00:00 AM

Kansas City is the largest city in the U.S. state of Missouri. According to the U.S. Census Bureau, the city had an estimated population of 488,943 in 2017, making it the 37th most-populous city in the United States. It is the central city of the Kansas City metropolitan area, which straddles the Kansas–Missouri state line. Kansas City was founded in the 1830s as a Missouri River port at its confluence with the Kansas River coming in from the west. On June 1, 1850 the town of Kansas was incorporated; shortly after came the establishment of the Kansas Territory. Confusion between the two ensued...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$155,164 to $208,504
Kansas City, Missouri area prices
were up 1.7% 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