Claims Processing Director jobs in Petersburg, VA

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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Claims Examiner
  • Securian Financial
  • Chester, VA FULL_TIME
  • *At Securian Financial the internal title for this position is Customer Benefit Payments Sr Rep

    Overview:

    Securian Financial is hiring a Claims Examiner to join our team at our Richmond Virginia Branch office. We guarantee very high standards of performance to our clients and strive to exceed their expectations. We are passionate about providing world-class service and have built a reputation of delivering on our promises. We are looking for an associate who possess the characteristics necessary to be successful in one of the most respected life insurance claims organizations in the industry. Individuals must be focused on the needs of the client as well as those of the beneficiaries. A commitment to excellence is a must, as well as a willingness to learn in an environment where we customize to the needs of our clients.

    Responsibilities include but not limited to:

    • Conducts investigations in a manner consistent with company standards of objectivity, fairness and reasonableness making claims decisions on claims within appropriate approval authority. Also, an understanding of investigative procedures and resources in order to conduct a prompt, objective and complete investigation of the claim facts.
    • Working knowledge of policy provisions exclusions and state regulations so that claims are handled accordingly, and recommendations are appropriate. This includes working closely with the legal and medical departments. This is done while maintaining awareness of expenses and especially client performance guarantees.
    • Conducts research by email and phone with a variety of people (internal and external) to gather information necessary to continue or complete the review of a claim.
    • Documents and communicates claim status and decision in a clear and organized manner to all interested parties.
    • Exercises flexibility and creativity while making logical and high-quality decisions.
    Requirements:
    • 2 years of customer service experience.
    • Excellent attention to detail.
    • Strong analytical skills.
    • Good judgment and decision-making skills.
    • Strong written and verbal communication skills.
    • Good organizational skills.
    • Positive and compassionate attitude.
    • Demonstrated ability to effectively achieve results in both an individual production and team environment.
    • Ability to learn and adapt to new and/or changing technologies.
    • Desire to provide world-class customer service.
    Preferred skills for this job:
    • Knowledge of Employer Related Life Insurance products.
    • Experience with web-based claim or customer administration systems
    • Demonstrated proficiency with Microsoft Outlook, Word, Excel, and Lotus Notes.
    Securian Financial believes in hybrid work as an integral part of our culture. Associates get the benefit of working both virtually and in our offices. If you're in a commutable distance (90 minutes) you'll join us 2-3 days each week in our offices to collaborate and build relationships. Our policy allows flexibility for the reality of business and personal schedules. When working in our offices at least two days per week isn't feasible (vacations, illness, travel, etc.), an eight day per month standard is an option.

    Physical job requirements:
    • Ability to work at least 40 hours per week
    • Ability to utilize keyboard, mouse and computer for up to 3-6 hours per day
    • Ability to utilize phone for approximately 2-4 hours per day
    The physical job requirements described above are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

    Be you. With us. At Securian Financial, we understand that attracting top talent means offering more than just a job - it means providing a rewarding and fulfilling career. As a valued member of our high-performing team, we want you to connect with your work, your relationships and your community. Enjoy our comprehensive range of benefits designed to enhance your professional growth, well-being and work-life balance, including the advantages listed here:

    Paid time off:
    • We want you to take time off for what matters most to you. During your first year of hire, you receive a prorated bank of personal days and vacation time depending on your month of hire.
    • Leave programs: Securian's flexible leave programs allow time off from work for parental leave, caregiver leave for family members, bereavement and military leave.
    Company-funded pension plan and a 401(k) retirement plan: Share in the success of our company. Securian's 401(k) company contribution is tied to our performance up to 10 percent of eligible earnings, with a target of 5 percent. The amount is based on company results compared to goals related to earnings, sales and service.

    Health insurance: From the first day of employment, associates and their eligible family members - including spouses, domestic partners and children - are eligible for medical, dental and vision coverage.

    Volunteer time: We know the importance of community. Through company-sponsored events, volunteer paid time off, a dollar-for-dollar matching gift program and more, we encourage you to support organizations important to you.

    Associate Resource Groups: Build connections, be yourself and develop meaningful relationships at work through associate-led ARGs. Dedicated groups focus on a variety of interests and affinities, including:
    • Mental Wellness and Disability
    • Pride at Securian Financial
    • Securian Young Professionals Network
    • Securian Multicultural Network
    • Securian Women and Allies Network
    • Servicemember Associate Resource Group

    For more information regarding Securian's benefits, please review our Benefits page.

    This information is not intended to explain all the provisions of coverage available under these plans. In all cases, the plan document dictates coverage and provisions.

    Securian Financial Group, Inc. does not discriminate based on race, color, religion, national origin, sex, gender, gender identity, sexual orientation, age, marital or familial status, pregnancy, disability, genetic information, political affiliation, veteran status, status in regard to public assistance or any other protected status. If you are a job seeker with a disability and require an accommodation to apply for one of our jobs, please contact us by email at Employment@Securian.com, by telephone 651-655-5522 (voice), or 711 (Relay/TTY).

    To view our privacy statement click here

    To view our legal statement click herePandoLogic. Keywords: Insurance Examiner, Location: Chester, VA - 23831 , PL: 591387592

    About the Company:
    Securian Financial



  • 1 Month Ago

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Claims Examiner
  • Securian Financial
  • Hopewell, VA FULL_TIME
  • *At Securian Financial the internal title for this position is Customer Benefit Payments Sr Rep Overview: Securian Financial is hiring a Claims Examiner to join our team at our Richmond Virginia Branc...
  • 1 Month Ago

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Claims Examiner
  • Securian Financial
  • Dinwiddie, VA FULL_TIME
  • *At Securian Financial the internal title for this position is Customer Benefit Payments Sr Rep Overview: Securian Financial is hiring a Claims Examiner to join our team at our Richmond Virginia Branc...
  • 1 Month Ago

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Claims Examiner
  • Securian Financial
  • Petersburg, VA FULL_TIME
  • *At Securian Financial the internal title for this position is Customer Benefit Payments Sr Rep Overview: Securian Financial is hiring a Claims Examiner to join our team at our Richmond Virginia Branc...
  • 1 Month Ago

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Processing Technician
  • Default Board
  • Petersburg, VA FULL_TIME
  • GENERAL DONOR CENTER — ENTRY-LEVEL Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We’re growing fast. [You c...
  • 17 Days Ago

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Processing clerk
  • Takeda
  • Colonial Heights, VA FULL_TIME
  • Description About BioLife Plasma Services Every day at BioLife, we feel good knowing that what we do helps improve the lives of patients with rare diseases. While you focus on our donors, we’ll suppor...
  • Just Posted

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0 Claims Processing Director jobs found in Petersburg, VA area

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SHIFT MANAGER
  • Ace Parking Inc.
  • Richmond, VA
  • ** SHIFT MANAGER** **Job Category****:** Operations **Requisition Number****:** SHIFT013807 Showing 1 location **Job Det...
  • 4/24/2024 12:00:00 AM

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Senior Director - Inland Marine Product Line Leadership
  • Markel Corporation
  • Richmond, VA
  • What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The ...
  • 4/24/2024 12:00:00 AM

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Executive Director - Benefits
  • The Teamsters Joint Council 83 Health & Welfare and Pension Funds
  • Richmond, VA
  • The Teamsters Joint Council 83 Health & Welfare and Pension Funds (“the Funds”), located in Richmond, VA, are currently ...
  • 4/23/2024 12:00:00 AM

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LTSS Service Coordinator- RN Clinician
  • Elevance Health
  • Chesterfield, VA
  • Anticipated End Date: 2024-07-31 Position Title: LTSS Service Coordinator- RN Clinician Job Description: Location: This ...
  • 4/22/2024 12:00:00 AM

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Collections Team Lead - Central
  • UHS
  • Richmond, VA
  • Responsibilities One of the nation's largest and most respected providers of hospital and healthcare services, Universal...
  • 4/22/2024 12:00:00 AM

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Executive Director - Benefits
  • The Teamsters Joint Council 83 Health & Welfare And Pension Funds
  • University Of Richmond, VA
  • The Teamsters Joint Council 83 Health & Welfare and Pension Funds (the Funds), located in Richmond, VA, are currently se...
  • 4/21/2024 12:00:00 AM

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Hybrid-Litigation Specialist-Richmond VA
  • Masis Professional Group
  • University Of Richmond, VA
  • MPG's national client is seeking 4 Litigation Specialists - full-time opportunities. Location - Hybrid in various locati...
  • 4/21/2024 12:00:00 AM

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Pharmacist In Charge
  • Commonshare Inc
  • Henrico, VA
  • Job Description Job Description Commonshare is a Kingdom driven enterprise built to focus on people first not profits. T...
  • 4/21/2024 12:00:00 AM

Petersburg is located at 37°12′46″N 77°24′1″W / 37.21278°N 77.40028°W / 37.21278; -77.40028 (37.21295, -77.400417). According to the United States Census Bureau, the city has a total area of 23.2 square miles (60.1 km2), of which 22.9 square miles (59.3 km2) of land and 0.2 square miles (0.5 km2) (1.1%) is water. Petersburg is located on the Appomattox River at the fall line, which marks the area where the Piedmont region (continental bedrock) and the Atlantic coastal plain (unconsolidated sediments) meet. The fall line is typically prominent where a river crosses its rocky boundary, as the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$153,852 to $206,747
Petersburg, Virginia area prices
were up 1.2% 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.
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Claims Processing Director in San Diego, CA
Pulpstream makes it possible for you to have one system for tracking all claims.
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