Claims Processing Director jobs in Riverside, CA

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 Regional Sales
  • Southland Data Processing
  • Upland, CA FULL_TIME
  • The Director of Regional Sales primary mission is to identify new prospects and sell our human resources, time and attendance, payroll, benefits administration and other modular SaaS solutions. The Director can expect to develop and execute strategies to network and prospect primarily to businesses that have between 20 and 500 employees. The best Directors are hunters, capable of creating their own activity and opportunities. A great predictor of success for a Director, is someone who incorporates a consultative approach to their sales technique, has excellent prospecting skills, and a passion for sales.

    ESSENTIAL DUTIES AND RESPONSIBILITIES

    The essential functions include, but are not limited to the following:

    • Using initiative, develop prospects through cold calling, referrals, professional and personal contacts and other sources
    • Determine prospective customers’ needs for Payroll, Human Resources and more, then presenting Southland Data Processing services to meet those needs.
    • Prepare and present proposals and provide appropriate follow-up throughout the sales process. Complete and obtain documentation required for the conversion of data from their previous payroll provider to the Southland Data Processing system. Work directly with internal departments to insure the client has a smooth transition to their new payroll provider.
    • Ability to meet or exceed quarterly and annual sales quota for your territory.
    • Identifying prospective customers by using business directories, following leads from existing customers, participating in organizations and clubs, and attending trade shows and conferences
    • Calling on prospective customers, providing technical and administrative product information and quoting appropriate customer prices
    • Maintaining all quote documentation with accurate pricing and configurations
    • Monitoring market conditions, product innovations, and competitors' products, prices, and sales
    • Negotiating details of contracts and payments
    • Consulting with clients after sales or contract signings to resolve problems and to provide ongoing support
    • Performing other duties as assigned

    MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)

    • 2-5 years experience in a quota-driven, business-to-business sales position
    • Proven ability with sales prospecting and closing
    • Ability to succeed in a competitive environment
    • Critical thinking and decision-making skills required in order to handle objections and unexpected situations that may arise throughout the sales cycle
    • Customer service oriented
    • Strong presentation skills to effectively represent Southland Data Processing and allow the client to visualize the benefits of our services
    • Strong written and oral communication skills
    • Strong listening skills to probe further into clients’ needs and expectations
    • Strong organizational and time management skills
    • Proficiency with MS Office applications and the Internet: experience with sales automation software desirable
    • College degree strongly desired

    PHYSICAL DEMANDS AND WORK ENVIRONMENT

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee [is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate.]
  • 1 Month Ago

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Manager, Claims Processing - Covered California
  • Inland Empire Health Plan
  • Rancho Cucamonga, CA FULL_TIME
  • Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experien...
  • 1 Month Ago

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Workers Compensation Claims Examiner
  • TheBest Claims Solutions
  • Riverside, CA FULL_TIME
  • We are currently sourcing candidates for a Claims Examiner position. This position is direct-hire and remote. For this position we are looking for candidates with 3 years of experience handling Califo...
  • 13 Days Ago

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School Speech Language Pathology Assistant (SLPA) in Murrieta, CA | $37-$42/HR
  • Bilingual Therapies - Director of Educational Resources
  • Murrieta, CA FULL_TIME
  • Position Overview:We're seeking a dedicated Speech-Language Pathology Assistant (SLPA) to support diverse caseloads from PreK to 12th grade in Murrieta, California. If you thrive in a dynamic educatio...
  • Just Posted

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Business to Business Sales Consultant
  • Southland Data Processing
  • Upland, CA FULL_TIME
  • The Business Sales Consultant is responsible for supporting the sales department with sourcing new sales opportunities. Fostering relationships with individuals and companies in the community in order...
  • 1 Month Ago

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Customer Service Representative
  • Southland Data Processing
  • Upland, CA FULL_TIME
  • Customer Service Representative is expected to make day to day decisions regarding Client Services, scheduling, processing, training, solving customer problems, and other related matters that are with...
  • 1 Month Ago

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0 Claims Processing Director jobs found in Riverside, CA area

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Family Nurse Practitioner - San Bernardino
  • Unicare Community Health Center
  • San Bernardino, CA
  • Job Description Job Description At Unicare, we strive to provide high quality health care to the community we serve. Our...
  • 4/25/2024 12:00:00 AM

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Administrative Assistant
  • Unicare Community Health Center
  • Ontario, CA
  • Job Description Job Description Job Summary The Administrative Assistant is responsible for assisting the administrative...
  • 4/25/2024 12:00:00 AM

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Director of Workers' Compensation Claims
  • AmTrust Financial Services, Inc.
  • Irvine, CA
  • OVERVIEW: AmTrust Financial Services, a fast-growing commercial insurance company, is currently seeking an experienced a...
  • 4/23/2024 12:00:00 AM

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Licensed Marriage and Family Therapist
  • Unicare Community Health Center
  • San Bernardino, CA
  • Job Description Job Description At Unicare, we strive to provide high quality health care to the community we serve. Our...
  • 4/22/2024 12:00:00 AM

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Public Benefits Staff Attorney
  • Inland Counties Legal Services
  • Riverside, CA
  • Job Description Job Description Job Title: Public Benefits Attorney FLSA Classification: Exempt Reports To: Practice Gro...
  • 4/21/2024 12:00:00 AM

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Director of Workers' Compensation Claims
  • Amtrust Financial Services Inc.
  • Irvine, CA
  • OVERVIEW: AmTrust Financial Services, a fast-growing commercial insurance company, is currently seeking an experienced a...
  • 4/21/2024 12:00:00 AM

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Claims Specialist
  • Illumination Foundation
  • Santa Ana, CA
  • "Every person deserves compassion, dignity, and the safety of a place to call home." Homelessness is the largest social ...
  • 4/21/2024 12:00:00 AM

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Family Nurse Practitioner - Ontario
  • Unicare Community Health Center
  • Ontario, CA
  • Job Description Job Description At Unicare, we strive to provide high quality health care to the community we serve. Our...
  • 4/21/2024 12:00:00 AM

Riverside is a city in Riverside County, California, United States, located in the Inland Empire metropolitan area. Riverside is the county seat of the eponymous county and named for its location beside the Santa Ana River. It is the most populous city in the Inland Empire and in Riverside County, and is located about 55 miles (89 km) east of downtown Los Angeles. It is also part of the Greater Los Angeles area. Riverside is the 59th most populous city in the United States and 12th most populous city in California. As of the 2010 Census, Riverside had a population of 303,871. Riverside was fou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$168,603 to $226,569
Riverside, California area prices
were up 3.0% 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