Claims Processing Director jobs in San Jose, 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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CA - Field Representative
  • Hancock Claims Consultants
  • San Jose, CA FULL_TIME
  • With a 20-year history supporting property insurers, Hancock Claims Consultants provides a nationwide network of inspectors, contractors, and engineers who help adjusters quickly process claims. All 50 of the top 50 property insurance companies in the United States view us as a valued partner in restoring policyholders after a painful loss. We are in a high-growth mode and looking for talented, new employees to join our highly experienced, professional, and successful team. You can make a major difference in the lives of people experiencing great loss while taking your career to the next level at Hancock Claims Consultants. 


    Hancock Claims Consultants is looking for reliable Field Representatives to join our team. Field Representatives will have the ability to climb and inspect residential roofs, including steep and high roofs. They will work on various assignments including damage assessments, interior and exterior damage evaluations, underwriting property inspections, and more. Field Representatives should possess strong customer service skills and an attitude for teamwork.  
    Essential Duties and Responsibilities
    • Completing high and/or steep-pitch roof inspections accurately and impartially. 
    • Completing Damage Documentation on steep and/or multi-level roof systems. 
    • Lifting, carrying, and setting up equipment up to 100lbs multiple times a day. 
    • Measuring and sketching roofs and other inspection areas. 
    • Submitting required documentation and evidence via software utilizing company provided tablet. 
    • Traveling daily to perform scheduled inspections, weekend work required. 
    • Ensuring professional company standards are met. 
    • Ensuring that inspections are completed in a timely manner and that service level requirements are met 
    • Maintaining file quality metrics as required 
    • Installing and removing tarpaulins on damaged roofs according to carrier/client specifications 
    • Conducting re-inspections as needed and/or requested by carrier/clients 
    • Performing other duties as assigned.  
    Qualifications 
    • Strong customer service skills 
    • Technical ability to complete inspections in varied weather conditions. 
    • Ability to safely navigate and inspect any type of roof, specifically steep and high roofs. 
    • Roofing and/or construction backgrounds preferred 
    • Reliable truck or SUV with ability to transport at least 32’ ladder 
    • Demonstrated knowledge of MS Office applications 
    • Ability to complete inspection documentation via company issued mobile device 
    • Knowledge of workplace safety and adherence to industry standard inspection methodologies. 
    • Ability to set priorities, meet deadlines, goal-oriented, organized and take pride in their work  
    Environmental Factors
    • Work is performed outdoors on steep and multi-pitch roofs.  
    • Daily travel of up to 100 miles required as scheduled. 
     
    Scheduling
    • Position requires daytime availability and may also include nights, weekends, and extended hours for business development purposes. 
    • Work hours will depend on operational needs.  
    Benefits
    • Medical, Dental Vision Insurance - CIGNA  
    • Company covers 100% of Employee Only premium for Dental and Vision  
    • 401 (k) Plan (Company match up to 4%) 
    • Company paid Life Insurance 
    • Company paid Long Term Disability Insurance 
    • Bonus (eligible after 90 days of employment) 
    • Paid Time Off 
     
    Company Conformance Statement
    In the performance of their respective tasks and duties all employees are expected to conform to the following: 
    • Perform quality work within deadlines with or without direct supervision. 
    • Interact professionally with other employees, customers, independent roof inspection subcontractors and suppliers. 
    • Work effectively as a team contributor on all assignments. 
    • Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations 
    Disclaimer:
    Hancock Claims Consultants is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. 

    Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities 

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.  



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  • 1 Month Ago

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PROCESSING ASSISTANT
  • The Winthrop Group
  • Redwood, CA FULL_TIME
  • Position Summary The Winthrop Group has an opening for a full-time Processing Assistant to aid in the arrangement and description of a large volume of Stanford University’s Special Collections and Uni...
  • 1 Month Ago

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PROCESSING ASSISTANT
  • The Winthrop Group
  • Palo Alto, CA FULL_TIME
  • The Winthrop Group has openings for 4 full-time Processing Assistants to aid in the arrangement and description of a large volume of collections as part of a team. Approximately 6,000 linear feet (98 ...
  • 1 Month Ago

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Claims Coordinator
  • YOH Services LLC
  • Newark, CA FULL_TIME
  • Claims Coordinator Category: Healthcare Employment Type: Contract Reference: BH-371588 Claims Coordinator needed for a contract opportunity with Yoh's client located in Newark, CA! Top Skills Should Y...
  • 8 Days Ago

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Claims Coordinator
  • YOH Services LLC
  • Newark, CA FULL_TIME
  • Claims Coordinator Category: Healthcare Employment Type: Contract Reference: BH-371588 Claims Coordinator needed for a contract opportunity with Yoh's client located in Newark, CA! Top Skills Should Y...
  • 8 Days Ago

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Claims Supervisor
  • Franklin Insurance Adjusters
  • San Jose, CA FULL_TIME
  • Claims Supervisor Come join our Loss Adjusting team! Franklin Insurance Adjusters, a nationwide IA/TPA firm is growing and seeking an energizing individual. The Claims Supervisor is responsible for th...
  • 27 Days Ago

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0 Claims Processing Director jobs found in San Jose, CA area

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Associate Director, Access & Reimbursement - Oncology - REMOTE
  • Proclinical Staffing
  • San Jose, CA
  • Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote Proclinical Staffing is seeking an Associate ...
  • 4/18/2024 12:00:00 AM

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Human Resources Business Partner
  • Heritage Grocers Group
  • San Jose, CA
  • At Heritage Grocers Group, how we work is defined by shared values that include absolute integrity, respect, and collabo...
  • 4/17/2024 12:00:00 AM

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Construction Project Director
  • BluSky
  • San Jose, CA
  • Salary Range - $75,000 - $110,000 Commission Range - $70,000-$200,000 BRIEF DESCRIPTION: The construction Project Direct...
  • 4/15/2024 12:00:00 AM

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Underwriting Director
  • IAT Insurance Group
  • Walnut Creek, CA
  • The Inland Marine Business Unit within IAT has an immediate opening for an Underwriting Director who can work from IAT's...
  • 4/15/2024 12:00:00 AM

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Assistant Director, Managed Care Programs - Operations
  • County of Santa Clara, CA
  • San Jose, CA
  • Salary : $181,964.87 - $233,468.77 Annually Location : Throughout the County of Santa Clara, CA Job Type: Executive Mana...
  • 4/15/2024 12:00:00 AM

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Director of Specialty Bill Review Services - Remote
  • Rising Medical Solutions
  • San Jose, CA
  • As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strate...
  • 4/15/2024 12:00:00 AM

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson LLP
  • San Jose, CA
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/15/2024 12:00:00 AM

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Assistant Director of Human Resources
  • TEAM SAN JOSE
  • San Jose, CA
  • Job Description Job Description Assistant Director of Human Resources Human Resources Department POSITION SUMMARY The As...
  • 4/15/2024 12:00:00 AM

San Jose is located at 37°20′07″N 121°53′31″W / 37.335278°N 121.891944°W / 37.335278; -121.891944. According to the United States Census Bureau, the city has a total area of 180.0 sq mi (466 km2), of which 3.4 sq mi (8.8 km2) (1.91%) is water, making it the fourth-largest California city by land area (after Los Angeles, San Diego and California City). San Jose lies between the San Andreas Fault, the source of the 1989 Loma Prieta earthquake, and the Calaveras Fault. San Jose is shaken by moderate earthquakes on average one or two times a year. These quakes originate just east of the city on...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$199,056 to $267,493
San Jose, California area prices
were up 2.9% 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