Claims Processing Director jobs in Santa Barbara, 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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Claims Examiner
  • CenCal Health
  • Santa Barbara, CA FULL_TIME
    • Review, price and release claims associated with the assigned claim types (paper and electronic)
    • Review Manual Review reports that suspend for review on all CenCal Health programs
    • Review audit reports for all CenCal Health programs
    • Analyze current processes and work with Supervisor to automate or improve quality where fit
    • Assist with ideas for creation of SCF (System Change Forms) when applicable
    • Keep up to date on all CenCal Health policies and provide materials for improvement projects within Department
    • Assure all regulatory guidelines are being followed and monitored
    • Maintain daily activity log
    • Assist with the processing of claims
    • Audit and report all billing & error trends found during the course of review and data entry;
    • Maintain processes and timelines required by AB1455 Claims Settlement Practices and DHCS Regulations

    Other duties and projects as assigned

  • 12 Days Ago

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Signal Processing Engineer
  • Toyon
  • Goleta, CA FULL_TIME
  • Description U.S. Citizenship is Required. Ability to qualify for a US Department of Defense security clearance required.Toyon has openings for technical researchers to develop/implement, test, and ana...
  • 20 Days Ago

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Certified Sterile Processing Tech
  • USPI
  • Santa Barbara, CA FULL_TIME
  • Sterile Processing Full Time Santa Barbara Surgery CenterThe Sterile Processing Technician cares for and maintains all surgical instrumentation and sets up supplies and instruments for surgery cases. ...
  • 3 Days Ago

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Transaction Processing Specialist
  • Yardi Systems, Inc.
  • Santa Barbara, CA FULL_TIME
  • Yardi is a global software company providing innovative property management solutions and services in every real estate market. We are focused on providing our customers with superior products and out...
  • 5 Days Ago

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Sterile Processing Technician
  • Trustaff
  • Santa Barbara, CA FULL_TIME
  • As a Sterile Processing Technician, you are a critical part of ensuring a clean, pathogen-free patient environment. Sterile Processing Techs document, inspect, and decontaminate medical instruments an...
  • 11 Days Ago

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Image Processing Engineer V
  • Karl Storz Endoscopy
  • Goleta, CA FULL_TIME
  • JOB SUMMARY: Brief description of what this person does, in simple direct terms.Produce advanced designs for camera image processing.Design, analyze, demonstrate, and implement image and video process...
  • 12 Days Ago

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0 Claims Processing Director jobs found in Santa Barbara, CA area

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Independent Insurance Claims Adjuster in Ojai, California
  • MileHigh Adjusters Houston Inc
  • Ojai, CA
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 4/24/2024 12:00:00 AM

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Accountant-PT
  • City of Port Hueneme, CA
  • Port Hueneme, CA
  • Salary: $35.54 - $46.21 Hourly Location : Port Hueneme, CA Job Type: Part Time Job Number: 2022NJ10182022 Department: Ho...
  • 4/23/2024 12:00:00 AM

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Medical Claims Processor
  • Aya Healthcare
  • Santa Barbara, CA
  • Aya Healthcare has an exciting 13-week contract opportunity in Santa Barbara, CA! Job Details: JOB TITLE: Claims Process...
  • 4/23/2024 12:00:00 AM

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Sr. Government Contracts Manager (Aerospace)
  • Johnson Service Group
  • Oxnard, CA
  • Job Description Job Description Johnson Service Group (JSG) is a nationally recognized professional staffing and recruit...
  • 4/23/2024 12:00:00 AM

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Claim Specialist - Property Field Inspection
  • State Farm Mutual Automobile Insurance Company
  • Santa Barbara, CA
  • Claim Specialist - Property Field Inspection US-CA-Santa Barbara Job ID: 2023-35234 Type: Regular Full Time # of Opening...
  • 4/20/2024 12:00:00 AM

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Insurance Sales Agent - No Cold Calls, 1 on 1 Coaching, Remote
  • Clarks Financial Services
  • Santa Barbara, CA
  • Why Work Here? Have your Life & Health insurance license, or willing to pass a test to earn it? Put it to work today, ge...
  • 4/20/2024 12:00:00 AM

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Life Insurance Sales Agent (Remote)
  • The Hirsh Agency
  • Solvang, CA
  • Compensation: 10K-15K Monthly (Uncapped) *100% Commission Schedule: Employee's choice Location: Work from Home!!! Work/L...
  • 4/20/2024 12:00:00 AM

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Senior Property Field Adjuster
  • Automobile Club of Southern California
  • Ventura, CA
  • Senior Property Field Adjuster Do you want to use your customer service skills in a role where you can make a difference...
  • 3/5/2024 12:00:00 AM

Santa Barbara (Spanish: Santa Bárbara) is the county seat of Santa Barbara County in the U.S. state of California. Situated on a south-facing section of coastline, the longest such section on the West Coast of the United States, the city lies between the steeply rising Santa Ynez Mountains and the Pacific Ocean. Santa Barbara's climate is often described as Mediterranean, and the city has been promoted as the "American Riviera". As of 2014, the city had an estimated population of 91,196, up from 88,410 in 2010, making it the second most populous city in the county after Santa Maria. The contig...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$171,299 to $230,193
Santa Barbara, California area prices
were up 2.5% 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