Claims Processing Director jobs in Springfield, 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
  • Springfield, 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.
  • 8 Days Ago

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Director of Claims
  • Missouri Employers Mutual
  • Springfield, 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...
  • 8 Days Ago

A
Accounting Clerk
  • Acorn Claims
  • Springfield, MO FULL_TIME
  • Acorn Claims is an Independent Adjusting Firm specializing in National Catastrophe and Daily Claims service across the country. With a bright vision for the future, and a team of difference-making pro...
  • 15 Days Ago

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Claims Representative
  • Missouri Employers Mutual
  • Springfield, MO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual. We’ve created a casual, values-driven work culture that’s making a positive impact on the way people live ...
  • 9 Days Ago

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Claims Support
  • QPS Employment Group
  • Springfield, MO FULL_TIME
  • Position Title: Claims Support Wage: $15-$17/hour Shift: 1st Hours: 8am-5pm Monday-Friday QPS Employment Group is hiring for a Claims Support role in the Springfield area. This is an associate to hire...
  • 29 Days Ago

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Sterile Processing Department Aide - Sterile Processing
  • CoxHealth
  • Springfield, MO FULL_TIME
  • Summary Best in Class Work Environment 5x Modern Healthcare Best Places to work America’s Greatest Workplaces 2023 – Newsweek Best Employers for New Grads 2023- Forbes Greatest Workplace for Women 202...
  • 6 Days Ago

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0 Claims Processing Director jobs found in Springfield, MO area

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Commercial Insurance Client Relations Specialist
  • Nixon & Lindstrom Insurance
  • Springfield, MO
  • Nixon & Lindstrom Insurance is seeking an experienced Commercial Lines Client Relations Specialist to service and manage...
  • 4/26/2024 12:00:00 AM

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Field Property Claims Adjuster
  • Liberty Mutual Group
  • Springfield, MO
  • You are here: / US,Springfield-MO,Field Property Claims Adjuster **Field Property Claims Adjuster** **Field Property Cla...
  • 4/26/2024 12:00:00 AM

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Compliance Coordinator - Athletics
  • Missouri State University
  • Springfield, MO
  • Posting Details Position Information Position Title Compliance Coordinator - Athletics Work Location Springfield Campus ...
  • 4/25/2024 12:00:00 AM

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Recoupment Representative, Client Financial Services
  • Burrell Behavioral Health
  • Springfield, MO
  • Recoupment Representative, Client Financial Services page is loaded Recoupment Representative, Client Financial Services...
  • 4/24/2024 12:00:00 AM

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Insurance Account Position - State Farm Agent Team Member
  • Bob Berke - State Farm Agent
  • Springfield, MO
  • ROLE DESCRIPTION: As an account representative with Bob Berke, you will generate the kind of exceptional client experien...
  • 4/24/2024 12:00:00 AM

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Human Resources Operations Assistant
  • James River Church
  • Ozark, MO
  • Job Type Full-time Description Job Summary Under the supervision of the Human Resources Director; the Human Resources Ad...
  • 4/23/2024 12:00:00 AM

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Commercial Insurance Client Relations Specialist
  • Nixon & Lindstrom Insurance
  • Springfield, MO
  • Nixon & Lindstrom Insurance is seeking an experienced Commercial Lines Client Relations Specialist to service and manage...
  • 4/23/2024 12:00:00 AM

S
Compliance Specialist
  • Sustainable Management, Inc.
  • Springfield, MO
  • Job Description Job Description Sustainable Management Inc. is seeking a Compliance Coordinator for our property managem...
  • 4/23/2024 12:00:00 AM

Springfield is the third-largest city in the state of Missouri and the county seat of Greene County. As of the 2010 census, its population was 159,498. As of 2017, the Census Bureau estimated its population at 167,376. It is the principal city of the Springfield metropolitan area, which has a population of 462,369 and includes the counties of Christian, Dallas, Greene, Polk, Webster. Springfield's nickname is "Queen City of the Ozarks" and it is known as the "Birthplace of Route 66". It is home to three universities, Missouri State University, Drury University, and Evangel University. Springf...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$142,591 to $191,614
Springfield, Missouri area prices
were up 1.3% 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
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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.
January 07, 2020