Claims Processing Director jobs in Virginia Beach, 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)
Recently Added Claims Processing Director jobs
Claims Coordinator
- ServiceMaster Restore 11162 - Virginia Beach
-
Virginia, VA
FULL_TIME
-
Position OverviewAs the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator will be responsible to follow up daily with the OPS team to ensure and that all required documentation, estimates and procedures are followed according to required program guidelines.A successful Coordinator will possess tenacity and thrives in a fast-paced environment. The coordinator who is detail oriented and able to focus with many projects in varying degrees of completion will be most successful in this position.Job Responsibilities
- Understanding of the claims flow process – Water Mitigation, Reconstruction, Contents, and other Environmental work
- Manages data entry for each claim from First Notice of Loss through to completion of job in the CRM system
- Daily review of compliance tasks and all job tasks are completed on time
- Monitor and update jobs in required operating system making sure the job flows efficiently through the claims process requirements and cycle times
- Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call
- Creates and or assists with job estimate, reviews final estimate to ensure estimate is complete per company standards
- Manages Customer Service issues and complaints, documenting actions and resolution
- Understanding of all company cycle times and SLAs required for each job and phase
- Client Care Calls – ensure constant, often daily, communication with the customer, may communicate with adjuster
- Ensure daily notes are entered in all jobs, contacting relevant participants and escalating to the department manager as required
- May be responsible for creating job estimate and or assisting the Estimator/Project Manager with final estimate
Job Requirements- High school diploma/GED required
- 1-3 years experience with Restore 365
- IICRC Certifications preferred but not required: WTR, ASD, OCT, STC
- Exceptional Customer Service skills
- 1-3 years of Xactimate experience required- proficient use Xactimate 28
- Experience with Microsoft© Office application (Word, Outlook, PowerPoint, and Excel) required
- Personal time management and organizational skills
- Strong verbal and written communication skills
- Dependable and adaptable to operate within a fast-paced work environment
- Ability to manage highly confidential information
- Strong problem-solving skills
- 1-3 years experience with MICA
- Experience do you have with customer interaction and conflict resolution
Physical Demands and Working ConditionsThe physical demands are representative of those that must be met by an employee to perform the essential function to this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Incumbent must be prepared to:- Move up to 20 pounds occasionally, by lifting, carrying, pushing, pulling, or otherwise repositioning objects.
- Sitting for long periods of time while using office equipment such as computers, phones etc.
- Fingering and Repetitive motions; such as movement of wrists, hands and fingers while picking, pinching and typing during your normal working environment.
- Express or exchange ideas with others quickly, accurately, and receive and act on detailed information.
- Close visual acuity to perform detail-oriented activities at distances close to the eyes, such as preparing and analyzing data, viewing computer screen and expansive reading.
- Be exposed to various inside working conditions: The change of building environment such as with or without air conditioning and heating. May be required to travel for short periods of time.
DisclaimerThe above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. The Company reserves the right to modify this description in the future, with or without notice to the employee. This Job Description does not create an employment contract, implied or otherwise, and employment with the Company remains at will. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. - 1 Day Ago
Claims Administrator
- Royal Plus
-
Berlin, MD
FULL_TIME
- Royal Plus, Inc. is currently seeking an Administrator to join our team located in our Hanover, MD office. Duties include, but are not limited to: Handle Emergency Mitigation/Restoration calls Work cl...
- 23 Days Ago
Processing Technician
- Octapharma Plasma, Inc.
-
Virginia, VA
FULL_TIME
- Requisition Number20-1279Post Date3/9/2020TitleProcessing TechnicianCityVirginia BeachStateVAPosition Typefull-timeDescriptionWant to Expandyour career-development potential,your ability to help donor...
- 18 Days Ago
Processing Technician
- Default Board
-
Virginia, 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...
- 1 Month Ago
Workers' Compensation Claims Specialist
- CorVel Brand
-
Virginia, VA
FULL_TIME
- CorVel is hiring a Claims Specialist for a full-time, on-site position in Virginia Beach, VA. The Claims Specialist manages within company best practices workers’ compensation claims within delegated ...
- 7 Days Ago
Sterile Processing Technician
- POA Surgery Center
-
Salisbury, MD
FULL_TIME
- The Sterile Processing Technician is responsible for the following: a) Adheres to sterilization process policies and procedures b) Cleans each item according to manufacturer’s instructions c) Inspects...
- 17 Days Ago
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0 Claims Processing Director jobs found in Virginia Beach, VA area
Data Warehouse Architect
- American Auto Shield, Inc
-
Virginia Beach, VA
- ** Data Warehouse Architect** **Job Category****:** Data Governance **Requisition Number****:** DATAW001917 Showing 1 lo...
- 4/24/2024 12:00:00 AM
Regional Talent Manager
- Clayton Homes
-
Norfolk, VA
- Anticipated End Date:2024-06-30Position Title:LTSS Service Coordinator-RN ClinicianJob Description:This is a field posit...
- 4/23/2024 12:00:00 AM
Ambulatory Pharmacist, Part-Time (Onsite- Norfolk, VA)
- Cencora, Inc.
-
Norfolk, VA
- Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthi...
- 4/23/2024 12:00:00 AM
LTSS Service Coordinator-RN Clinician
- Elevance Health
-
Norfolk, VA
- Anticipated End Date: 2024-07-31 Position Title: LTSS Service Coordinator-RN Clinician Job Description: Location: This i...
- 4/22/2024 12:00:00 AM
Travel Analyst
- Leo Tech, LLC
-
Virginia Beach, VA
- Leo Tech LLC is a certified woman-owned small business started in 2015 by Melody Vansandt. She has over 24 years of expe...
- 4/21/2024 12:00:00 AM
SUPERVISOR
- Commander, Naval Information Warfare Systems Command (NAVWARSYSCOM)
-
Norfolk, VA
- Summary This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be...
- 4/21/2024 12:00:00 AM
Pharmacy Quality Assurance Specialist
- Elevance Health
-
Norfolk, VA
- Description Pharmacy Quality Assurance Specialist Location: This position will work a hybrid model (remote and office). ...
- 4/21/2024 12:00:00 AM
Ambulatory Pharmacist, Part-Time (Onsite- Norfolk, VA)
- Cencora
-
Norfolk, VA
- Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthi...
- 3/27/2024 12:00:00 AM
About Virginia Beach, Virginia
Virginia Beach is located at 36°51′02″N 75°58′40″W / 36.8506°N 75.9779°W / 36.8506; -75.9779 (Virginia Beach).
According to the United States Census Bureau, the city has a total area of 497 square miles (1,290 km2), of which 249 square miles (640 km2) is land and 248 square miles (640 km2) (49.9%) is water. It is the largest city in Virginia by total area and third-largest city land area. The average elevation is 12 feet (3.7 m) above sea level. A major portion of the city drains to the Chesapeake Bay by way of the Lynnhaven River and its tributaries.
The city is located at the southeaster...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$151,632 to $203,763
Virginia Beach, Virginia area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a Claims Processing Director do?
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