Claims Processing Director jobs in the United States

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 Processing Consultant
  • PACE Claims Services
  • Hamilton, NJ OTHER
  • Who We Are:

    PACE is the recognized leader in mass tort claims management and handling. Our clients include defendant companies, insurers, reinsurers, government agencies and financial institutions. By combining the proven experience of our professionals with modern systems and technology, we provide our clients with a cost-effective solution to address their mass tort litigation needs while improving the quality of the information.

     

    For more information, please visit: https://www.paceclaims.com/

    Who You Are:

    PACE has an immediate need in our Hamilton, NJ office.  We are seeking dedicated and motivated individuals to join our claim administration team as Claim Processing Consultants.  This position is performed mostly onsite in Hamilton, NJ with some remote flexibility.

    What You'll Do:

    • Review electronic claim files of financial and legal information for completeness and accuracy.
    • Assist with detailed fact-finding and document review.
    • Work with Senior team members on projects, as required.
    • Possess computer and data management skills.
    • Prioritize workload assignments and resolve any conflicts that may arise.

    What You Bring:

    • High School diploma required, college degree a plus.
    • Strong attention to detail.
    • Good oral and written communication skills.
    • Must be able to adapt quickly to a changing environment.
    • Demonstrated flexibility and efficiency, able to generate quality work product in a timely manner.
    • Intermediate/Expert skills in Excel & Word
    • Ability to occasionally work overtime, if needed

    What We Offer:

    Job Type: Full Time positions available

     

    Salary: Commensurate with experience and an annual discretionary bonus can be earned.

     

    General schedule:

    • 8-hour shift, Monday to Friday

     

    Benefits:  Permanent hires are eligible for the following benefits:

    • 401(k), including company match.
    • Medical, dental, vision, and life insurance.
    • Some flexibility in schedule.
    • Paid time off.

    #IND1

  • 10 Days Ago

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Complex Claims Director- Cyber, Media, & Technology
  • AIG Claims, Inc.
  • , NY FULL_TIME
  • Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualt...
  • 21 Days Ago

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Senior Complex Claims Director - Management Liability
  • AIG Claims, Inc.
  • , NY FULL_TIME
  • Who we are American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries a...
  • 3 Days Ago

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Sales Director
  • Claims Solutions
  • Five Corners, NJ FULL_TIME
  • Job Description Account Management | Casualty Solutions Manage a consultative account management team to successfully manage a book of current business while creating growth opportunities with a Suite...
  • 1 Month Ago

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Claims Intake Specialist
  • Capital Processing Systems, Inc
  • Charlotte, NC FULL_TIME
  • We are seeking a detail-oriented Automotive Claims Intake Specialist to join our team. The ideal candidate will have excellent comprehension skills and the ability to analyze complex information. As a...
  • 30 Days Ago

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Claims Processing
  • GMR Health
  • Pomona, NY FULL_TIME
  • Growing third party administrator seeking a full time claims processor. Responsibilities include: Adjudicating claims Reviewing medical records Calculating reimbursements for providers Skills Needed: ...
  • 8 Days Ago

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson LLP
  • Columbus, OH
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/25/2024 12:00:00 AM

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Director of Specialty Bill Review Services - Remote
  • Rising Medical Solutions
  • Columbus, OH
  • As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strate...
  • 4/25/2024 12:00:00 AM

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Associate Director, Access & Reimbursement - Oncology - REMOTE
  • Proclinical Staffing
  • Columbus, OH
  • Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote Proclinical Staffing is seeking an Associate ...
  • 4/25/2024 12:00:00 AM

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Outpatient Mental Health Therapist
  • Ellie Mental Health - Westerville Ohio
  • Columbus, OH
  • Job Description Job Description Ellie Mental Health is coming to WESTERVILLE OH in March 2023! Who is Ellie? Ellie Menta...
  • 4/24/2024 12:00:00 AM

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Human Resources Assistant
  • Hamilton Parker
  • Columbus, OH
  • The Human Resources Assistant is responsible for supporting the Director of HR in the day-to-day HR operations for all o...
  • 4/23/2024 12:00:00 AM

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Associate Director, Access & Reimbursement - Oncology - REMOTE
  • Proclinical Staffing
  • Columbus, OH
  • Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote Proclinical Staffing is seeking an Associate ...
  • 4/23/2024 12:00:00 AM

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Manager Forensic Accounting NO SALES REQUIRED
  • Direct Search Systems
  • Columbus, OH
  • Job Description Job Description This Position can be in Columbus or any surrounding area, depending on the current level...
  • 4/23/2024 12:00:00 AM

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson Llp
  • Columbus, OH
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/22/2024 12:00:00 AM

Income Estimation for Claims Processing Director jobs
$158,610 to $213,142

Career Path for Claims Processing Director