Claims Processing Manager jobs in Bakersfield, CA

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Plant Manager Processing & Bottling VNB
  • CDI Opportunities
  • Bakersfield, CA FULL_TIME
  • Join the Valley Natural Beverages team.  This is an exciting opportunity to be part of our start up facility in Bakersfield, CA. 

    California Dairies, Inc. is the leading dairy processing cooperative in California. As a farmer-owned cooperative, we operate several processing facilities located throughout California. CDI employees are highly valued and are provided with competitive benefits packages and career growth plans.  Valley Natural Beverages is the newest of our manufacturing facilities. and will be located in Bakersfield, CA. 

    What we offer you in return! 

    • Competitive wages - $106,505 - $156,209
    • Family medical/dental/vision
    • Generous company contributions to 401k
    • Relocation Assistance
    • 10 Paid holidays
    • Paid vacation
    • Tuition reimbursement 

    The Plant Manager is a key member of the plant leadership team and is responsible for building and leading a “Best in Class” Plant Operations Team that is focused on Total Plant Operational Excellence.  As such, the plant manager will be responsible to create an environment that promotes individual team member success, effective collaboration between departments and establishes a culture that always believes in getting better.  The plant manager is the primary owner of all plant operation’s KPIs related to team member safety, food safety, product quality, plant operational performance, waste control and cost control. 
     

    Essential Functions:

    • The development of all plant operations staff; including identifying skills needs and training opportunities to ensure “Best in Class” plant performance.
    • Ensure effective planning, scheduling and execution of all production activities to allow for highest possible plant performance.
    • Ensure regulatory compliance to all Federal, State, and Local requirements as pertaining to UHT, ESL, Low Acid Aseptic Fluid Milk Bottling plant.
    • Ensure compliance to all customer co-packing requirements.
    • Ensure compliance to all corporate and plant safety, quality and GMP requirements.
    • Oversee development, implementation, training and long-term adherence to meet Plant Operation’s Team owned KPI’s in the following areas:
      • Team Member Safety
      • Food Safety & Product Quality
    • Team Member Job Satisfaction and individual Team Member Development
      • Daily Team Direction Setting Meetings
      • Job Specific Standardized Work and Associated Training
      • OEE, Schedule Adherence and Operational Controlled Uptime
      • Root Cause Analysis and Corrective Action
      • CIL and Master Sanitation Schedules
      • Center-lining and Defect Identification
      • PM Compliance, CMMS Utilization and Autonomous Work requirements
      • Waste, Variance Control and Manufacturing Cost per Unit.
      • Plant Operations Operating Expenses
      • Labor & Overtime Budgets
      • Cost Savings Identification & Cost Savings Justification
    • Actively support and promote a plant culture that believes in always getting better.
    • Ensure effective collaboration and positive teamwork between all departments.
    • Lead by example with integrity and a commitment to always do it right.
    • Must always look forward to identify and prevent potential failure modes.
    • Identify and share new technologies, new equipment and new processes that will continue to maintain VNB’s place as the industry leader.
    • Identify when your support is needed by members of your team or other plant teams (at all hours) and be present to give support when needed.
    • Always represent VNB in a positive manner to vendors, contractors, team members, visitors, etc

    Qualifications required:

    • High level understanding of UHT, ESL and Aseptic processing of low acid products.
    • Excellent understanding of the Pasteurized Milk Ordinance
    • Understanding and ability to comply with Cal/OSHA requirements.
    • Working knowledge of ERP, MES, WMS, QMS, and CMMS systems.
    • History of successfully building and leading “Operational Excellence” activities.
    • History developing new processes, implementing new processes and training team members on new processes. 
    • New plant start-up experience is a plus.
    • Effectively problem solve.
    • Able to communicate effectively with all levels inside and outside of the organization.
    • Excellent leadership skills and a desire to serve others

    Education and/or Experience 

    • Minimum of 10 years combined experience working in supervisory and or managerial roles in an ESL and/or low acid aseptic bottling operation or equivalent preferred.
    • Bachelor’s Degree in a Science or Engineering discipline is preferred 
    • Certificate of Completion from Better Process Controls School or equivalent preferred

    Language Skills

    A well-modulated tonal volume is required with excellent diction skills needed.

    Reasoning Ability

    Must have the ability to apply common sense understanding to carry out instructions given in written, oral, or diagram form. Must have the ability to discern when issues may require input from levels of authority within the corporation.

    Physical Demands

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The company will make reasonable accommodations that do not cause an undue hardship if such an accommodation enables individuals with disabilities to perform the essential functions of the position.

    Sitting/Standing/Walking: Stands, walks and sits during completion of job responsibilities.

    Lifting/Carrying: Occasional lifting requirements as job demands. Must be able to lift a minimum of 40 lbs. on an occasional basis.

    Pushing/Pulling: Occasional pushing or pulling requirements.

    Bending/Stooping: Occasional bending and stooping requirements.

    Squatting/Kneeling/Crawling: Occasional kneeling or crawling requirements.

    Twisting/Turning: Ongoing twisting or turning requirements.

    Climbing/Balancing: Climbing and balancing is required during plant inspections, and other related job requirements.

    Reaching: Ongoing reaching requirements associated with job requirements.

    Grasping/Manipulating: Grasping and manipulating of papers, objects, and equipment will be required. Ability to keyboard for data input will be required on an ongoing basis.

     Equipment

    Personal protective equipment including, but not limited to: hearing protection, bump caps, hair and beard nets, gloves, and safety glasses must be used in the performance of duties. Proper lifting techniques must be employed at all times.

     Work Environment

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The company will make reasonable accommodations that do not cause an undue hardship if such an accommodation enables individuals with disabilities to perform the essential functions of the position. Employees will be subject to temperatures associated with an air-cooled room. 

     ADA/FEHA

    The Company will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and California’s Fair Employment and Housing Act.

    EEO

    The Company is an equal employment opportunity employer.

     

     

     

     

     

  • 30 Days Ago

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Processing Technician
  • Octapharma Plasma, Inc.
  • Bakersfield, CA FULL_TIME
  • Requisition Number20-1129Post Date2/28/2020TitleProcessing TechnicianCityBakersfieldStateCAPosition Typefull-timeDescriptionWant to Expandyour career-development potential,your ability to help donors ...
  • 14 Days Ago

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Claims Analyst
  • Innovative Integrated Health Inc.
  • Bakersfield, CA FULL_TIME
  • Job Summary: The Claims Analyst is responsible for monitoring liability claims, verifying and updating information on submitted claims. Reviews contract information and policies to determine which cha...
  • 13 Days Ago

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CA Processing Technician
  • Default Board
  • Bakersfield, CA PART_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...
  • 20 Days Ago

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Certified Sterile Processing Technician, Sterile Processing, Evenings, Full Time
  • Adventist Health
  • Bakersfield, CA FULL_TIME
  • Central to all that California has to offer, Adventist Health Bakersfield has been providing an extraordinary team of world-class physicians, top-notch medical technology, caring professionals and awa...
  • 1 Month Ago

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Certified Sterile Processing Technician, Sterile Processing, Days, Full Time
  • Adventist Health
  • Bakersfield, CA FULL_TIME
  • Central to all that California has to offer, Adventist Health Bakersfield has been providing an extraordinary team of world-class physicians, top-notch medical technology, caring professionals and awa...
  • 1 Month Ago

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0 Claims Processing Manager jobs found in Bakersfield, CA area

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Supervisory Program Analyst (Team Manager) NTE 1 YR, MBE, MBP (12-month Roster) AMENDED
  • Department Of The Treasury
  • Bakersfield, CA
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at: https...
  • 4/19/2024 12:00:00 AM

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Job No. 536527 Director for Project Rebound
  • California State University System
  • Bakersfield, CA
  • CLASSIFICATION TITLE: Administrator I UNION CODE: M80 FT/PT: Full-time PAY PLAN: 12-month WORKPLACE TYPE: On-site (work ...
  • 4/19/2024 12:00:00 AM

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Hospital President Bakersfield Memorial
  • Common Spirit
  • Bakersfield, CA
  • Overview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With m...
  • 4/19/2024 12:00:00 AM

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Senior Project Manager
  • Ellaway Blues Consulting
  • Bakersfield, CA
  • JOB DESCRIPTION RESPONSIBILITIES: Attend job walks and bid meetings to comprehend project scope and client needs. Assist...
  • 4/17/2024 12:00:00 AM

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Bakersfield CA; Project Manager V
  • Dexian
  • Bakersfield, CA
  • Job Description: Responsibilities: Project Planning: Collaborate with key stakeholders in Houston to receive the overall...
  • 4/16/2024 12:00:00 AM

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Senior Project Manager
  • Advantis Global Is Becoming Inspyr Solutions
  • Bakersfield, CA
  • ABOUT THIS FEATURED OPPORTUNITY Advantis Global is excited to present a stellar opportunity with a leading Fortune 500 e...
  • 4/16/2024 12:00:00 AM

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Bakersfield CA; Project Manager V
  • Dexian
  • Bakersfield, CA
  • Job Description: Responsibilities: Project Planning: Collaborate with key stakeholders in Houston to receive the overall...
  • 4/16/2024 12:00:00 AM

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Project Manager I
  • Sun World International
  • Bakersfield, CA
  • Sun World International is a California-based agriculture and technology firm engaged in fruit variety development, tech...
  • 4/16/2024 12:00:00 AM

Bakersfield is a city in and the county seat of Kern County, California, United States. It covers about 151 sq mi (390 km2) near the southern end of the San Joaquin Valley and the Central Valley region. Bakersfield's population is around 380,000, making it the 9th-most populous city in California and the 52nd-most populous city in the nation. The Bakersfield–Delano Metropolitan Statistical Area, which includes all of Kern County, had a 2010 census population of 839,631, making it the 62nd-largest metropolitan area in the United States. The more built-up urban area that includes Bakersfield and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$100,775 to $130,158
Bakersfield, California area prices
were up 2.5% from a year ago

Claims Processing Manager in Austin, TX
These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
January 26, 2020
Claims Processing Manager in Topeka, KS
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
Claims Processing Manager in Youngstown, OH
A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
December 11, 2019