Claims Processing Manager jobs in Fresno, 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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Claims Associate - Workers' Comp
  • Pacific Claims Management
  • Fresno, CA FULL_TIME
  • The Claims Associate position provides support to workers’ compensation claims adjusters and other claims staff.

    Experience

    Ideally this candidate will have experience with workers' compensation in a claims or legal setting and will be bilingual Spanish/English.

    Work hours are Monday through Thursday 8:00-5:00, with the opportunity to leave at 1:00 on most Fridays.

    Responsibilities include:

    • Entering and reviewing notes/diaries in claims management system as instructed.
    • Entering all types of indemnity payments
    • Composing and issuing benefit notices
    • Contacting claimants and employers to obtain necessary information or documentation; complete required forms; and prepare correspondence.
    • Obtaining work status information from treating physicians
    • Scheduling medical appointments and issuing appointment notices and mileage payments

    Skill and Knowledge Requirements

    • Excellent oral and written communication skills
    • PC literate, including Microsoft Office products
    • Strong organizational skills
    • Ability to work in a team environment
    • Business arithmetic

    Ability to:

    • Learn laws and procedures associated with workers' compensation and learn to make routine decisions on simple cases, based on instructions and a defined set of guidelines.
    • Learn to understand, explain, and apply workers' compensation principles, techniques and procedures to answer verbal and written communications and inquiries
    • Communicate clearly and concisely both orally and in writing
    • Establish and maintain effective working relationships with those contacted in the course of work
    • Verify the accuracy of, and maintain confidential information

    Job Type: Full-time

    Pay: $21.00 - $24.00 per hour

    Benefits:

    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Professional development assistance
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • In-person
    • Office

    Work Location: In person

  • 22 Days Ago

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Sterile Processing Manager
  • BAHAMA Consulting Corporation
  • Hanford, CA FULL_TIME
  • TITLE: Sterile Processing ManagerLOCATION: Hanford, CA 93230STATUS: Full-Time – Contract SCHEDULE: Variable Shift | 8/hrs. | 5 shifts per weekPAY: $20.50 - $36.00 Per Hour DOQThis is the pay range tha...
  • 7 Days Ago

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CA - Field Representative
  • Hancock Claims Consultants
  • Fresno, CA FULL_TIME
  • With a 20-year history supporting property insurers, Hancock Claims Consultants provides a nationwide network of inspectors, contractors, and engineers who help adjusters quickly process claims. All 5...
  • 11 Days Ago

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Contents Field Inspector(Open Link in new window)
  • TheBest Claims Solutions
  • Fresno, CA FULL_TIME
  • As a Contents Field Inspector, you will assist customers who have experienced hardship by compiling a detailed list of items that have been lost or damaged. This is an on-call, temporary assignment th...
  • 22 Days Ago

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Co Manager - Garage Clothing - Aventura Mall - Aventura, FL
  • Garage Clothing - Co Manager -Fresno Fashion...
  • Fresno, CA FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 15 Days Ago

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Co Manager - Garage Clothing - Fresno Fashion Fair Mall- Fresno Ca
  • Garage Clothing - Co Manager -Fresno Fashion Fair
  • Fresno, CA FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 1 Month Ago

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0 Claims Processing Manager jobs found in Fresno, CA area

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Branch Manager
  • White Cap
  • Clovis, CA
  • A position at White Cap isn't your ordinary job. You'll work in an exciting and diverse environment, meet interesting pe...
  • 4/19/2024 12:00:00 AM

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Executive Director (General) - Fiscal Services
  • Fresno Unified School District
  • Fresno, CA
  • Management - Position - Classified Job Number 2000000943 Start Date Open Date 04/02/2024 Closing Date 05/02/2024 Under t...
  • 4/18/2024 12:00:00 AM

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DC Ops Manager
  • Ulta Beauty
  • Fresno, CA
  • ‎ : We consider applications for this position on an ongoing basis. Overview: Experience operational excellence. Real in...
  • 4/18/2024 12:00:00 AM

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RN Manager, Cardiology
  • Community Health System - CA
  • Fresno, CA
  • Overview: *All positions are located in Fresno/Clovis CA* We got our start 125 years ago as a boarding house and medical...
  • 4/16/2024 12:00:00 AM

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Sterile Processing Manager
  • A.P.R., Inc. (AlphaProTemps)
  • Hanford, CA
  • Job Description Job Description * Covid-19 Vaccinated * Initial 2 Month Contract, may extend * 40 hour Weeks, Variable S...
  • 4/16/2024 12:00:00 AM

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Forward Planning/Entitlements Manager
  • Lennar Homes
  • Fresno, CA
  • Overview Welcome Home! Build your career with Lennar: As one of the nation’s largest builders, Lennar has built over one...
  • 4/16/2024 12:00:00 AM

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RN Manager, Cardiology
  • Hiring Now!
  • Fresno, CA
  • Overview:*All positions are located in Fresno/Clovis CA* Opportunities for you! Direct impact on quality patient care in...
  • 4/15/2024 12:00:00 AM

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RN Manager, Cardiology
  • Community Health System - CA
  • Fresno, CA
  • Overview: *All positions are located in Fresno/Clovis CA* We got our start 125 years ago as a boarding house and medical...
  • 3/7/2024 12:00:00 AM

Fresno (/ˈfrɛznoʊ/ FREZ-noh; Spanish for "ash tree") is a city in California, United States, and the county seat of Fresno County. It covers about 112 square miles (290 km2) in the center of the San Joaquin Valley, the southern portion of California's Central Valley. Named for the abundant ash trees lining the San Joaquin River, Fresno was founded in 1872 as a railway station of the Central Pacific Railroad before it was incorporated in 1885. The city has since become an economic hub of Fresno County and the San Joaquin Valley, with much of the surrounding areas in the Metropolitan Fresno regi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$95,172 to $122,920
Fresno, California area prices
were up 2.7% 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