Claims Processing Manager jobs in Lima, OH

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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Senior Liability Complex Claims Manager
  • Central Mutual Insurance Company
  • Van, OH FULL_TIME
  • Location: Hybrid Work Model Central’s Senior Liability Complex Claims Manager will lead the Liability Complex Claims team and will play a critical role in achieving our Claims’ mission of achieving Optimal Claim Outcomes on all losses, delivering exceptional hospitality to our policyholders all with a high degree of efficiency and effectiveness. This individual is fully accountable for the results of the Liability Complex Claims team, managing a team of Liability Complex Claims Specialists to ensure the team’s performance relative to corporate objectives measured by key performance indicators in accordance with established procedures, policies and best practices. What you will do Provides strategic leadership to a team of highly experienced technical Claims professionals and is responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions and developing capabilities  Manages the Liability Complex Claims team to achieve established claims objectives in accordance with the claims mission and established policies and procedures Proactively perpetuates the culture, works appropriately across departments and across offices to accomplish the corporate objectives and priorities. Embraces our Core Values and welcomes diverse perspectives to foster innovation. Cultivates effective relationships with agency partners and other internal and external stakeholders to achieve the overall business objectives and to continuously improve Central’s Claims operations   Communicates strategy and priorities to team by setting expectations and holding team accountable Manages resources appropriately – staffing, workloads, external suppliers, adjusting expenses Ensures reserve and payment accuracy; provide proper reserve and payment authority Develops and maintains Central’s large loss and reinsurance reporting processes and capabilities  Administers day-to-day operations of Central’s Liability Complex Claims Organization including oversight of coverage analysis, risk transfer, liability evaluation, damage evaluation, investigation, reserving, litigation management, expert usage, action plans, and resolution. Maintains continued file oversight of the Company’s most complex and/or severe liability claims Maintains Complex Claims reporting, feedback loops and collaboration with internal stakeholders Provides timely value-add feedback with internal stakeholders including Underwriting, Loss Control, Risk, Marketing, Subrogation and SIU Evaluates performance of the team and individuals of the team and obtains desired results.  Complies with state regulatory/statutory requirements, corporate privacy and other claim policy requirements and ensure compliance for all within the Liability line of business. Maintains a deep understanding of the Liability Insurance landscape; attend applicable industry events/conferences; conduct line of business research to identify and understand trends and make adjustments to strategy accordingly. Makes informed strategic and operational business decisions by identifying and analyzing trends and improvement opportunities through the effective use of resources, tools and metrics.  What you will bring Bachelor’s degree in related field and 6 years of complex claims handling experience in the insurance industry (specific experience with complex auto, general liability and construction losses) including 1 year management experience Or 8 years complex claims handling experience in the insurance industry (specific experience with complex auto, general liability and construction losses) including 1 year management experience Ability to obtain and maintain all required state department of insurance adjusting licenses Experience in complex coverage analysis and significant large loss evaluations Superior people and management skills to properly manage staff Knowledge of Claims, Underwriting, Loss Control and Actuarial functions Possesses verbal and written communication skills, including negotiation, presentation, and influence skills Technical and business management acumen; advanced claims investigation and resolution skills; advanced knowledge of insurance and claims handling principles, track record of effective litigation management Ability to travel to assigned agents including occasional overnight  Preferred CPCU and/or other insurance designations
  • 21 Days Ago

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Sanitation - 3rd shift
  • Cooper Farms Processing
  • Van, OH FULL_TIME
  • Cooper Farms is a family-owned farm and food company based in Northwest Ohio for 85 years. A commitment to teamwork and quality has made us one of the top turkey, hog and egg companies in the U.S. and...
  • 11 Days Ago

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Turkey Loader - 3rd shift
  • Cooper Farms Processing
  • Fort Recovery, OH FULL_TIME
  • Cooper Farms is a family-owned farm and food company based in Northwest Ohio for 85 years. A commitment to teamwork and quality has made us one of the top turkey, hog and egg companies in the U.S. and...
  • 12 Days Ago

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Maintenance Technician - 2nd shift
  • Cooper Farms Processing
  • Coldwater, OH FULL_TIME
  • Cooper Farms is a family-owned farm and food company based in Northwest Ohio for 85 years. A commitment to teamwork and quality has made us one of the top turkey, hog and egg companies in the U.S. and...
  • 12 Days Ago

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Egg Sales Assistant
  • Cooper Farms Processing
  • Fort Recovery, OH FULL_TIME
  • Cooper Farms is a family-owned farm and food company based in Northwest Ohio for 85 years. A commitment to teamwork and quality has made us one of the top turkey, hog and egg companies in the U.S. and...
  • 12 Days Ago

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Feed Mill Production - 3rd shift
  • Cooper Farms Processing
  • Fort Recovery, OH FULL_TIME
  • Cooper Farms is a family-owned farm and food company based in Northwest Ohio for 85 years. A commitment to teamwork and quality has made us one of the top turkey, hog and egg companies in the U.S. and...
  • 13 Days Ago

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0 Claims Processing Manager jobs found in Lima, OH area

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Team Leader
  • Midway Products Group
  • Ottoville, OH
  • THIS IS A 1ST SHIFT POSITION. POSITION SUMMARY: Under the supervision of the Area Manager, the Team Leader is responsibl...
  • 4/19/2024 12:00:00 AM

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Assistant Moving Center Supervisor
  • UHaul
  • Ottawa, OH
  • Full description Are you a people person who loves to help others? Then consider becoming U-Haul's newest Assistant Gene...
  • 4/19/2024 12:00:00 AM

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Project Manager (Lima, OH)
  • RoadSafe Traffic Systems
  • Lima, OH
  • Description RoadSafe Traffic Systems ("RoadSafe") is the largest provider of traffic control and pavement marking servic...
  • 4/18/2024 12:00:00 AM

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MP&L Manager
  • Grammer Americas
  • Delphos, OH
  • Grammer is looking for a MP&L Manager to join our team at our Delphos, OH. location. The ideal candidate will enjoy work...
  • 4/18/2024 12:00:00 AM

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Continuous Improvement Manager
  • Grammer Americas
  • Delphos, OH
  • GRAMMER is specialized in developing and manufacturing components and systems for car interiors as well as driver and pa...
  • 4/18/2024 12:00:00 AM

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Team Leader
  • Midway Products Group
  • Ottoville, OH
  • THIS IS A 1ST SHIFT POSITION. POSITION SUMMARY: Under the supervision of the Area Manager, the Team Leader is responsibl...
  • 4/18/2024 12:00:00 AM

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QFSE Supervisor
  • Hiring Now!
  • Lima, OH
  • QFSE SupervisorThe QFSE Supervisor participates in overseeing food safety and quality activities including maintaining t...
  • 4/17/2024 12:00:00 AM

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Volunteer Coordinator - Thrift Shop
  • Bon Secours Mercy Health
  • Lima, OH
  • At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectivenes...
  • 4/16/2024 12:00:00 AM

Lima (/ˈlaɪmə/ LY-mə) is a city in and the county seat of Allen County, Ohio, United States. The municipality is located in northwestern Ohio along Interstate 75 approximately 72 miles (116 km) north of Dayton and 78 miles (126 km) south-southwest of Toledo. As of the 2010 census, the city had a population of 38,771. It is the principal city of and is included in the Lima, Ohio metropolitan statistical area, which is included in the Lima–Van Wert–Wapakoneta, OH, combined statistical area. Lima was founded in 1831. The Lima Army Tank Plant, built in 1941, is the sole producer of the M1 Abrams....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$89,378 to $115,437
Lima, Ohio area prices
were up 1.3% 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