Claims Processing Manager jobs in New Brunswick, NJ

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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Fulfillment Processing Manager
  • L'Occitane En Provence
  • Dayton, NJ FULL_TIME

  • JOB SUMMARY:
    The first responsibility of the Fulfilment Processing Manager is to evaluate current Distribution Center fulfillment practices, determine what practices should be kept and which ones redefined by combining effective methods with innovative tracking approaches. Understanding the need to manage a heavy workload in a fast-paced operation as the business requirements and propose action plans to meet them. Understanding that quality assurance is paramount, involving rigorous checks during order processing, adherence to packaging standards, and swift resolution of discrepancies. Responsibilities span personnel management, safety protocols, and performance measurement strategies, with a focus on clear communication and collaboration across teams. Cultivating a service-oriented mindset, this role recognize that exceptional service extends beyond end customers to everyone within the organization.

    JOB RESPONSIBILITIES:
    • Personnel and Department Management
      • Ensure daily, weekly, and monthly expectations are clearly defined for both the Supervisor and Coordinators.
      • Meet weekly (minimum; or as needed) with brand planning/Supply Chain to ensure clear expectations.
      • Support the relationship with Temporal Staffing agencies as needed.
      • Ensure drivers and on foot Operatives are properly trained, and the team exhibits adherence to order fulfilment processes, safety, security and housekeeping protocols.
      • Assess how team members performance is currently measured and develop new strategies to measure performance, determine productivity standards per role and accountability.
      • Ensure any process executed in the Fulfilment Processing Department is documented in SOP format and maintain the SOPs going forward.
      • Coach department through dedicated weekly meetings and in-the-moment feedback.
    • Safety, Security and Housekeeping
      • Enforce safety policies and procedures through monitoring of employees’ execution and direct feedback to the supervisor.
      • Understand building security procedures and assist in opening and closing duties as needed.
      • Partner with Facility manager to ensure equipment is properly maintained,
      • Monitor traffic flow, emergency preparedness, and personal protective gear usage.
      • Ensure the department meets the NADC cleanliness and organization standards.
    • Fulfilment Processing execution
      • Assess current status of Fulfilment Processing execution, keeping the good practices and developing any new efficient processes to cope with a fast pace fulfilment operation.
      • Understand the business seasonality and plan for the correct team size needed to fulfill the expected workload in the daily basis.
      • Review daily workload presented by Outbound planning department with key members of the team to ensure labor is effectively managed.
      • Ensure orders are processed “On time” following the priorities presented on the plan by the Outbound Planning team.
      • Ensure order processing cut off times are met for the different carriers.
      • Execute to any requests to expedite orders and communicate capacity constrains if orders cannot be fulfilled.
      • Partner with Outbound Planning Manager to decide what orders fulfilment can be postponed and which ones need to be prioritized.
      • Clearly communicate to Key Internal Partners any situation that is preventing the regular flow of the operations and will affect the Distribution Center objectives.
      • Partner with Production manager if the orders to be fulfilled require VAS and both departments need to align on the synchrony of the execution.
      • Partner with all Distribution Center Operations managers on Cross train personnel.
    • KPI and Reporting
      • Assess how Distribution Center order fulfilment is currently Monitored, keeping the good practices and develop any new ways to monitor the Department and   Individual Performance.
      • Track the productivity of the team using KPIs to determine opportunities and potential changes in processes.
      • Ensure the department documentation (hard copies and electronic) are correctly filed for easy retrieval.
    • Quality Assurance, Accuracy and damage Prevention.
      • Assess current status of quality, accuracy and damage prevention for Ecommerce and retailers order fulfilment and develop rigorous quality checks during order processing.
      • Develop and enforce packaging standards. Train warehouse staff on proper packaging methods. Ensure items are securely packed to prevent damage during transit.
      • Ensure order fulfilment processes are executed accurately avoiding internal handling damages.
      • Communicate quality control information to all relevant organizational departments and/or outside vendors.
      • Verify that items and quantity picked match the order details accurately.
      • Address any discrepancies promptly to prevent shipping errors.
      • Partner with the Logistics Quality and Chargeback Analyst to identify opportunities and progress.
    • Efficiency Improvement:
      • Encourage a proactive approach to planning challenges.
      • See problems as an  opportunities to improve the processes.
      • Propose new processes and ideas to improve the customer experience and reduce chargebacks.
      • Seek feedback from stakeholders to enhance department processes.
    • Supplies Management
      • Provide the department Supplies needs to the Facility Manager on a timely manner.
      • Cover the supply order request if the Facility Manager is not available.
    • New Brands Onboarding
      • As new brands are joining the operation, create an onboarding plan to integrate them into current operations.
      • Understand the business requirements and propose actions plans to meet them.
      • Ensure communication of the onboarding plan is clear to all team members from top to bottom of the organization.
    • Effective Communication:
      • Maintain open lines of communication with key Internal and external partners.
      • Schedule meetings that require stakeholders’ attention, send email meeting recap, follow up the actions that need to be taken.
      • Reply emails and communications in a timely manner.
      • Regularly touch base with the team and with customers to inquire about any changes to routing guides, carrier pricing, or negotiation.
      • Share your concerns and stay informed and keep the team informed.
      • Communicate clearly, concisely, and respectfully by adapting your tone, staying on topic, and actively listening to others.
      • Open to respond to Job Related texts or calls off the schedule Operation Schedule.
    • Customer Service Mind set:
    • Actively listen to the stakeholders in your ecosystem to understand their unique needs and challenges. Work on anticipating stakeholder requirements and exceed their expectations.
    • Take ownership of stakeholder issues, ensuring follow-through creating accountability if the promised commitments were not delivered.
    • Create the culture of: “Learning from mistakes and adapting improves the team service.”
    • Understand that Service mentality is not just the end customer but everyone in the organization.
    • Provide support to the DC Operation when necessary.
    • Any other responsibility can be added to this role as per management discretion.

    KEY PERFORMANCE INDICATORS:
    • On-Time Order Processing:
      • Justification: Timely order processing is crucial for customer satisfaction and meeting delivery commitments.
      • Measurement: Calculate the percentage of orders processed within the specified time frame (e.g., same day or within 24 hours).
    • Order Picking Accuracy:
      • Justification: Accurate order fulfillment reduces returns, improves customer experience, and minimizes costs.
      • Measurement: Monitor the accuracy rate by comparing the items and quantities picked to the order details.
    • Quality Assurance Compliance:
      • Justification: Ensuring quality standards prevents shipping errors, reduces damage, and maintains customer trust.
      • Measurement: Regularly assess adherence to quality checks during order processing and enforce packaging standards.
    • Damage Prevention Rate:
      • Justification: Preventing damage during transit enhances customer satisfaction and reduces replacement costs.
      • Measurement: Track the percentage of orders received by customers without any damage.
    • Safety Compliance:
      • Justification: Ensuring safety prevents accidents and promotes a secure work environment.
      • Measurement: Monitor adherence to safety policies during work hours. Record instances of safety violations or compliance. Calculate the percentage of safety adherence based on observations.

    REQUIREMENTS:
    EDUCATION:
    Bachelor’s Degree
    EXPERIENCE:
      • 5 years’ experience working in Logistics Fulfillment Operations
    SKILLS:
      • Microsoft Suite – Advanced Proficiency
      • Language: English. Bilingual (English/Spanish) preferred. 
      • Able to multi-task on many high-level topics at once.
      • Active Listening — Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
      • Speaking — Talking to others to convey information effectively. 
      • Coordination — Adjusting actions in relation to others' actions. 
      • Critical Thinking — Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. 
      • Management of Personnel Resources — Motivating, developing, and directing people as they work, identifying the best people for the job.
      • Reading Comprehension — Understanding written sentences and paragraphs in work related documents. 
      • Time Management — Managing one's own time and the time of others. 
      • Able to work with others for a common goal.
      • Able to work independently and follow detailed directions.
      • Adhere to all safety procedures in the performance of job duties.
      • Good communication, organizational, time management, and mathematical skills.
      • Able to use internal email system and “Teams” to communicate across multiple levels.
      • Dependable and reliable.
      • Identify information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
      • Able to think critically and make suggestions for continual improvements.


    PHYSICAL & TRAVEL REQUIREMENTS:
      • Offer flexibility to work or answering communications in extended hours, weekends or night shift based on business needs.
      • Weekend or holiday hours can be added at discretion of Management.
      • Able to work in a fast paced and under time pressure environment.
      • Warehouse environment with seasonal temperature variations.
      • Physical activity includes regular standing, pushing carts, reaching, stooping, bending, kneeling, crouching, and climbing stairs and ladders.
      • Extensive walking or standing
      • Extensive sitting in front of a computer for long periods of time.
      • Ability to lift and/or maneuver up to 50 lbs.
      • Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust and focus.
      • Manual Dexterity — The ability to quickly move your hand, your hand together with your arm, or your two hands to grasp, manipulate, assemble, or wrap objects.
      • L’Occitane Distribution Center Management could request 24 hours in advance an early start or late closing based on workload
     
     

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  • 1 Month Ago

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Garage Co-Manager
  • Garage Clothing - Co manager-Natick, Mass
  • Freehold, NJ 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...
  • 10 Days Ago

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Account Manager - B2B Facility Solutions Manager
  • B2B Facility Solutions Manager - City Wide Facility Solutions
  • East Brunswick, NJ FULL_TIME
  • Are you excellent at managing and retaining B2B accounts? Do you also have strong selling skills for increasing sales within an account? If you answered yes, consider this opportunity with City Wide!C...
  • 20 Days Ago

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Processing clerk
  • ACG Resources
  • North Brunswick, NJ FULL_TIME
  • To Apply for this Job Click Here Job Ref : 14648 Salary : $34000 - $44000 Are you looking for a shorter commute or work for a smaller company? This job is perfect for you! Our client in North Brunswic...
  • 1 Month Ago

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Sterile processing
  • SCA
  • East Brunswick, NJ FULL_TIME
  • Overview Today, SCA Health has grown to 11, teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates ...
  • 1 Month Ago

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Claims Analyst
  • Allied World Assurance Company
  • Iselin, NJ FULL_TIME
  • Claims Analyst - Reinsurance, North American Reinsurance Claims Group - (2400000F) Description Job Summary To provide claims support and management for the Assumed Reinsurance Claims Unit Job Responsi...
  • 21 Days Ago

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0 Claims Processing Manager jobs found in New Brunswick, NJ area

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Manager 2 - Process Excellence
  • Pharmaceutical Company
  • Titusville, NJ
  • Global Pharmaceutical is seeking a Manager 2 - Process Excellence for a Consultant opportunity in either Titusville NJ o...
  • 4/17/2024 12:00:00 AM

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Operations Process Manager - REMOTE
  • Sierra Solutions Group
  • Princeton, NJ
  • Job Summary We are looking for an Operations Process Manager for our Pharmaceutical client. Primary Responsibilities Ove...
  • 4/17/2024 12:00:00 AM

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Project Manager - Transact / Transcent
  • Atlas Data Systems
  • New Brunswick, NJ
  • Send us your resume if you are exceptional and are interested in an opportunity to join a high growth management consult...
  • 4/17/2024 12:00:00 AM

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Graphic Design Specialist
  • Experis
  • Englewood Cliffs, NJ
  • Our client, ein consumer packaged goods industry is seeking an Graphic Artwork Production Specialist to join their team....
  • 4/17/2024 12:00:00 AM

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Order Processing Manager
  • sulekha.co.uk
  • New York, NY
  • Order Processing Manager Jobs in New York, NY *Work Experience***0 - 20 Years** *Job Role**Work Experience***0 - 20 Year...
  • 4/16/2024 12:00:00 AM

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Artwork Production Specialist
  • Experis
  • Englewood Cliffs, NJ
  • Our client, ein consumer packaged goods industry is seeking an Artwork Production Specialist to join their team. The ide...
  • 4/16/2024 12:00:00 AM

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Manager, Business Process Delivery, Cell Therapy Manufacturing
  • Bristol-Myers Squibb Company
  • Princeton, NJ
  • **Manager, Business Process Delivery, Cell Therapy Manufacturing** CAROUSEL_PARAGRAPH * Seattle, Washington; Leiden, Net...
  • 4/14/2024 12:00:00 AM

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Sales Excellence Process Manager
  • SS&C Technologies
  • New York, NY
  • SS&C is a global provider of investment and financial services and software for the financial services and healthcare in...
  • 4/13/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 5.789 square miles (14.995 km2), including 5.227 square miles (13.539 km2) of land and 0.562 square miles (1.456 km2) of water (9.71%). New Brunswick is in Raritan Valley (a line of cities in central New Jersey). New Brunswick is on the south side of Raritan Valley along with Piscataway Township, Highland Park, Edison Township, and Franklin Township (Somerset County). New Brunswick lies southwest of Newark and New York City and northeast of Trenton and Philadelphia. New Brunswick is bordered by Piscataway, Highland Park...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$107,234 to $138,500
New Brunswick, New Jersey area prices
were up 1.5% 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