Claims Processing Manager jobs in Reading, PA

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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Operations Manager
  • Custom Processing Services
  • Reading, PA FULL_TIME
  • Company DescriptionCustom Processing Services provides contract manufacturing/toll processing services to a wide variety of industries. Specialized processes center on particle size reduction using a number of methods including jaw crushing, pulverizing, micronizing and media milling. Additional services such as flash drying, surface treatments, blending, dispersing and packaging are also available. The Processing Pros provide new product development assistance from R&D concepts through their commercialization. In addition to CPS's technical grade facilities, a state-of-the art, dedicated building is available for cGMP processing. Job DescriptionAvailable Shift: Weekend Nights: Every Friday, Saturday and Sunday from 6:45pm to 7:15am ResponsibilitiesPersonal and team associate alignment to culture – Respect for Self, Peer, CPS, and ClientMaintain a highly focused work environment on safetyIncident avoidance and investigationHousekeeping and cleanlinessParticipate in and/or lead cross-functional team performance, focused on agreed upon metricsAssure alignment of decisions and activities with the Strategic PlanTactical duties that include:Cost Accounting ReportingProcess OptimizationShift Planning, Shift Start, and Shift Wrap Up activitiesShift Attainment (achievement), including uptime and efficiency (product viability)Material usage, including Live Inventory Entry tasksProduction Scheduling, including labor planningAssure associate interactions are professional and aligned with the Core ValuesAssure the operation is run to optimize output without sacrifice of Employee Health& Safety, and Product Quality.Perform product review and preliminary approval for releaseEnd of run review and approvalBuild PeopleInvolvement, Interest, Ownership of activities in a 24/7 operationPlant specific tasks as needed to support company certifications, systems, and programsOther functions as needed to support the overall businessQualificationsSafety mindsetExcellent communicator – verbal, written, and non-verbalExcellent team facilitation skillsStructured thinkerProblem solverHighly adept in understanding manufacturing processesISO & cGMP experienceProficiency in Microsoft Office: Excel, Word, PPTHighly detail orientedAbility to multi-task effectivelyConfident in setting and achieving performance standardsAble and willing to inspect, oversee, and hold accountability to team performanceAbility to understand and apply the role of individual, area, and team in organizational goals: Safety, Quality, Delivery, and CostPractical Lean Six Sigma/Lean Manufacturing ExperienceFamiliar with metric based performance culturesBachelor’s degree in a related field or equivalent career experiencePrefers to work in a High Performance Team setting, with self-driven accountabilityPrefers to work in a culture of Respect, for Self, Peers, CPS, and Clients.Prefers to work in a culture driven by Core Values that guide all decisions which include Accountability, Innovation, Integrity, Quality, Safety, and TeamworkAdditional InformationWhy Choose CPS?At Custom Processing Services, we offer a variety of career opportunities which allows for learning new skills, contributing to innovative solutions, and growing throughout the organization.We are proud of our core values that help us strive for excellence on our team and for our customers; accountability, innovation, integrity, quality, safety, and teamwork. What we offer:Competitive pay on a weekly pay scheduleHigh performance bonus incentives for most opportunitiesUnique work schedules that allow for work/life balanceCareer advancement programExceptional Medical, Dental, and Vision insurance available after 30 days of employment (with employer contribution)Employer-paid Health Reimbursement Account covering at least half of your Medical Insurance deductible depending on the deductible option you chooseAccess to a pre-tax, Flexible Spending Account for Healthcare and Dependent Care available after 30 days of employmentShort and Long Term Disability Insurance available after 30 days of employment10 Paid HolidaysPaid time off401(k) with employer match available after 6 months of employmentEmployee Assistance Program offering free services such as confidential counseling, legal, and financial services, will preparation, and wellness programsContinuing education and tuition reimbursement opportunities (20% off tuition at a local university!)Thanksgiving Turkey for you and your family to enjoyFun events such as our Summer Picnic, Christmas Party, Manufacturing Day celebration, and more! Equal Opportunity Employment:CPS will not unlawfully discriminate based upon race, color, sex, national origin or ancestry, religion, age disability, citizenship, marital status, military or veteran status, or any prohibited basis.  This commitment applies to all aspects of the employment relationship, including hiring, promotion, compensation, discipline, discharge, and any term or condition of employment.  All employment decisions will be made and all personnel policies construed in compliance with all applicable federal, state, and local anti-discrimination laws.  All unlawful discrimination is prohibited.Authorization to work in the United States is a precondition of employment for Custom Processing Services. Custom Processing Services and its affiliates do not accept unsolicited resumes from individual recruiters or third party recruiting agencies in response to job postings. Unsolicited resumes will be reviewed as a referral, free of any charges or fees.
  • 1 Month Ago

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Trial Chemical Mill Operator
  • Custom Processing Services Inc.
  • Reading, PA FULL_TIME
  • Summary: We are seeking a skilled and detail-oriented Trial Chemical Mill Operator (CMO) to play a crucial role in our small-scale production trials. This hands-on role is responsible for setting up, ...
  • 13 Days Ago

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Operations Leader RDG
  • Custom Processing Services Inc.
  • Reading, PA FULL_TIME
  • Custom Processing Services provides contract manufacturing/toll processing services to a wide variety of industries. Specialized processes center on particle size reduction using a number of methods i...
  • 13 Days Ago

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Machine Operator RDG
  • Custom Processing Services Inc.
  • Reading, PA FULL_TIME
  • Company Description Custom Processing Services, Inc.(CPS) is a custom toll processing company specializing in particle technology. CPS has over 20 years of experience in size reduction, contract dryin...
  • 15 Days Ago

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Quality Assurance Technician
  • Custom Processing Services Inc.
  • Reading, PA FULL_TIME
  • Custom Processing Services provides contract manufacturing/toll processing services to a wide variety of industries. Specialized processes center on particle size reduction using a number of methods i...
  • 9 Days Ago

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Finance Business Partner
  • Custom Processing Services
  • Reading, PA FULL_TIME
  • Company DescriptionCustom Processing Services provides contract manufacturing/toll processing services to a wide variety of industries. Specialized processes center on particle size reduction using a ...
  • 1 Month Ago

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0 Claims Processing Manager jobs found in Reading, PA area

Reading (/ˈrɛdɪŋ/ RED-ing; Pennsylvania German: Reddin) is a city in and the county seat of Berks County, Pennsylvania, United States. With a population of 87,575, it is the fifth-largest city in Pennsylvania. Located in the southeastern part of the state, it is the principal city of the Greater Reading Area, and is furthermore included in the Philadelphia-Reading-Camden PA-NJ-DE-MD Combined Statistical Area. The city, which is approximately halfway between the state's most populous city, Philadelphia, and the state capital, Harrisburg (as well as about halfway between Allentown and Lancaster)...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$94,507 to $122,061
Reading, Pennsylvania 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