Claims Processing Manager jobs in Rochester, NY

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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Jr Systems Analyst
  • Claims Recovery Financial Services
  • Albion, NY FULL_TIME
  • Job Title: Jr. Systems Analyst Department: Information Technology

    Reports To:
    President FLSA Status: Exempt

    Position Summary
    An individual in this role will serve as the bridge between operational needs and the technology available to fill those needs quickly, accurately, and cost-effectively. This individual will interact with stakeholders across the organization, understand business process, identify improvement opportunities, prioritize company efforts on high-impact projects and ensure desired results are achieved. The ability to communicate effectively, manage indirect resources while also participating as a contributor is paramount to success.

    Essential Duties & Responsibilities
    • Understand and document business needs through direct interaction with Operations and Clients.
    • Facilitate organization wide process improvement initiatives.
    • Apply an understanding of the capabilities of technology to solve business problems.
    • Collaborate with internal and external users to understand and document business needs.
    • Design and implement solutions within approved technology toolsets that are reliable, scalable, and meet business needs
    • Complete testing and validation of both individually and peer work to ensure quality solutions.
    • Facilitate functionality reviews and user acceptance testing with stakeholders.
    • Ensures smooth transition of solutions to production, and user acceptance, by providing training and other support as needed.
    • Troubleshoots production issues and bugs to affect timely resolution and minimize business impact.
    • Follows the CRFS System Development Life Cycle in all development activities.
    • Documents all work and associated efforts within CRFS work management system.
    • Updates job knowledge by seeking educational opportunities; reading professional publications and taking on a diverse set of assignments.
    • Other responsibilities as required by business needs and delegated by senior analysts

    Qualifications

    • Prior experience in one or more of the following technologies: SQL Development, Database Development, or SSRS.
    • Knowledge on database T-SQL, stored procedures, basic administration
    • Experience with the Microsoft Office suite.
    • Strong analytical skills, as well as customer service.
    • Ability to balance competing priorities, complex situations, and tight deadlines.
    • Demonstrated attention to detail and ability to work independently.
    • Strong communication skills; demonstrating professionalism, patience, and respect through verbal and written tone.
    • Ability to maintain a high level of confidentiality.


    Claims Recovery Financial Services is committed to equal opportunity for all, without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, or any other protected characteristic. Claims Recovery Financial Services will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at 585-331-9128.
  • 21 Days Ago

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Jr Systems Analyst
  • Claims Recovery Financial Services
  • Rochester, NY FULL_TIME
  • Job Title: Jr. Systems Analyst Department: Information Technology Reports To: President FLSA Status: Exempt Position Summary An individual in this role will serve as the bridge between operational nee...
  • 22 Days Ago

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Civil Engineer - Project Engineer / Manager
  • Project Engineer / Manager - LaBella Associates
  • Rochester, NY FULL_TIME
  • We are in search of a capable candidate to play a key role in a broad spectrum of projects, encompassing everything from large utility infrastructure projects and athletic fields to land development w...
  • 8 Days Ago

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Distribution Technician
  • Complete Payroll Processing
  • Perry, NY FULL_TIME
  • Essential FunctionsProcess, print and package payrolls.Make sure the processed payrolls are sent via UPS, LaserShip or USPS according to instructions.Package and send quarterly and year-end tax forms ...
  • 12 Days Ago

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Implementation Specialist
  • Complete Payroll Processing
  • Perry, NY FULL_TIME
  • Essential FunctionsAs Payroll Implementation Specialist, you will be responsible for:Organizing client information to assure accurate entry of Tax liabilities, employee demographics and year to date p...
  • 12 Days Ago

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Tax Specialist
  • Complete Payroll Processing
  • Perry, NY FULL_TIME
  • Essential FunctionsInform Tax Manager daily of global tax problems.Prepare and maintain written procedures for all processes performed by the tax Department.Perform tax filing research for the company...
  • 18 Days Ago

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0 Claims Processing Manager jobs found in Rochester, NY area

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Manager Trainee - Operations (Travel Program; Relocation Required)
  • Biolife Plasma Services
  • Rochester, NY
  • By clicking the Apply button, I understand that my employment application process with Takeda will commence and that the...
  • 4/15/2024 12:00:00 AM

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Manager, Support Operations - FreeWheel
  • Comcast Corporation
  • Rochester, NY
  • FreeWheel, a Comcast company, provides comprehensive ad platforms for publishers, advertisers, and media buyers. Powered...
  • 4/15/2024 12:00:00 AM

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Vice President, GRA CMC, Biologics and Advanced Therapy Medicinal Products (ATMP)
  • Takeda Pharmaceutical
  • Rochester, NY
  • By clicking the Apply button, I understand that my employment application process with Takeda will commence and that the...
  • 4/15/2024 12:00:00 AM

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Manager, Statistics
  • Takeda Pharmaceutical
  • Rochester, NY
  • By clicking the Apply button, I understand that my employment application process with Takeda will commence and that the...
  • 4/15/2024 12:00:00 AM

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Associate Director, Global Labeling
  • Takeda Pharmaceutical
  • Rochester, NY
  • By clicking the Apply button, I understand that my employment application process with Takeda will commence and that the...
  • 4/15/2024 12:00:00 AM

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Senior Director, GRA Pharmaceuticals
  • Takeda Pharmaceutical
  • Rochester, NY
  • By clicking the Apply button, I understand that my employment application process with Takeda will commence and that the...
  • 4/15/2024 12:00:00 AM

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Director, GRA CMC Pharmaceuticals, Oligonucleotides
  • Takeda Pharmaceutical
  • Rochester, NY
  • By clicking the Apply button, I understand that my employment application process with Takeda will commence and that the...
  • 4/15/2024 12:00:00 AM

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VICE PRESIDENT, OPERATIONS CONTROLLER - ROCHESTER, NY
  • Conifer Realty LLC
  • Rochester, NY
  • Job Type Full-time Description VICE PRESIDENT, OPERATIONS CONTROLLER / Affordable Housing Property Management - Rocheste...
  • 4/14/2024 12:00:00 AM

Rochester is at 43°9′56″N 77°36′41″W / 43.16556°N 77.61139°W / 43.16556; -77.61139 (43.165496, −77.611504). The city is about 73 miles (120 km) east-northeast of Buffalo and about 87 miles (140 km) west of Syracuse and Albany, the state capital is 226 miles (360 km) to the east ; it sits on Lake Ontario's southern shore. The Genesee River bisects the city. Toronto, Canada is northwest 168 miles (270 km) and New York City is about 350 miles (560 km) to the southeast. According to the United States Census Bureau, the city has a total area of 37.1 square miles (96 km2), of which 35.8 square m...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$93,462 to $120,712
Rochester, New York 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