Claims Processing Manager jobs in Sacramento, 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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Finance and Accounting Manager (Agile/Hybrid)
  • Sedgwick Claims Management Services Inc.
  • Sacramento, CA FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Finance and Accounting Manager (Agile/Hybrid) This role is open to a hybrid setting 2 days in the Sacramento, CA Sedgwick office and 3 days remote. PRIMARY PURPOSE: The Manager Finance acts as the generally accepted accounting principles (GAAP) technical advisor to pool management. Ensures assigned financial duties are recorded and presented according to GAAP, partners in the budget/forecast process, conducts financial analysis projects, and provides support to upper management. Responsible for overseeing the completion of accounting and financial activities for risk pool clients, and for ensuring the overall timeliness and satisfaction of such services. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages accounting staff and directs their work to accomplish assigned Finance department responsibilities. Interacts with senior management in the development and understanding of strategies. Owns the accounting and analysis/reporting needs for the pooling organization. Provides innovative and effective analysis to enhance management and client understanding of complicated financial issues. Prepares written reports for and makes oral presentations to risk pool client Boards of Directors, Committees, and other parties. Performs analysis related to member underwriting, self-insured retention changes, experience modification and cost allocation formulas. Oversees preparation of annual budget and all other annual reporting processes for assigned pooling clients. Provides research on new and existing accounting and financial reporting issues. Ensures procedures are in place to maintain accuracy and meet auditor requirements. Works with a variety of vendors, including actuaries, auditors, and investment advisors to perform complex data analysis. Serves as a financial subject matter expert for pooling and public agency clients. Oversees account payable and accounts receivable functions as well as management of general ledger. Oversees reconciliations of monthly bank and investments. Effectively oversees investment advisor and treasury management. Prepares and/or reviews ensures completion of monthly, quarterly, annual, and other financial statements in accordance with generally accepted accounting principles (GAAP). Oversees annual financial audit of risk pool clients. Assists in establishment and maintenance of appropriate accounting documentation, systems, and internal controls, processes, and data. Interacts with senior management in the development and understanding of strategies. Acts as GAAP technical advisor to management. Works closely with other departments as needed to complete projects. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. SUPERVISORY RESPONSIBILITIES Provides support, guidance, leadership and motivation to promote maximum performance. Administers company personnel policies in all areas and follows company staffing standards and training recommendations. Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Experience Seven (7) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Proven management/leadership skills Excellent negotiating skills Ability to create and complete comprehensive, accurate and constructive written reports Ability to work in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $100,000 to $120,000USD annual salary, plus bonus eligibility. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. #LI-KN1 Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Taking care of people is at the heart of everything we do. Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.
  • 3 Days Ago

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Claims Manager
  • Lucent Health Solutions LLC
  • Rancho Cordova, CA FULL_TIME
  • Title: Manager of ClaimsSummary: The Manager of Claims position is a key part of the department’s successful operation. This position has direct responsibility for all Commercial and Native American C...
  • 18 Days Ago

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Claims Manager
  • Dwayne Nash Industries, Inc
  • Roseville, CA FULL_TIME
  • Join Our Safety Team as a Claims Manager! Are you ready to embark on a career journey that goes beyond the ordinary? We're searching for individuals who embody the essence of engagement, accountabilit...
  • 9 Days Ago

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NorCal AOE/COE Claims Investigator
  • Atlas Claims Investigation
  • Sacramento, CA PART_TIME
  • Atlas Claims Investigation is looking for an experienced Workers' Compensation Investigator to conduct AOE/COE investigations in the Northern California region on a part time basis.Part Time W2 or 109...
  • 30 Days Ago

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CA - Nor Cal - 1099 Claims Adjuster
  • Copper Claims Services, Inc.
  • Sacramento, CA FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 30 Days Ago

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Processing Engineering Manager
  • Recruiting From Scratch
  • Grove, CA FULL_TIME
  • Who is Recruiting from Scratch: Recruiting from Scratch is a premier talent firm that focuses on placing the best product managers, software, and hardware talent at innovative companies. Our team is 1...
  • 11 Days Ago

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0 Claims Processing Manager jobs found in Sacramento, CA area

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Store Manager
  • PLANTIFULL LLC DBA BURGER PATCH
  • Sacramento, CA
  • Job Description Job Description Full-Time Flexible to travel between all Burger Patch locations for training. Eligible f...
  • 4/23/2024 12:00:00 AM

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OPERATIONS MANAGER
  • UHS
  • Sacramento, CA
  • Responsibilities OPERATIONS MANAGER HealthLinkNow, part of Universal Health Services, Inc. (UHS) is looking for an exper...
  • 4/23/2024 12:00:00 AM

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Human Resources Director
  • Newgen Energy
  • Rocklin, CA
  • We are NewGen Energy, and we are growing our team! We are a thriving renewable energy company looking to add to our team...
  • 4/22/2024 12:00:00 AM

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Supervisor - Valet
  • Propark Mobility
  • Sacramento, CA
  • -: Valet Parking Supervisor Needed at Luxury Hotel Pay Rate: $17.50 per hour plus cash tip$! Job Type: Full-time and Par...
  • 4/22/2024 12:00:00 AM

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Project Manager II
  • Henkels & McCoy
  • West Sacramento, CA
  • Overview: Henkels & McCoy West, LLC., a MasTec company, is a full-service engineering and construction company providing...
  • 4/21/2024 12:00:00 AM

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Deputy Director
  • Merit System Services
  • Sacramento, CA
  • Salary: $46.40 - $56.53 Hourly Location : Sonora Job Type: Full-Time Job Number: MSS04409 Department: Tuolumne County De...
  • 4/21/2024 12:00:00 AM

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Project Operations Coordinator
  • Tomra
  • West Sacramento, CA
  • Company Description About Us TOMRA Food designs and manufactures sensor-based sorting machines and integrated post-harve...
  • 4/21/2024 12:00:00 AM

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Human Resources Director
  • NewGen Energy
  • Rocklin, CA
  • We are NewGen Energy, and we are growing our team! We are a thriving renewable energy company looking to add to our team...
  • 4/19/2024 12:00:00 AM

Sacramento (/ˌsækrəˈmɛntoʊ/ SAK-rə-MEN-toh; Spanish: [sakɾaˈmento]) is the capital city of the U.S. state of California and the seat of Sacramento County. Located at the confluence of the Sacramento River and the American River in Northern California's Sacramento Valley, Sacramento's estimated 2018 population of 501,334 makes it the sixth-largest city in California and the ninth largest capital in the United States. Sacramento is the seat of the California Assembly, the Governor of California, and Supreme Court of California, making it the state's political center and a hub for lobbying and th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$102,675 to $132,612
Sacramento, California area prices
were up 2.5% 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