Claims Processing Manager jobs in West Virginia

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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Coil Processing Group/ CPG Manager
  • MRCC Solutions
  • Ravenswood, WV FULL_TIME
  • Title: Coil Processing Group/CPG Manager

    Location: Ravenswood, WV (Onsite)

    Duration: FULLTIME

    Position Summary:

    · Manage coil process and product through maintenance & improvement efforts to optimize performance, maximize material recovery, eliminate process waste and improve conversion costs through technical solutions, training and process control.

    · Maintain all metallurgical, technical and quality requirements of the customer specifications for coil products.

    · Manage CPG Quality Management Systems and improve Customer Quality Satisfaction

    · Technical leader - Direct supervisor of CPG area process & quality professionals.

    · Manage CPG department technical team & reduce quality losses

    · Accountable for project tracking and report out for quality KPI

    · Maintain and improve CPG processing practices to improve product capability & performance, process effeciency and material recovery.

    · Directly supervise area quality & process engineer(s) and/or metallurgist(s).

    · Train & guide area quality & process engineer(s) and/or metallurgist(s), in implementing area process improvements to support customer needs for process control.

    · Provide Technical expertise & support to daily activities of CPG department

    · Manage all appropriate technical practices, customer & special process specifications and formal reports.

    · Manage investigation, data analysis and implementation of solutions to complex problems involving multiple production centers and technical aspects

    · Envision opportunities for process improvement and act on those ideas through equipment modification, process improvement, material changes, etc. Effectively use data & technical knowledge to understand the existing process capability and the opportunity for improvement.

    · Utilize data-driven, structured approach to root cause analysis and problem-solving to achieve desired results

    · Interact and lead across multiple areas and levels of the organization.

    · Manage processes to maintain compliance to Ravenswood Quality Systems by working closely with the Central Quality group

    · Manage qualification of process performed through newly installed/upgraded equipment

    · Lead and maintain all department SOP’s, Calibration documentation, Process FMEA’s & Control Plans

    · Support Coil New Product Development

    Significant Relationships:

    Internal

    · CPG Department Quality team

    · CPG Department Management

    · CPG Department Hourly Personnel

    · Roll shop

    · Central Quality team

    · Casting and Hotline Department Technical/Quality resources

    · Maintenance & Reliability Managers/Engineers

    · Process development metallurgists

    · Customer Application Engineers

    External

    · Customers

    · External auditors

    · Client research center & sister facilities

    · Outside labs

    · Converters

    · Suppliers/Vendors

    Requirements:

    · Bachelor’s Degree in an Engineering field or equivalent - Metallurgy or Materials Science preferred

    · 5-10 years’ experience in Manufacturing

    · Ability to supervise & guide technical professionals

    · Demonstrated Project Management Skills

    · Capable of leading multi-functional teams

    · Well-developed analytical & statistical skills

    · Experience with Lean & Six Sigma methodologies

    · Manufacturing experience with aluminum rolling preferred

    Job Type: Full-time

    Pay: $140,000.00 - $155,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • Monday to Friday

    Education:

    • Bachelor's (Required)

    Experience:

    • CPG - Coil Process Group: 1 year (Required)

    Ability to Commute:

    • Ravenswood, WV 26164 (Required)

    Work Location: In person

  • 1 Month Ago

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Medical Biller - Beckley WV
  • Priority Medical Claims
  • Beckley, WV FULL_TIME
  • About usPriority Medical Claims is a medical billing company focused on EMS and Ambulance claim processing. We are looking for a full time medical biller with strong skills in the claim follow up area...
  • 1 Month Ago

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National Sales Manager Credit Card Processing
  • Valor Merchant Services
  • Wheeling, WV FULL_TIME
  • We need a Sales Manager who can manage our growing team of sales reps and help us make more money! You'll be in charge of streamlining the sales process, making sure that we're following protocol, and...
  • 1 Month Ago

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AE - Merchandising Team Leader (Assistant Manager) - US
  • Merchandising Team Leader (Assistant Manager) - US - American Eagle Outfitters Careers
  • United States, WV FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As the full-time Merchandising Team Leader, you are the Store Team Leader's "go-to" in developing and implementing the Merchandising strategy for the store. Your pa...
  • 13 Days Ago

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AE - Store Team Leader (Store Manager) - US
  • Store Team Leader (Store Manager) - US - American Eagle Outfitters Careers
  • United States, WV FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As the full-time Store Team Leader, you are the CEO of your store! You are an entrepreneurial-minded business owner who takes pride in maximizing the daily operatio...
  • 24 Days Ago

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Processing technician
  • CSL
  • Parkersburg, WV FULL_TIME
  • Description 1 In compliance with Standard Operating Procedures (SOPs), responsible for collecting plasma samples and moving plasma units to freezer to ensure product quality. 2 Ensures plasma units ar...
  • Just Posted

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Processing Manager
  • Rehrig Pacific Company
  • Buckeye, AZ
  • ***Hiring for Spring 2024 - May hire sooner to conduct training in our Los Angeles facility.***Here at Rehrig Pacific, w...
  • 4/24/2024 12:00:00 AM

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Processing Manager
  • Diageo Espana Sa
  • Plainfield, IL
  • Plainfield, Illinois, United States of America Our performance ambition is to be one of the best performing, most truste...
  • 4/24/2024 12:00:00 AM

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Processing Manager
  • Diageo
  • Plainfield, IL
  • Job Description : Title: Processing Manager Our performance ambition is to be one of the best performing, most trusted a...
  • 4/24/2024 12:00:00 AM

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Merchant Processing Manager
  • Aimbridge Hospitality
  • Plano, TX
  • Job Summary The Treasury Operations Manager – Merchant Processing is part of a team responsible for the completion of me...
  • 4/24/2024 12:00:00 AM

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Processing Manager
  • Unavailable
  • Saint Louis, MO
  • PENNYMAC Pennymac (NYSE: PFSI) is a specialty financial services firm with a comprehensive mortgage platform and integra...
  • 4/23/2024 12:00:00 AM

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Processing Manager
  • Chobani
  • New Berlin, NY
  • Summary We are seeking a dynamic and experienced Manufacturing leader to oversee and manage our dairy processing facilit...
  • 4/21/2024 12:00:00 AM

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Process Manager
  • Thermo Fisher Scientific
  • Grand Island, NY
  • Job Description As part of the Thermo Fisher Scientific team, you'll discover meaningful work that makes a positive impa...
  • 4/21/2024 12:00:00 AM

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Management Trainee - Processing
  • Mountaire
  • Lumber Bridge, NC
  • Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
  • 3/11/2024 12:00:00 AM

West Virginia (/vərˈdʒɪniə/ (listen)) is a state located in the Appalachian region in the Southern United States and is also considered to be a part of the Middle Atlantic States. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston. West Virginia became a state following the Wheeling Conventions of 1861, after the American Civil War had begun. Delegates from so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$85,483 to $110,407

Claims Processing Manager in Topeka, KS
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Claims Processing Manager in Pittsburgh, PA
Depending on the employer’s needs, insurance claims and processing clerks may also be responsible for interviewing clients to obtain the information required on new insurance policy applications.
January 27, 2020
Claims Processing Manager in Medford, OR
Claims Manager Plus ingests a hospital’s daily claims file and runs it through a sophisticated rules engine to modify claims based on the hospital’s defined configurations, as well as parse out claims not meeting criteria for payment.
December 11, 2019