Medical Claims Review Manager jobs in Grand Rapids, MI

Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review 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. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Field Roof Inspector - Grand Rapids, MI
  • Hancock Claims Consultants Technicians
  • Grand Rapids, MI FULL_TIME
  • Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.

    At Hancock, we are at the forefront of claims resolution services, offering nationwide coverage, swift and comprehensive claims inspections, and unparalleled quality and precision. Our established process ensures top-tier claims support, ranging from rapid catastrophe response to direct inspections. Your journey towards a successful future begins with us.

    As an independent contractor, you'll be part of our dynamic field team, conducting assessments on steep and high roofs, evaluating exterior and interior damage, and performing underwriting property inspections. Utilizing cutting-edge technology, our inspectors help assess property damage and prevent further harm until permanent repairs are complete.

    Please note: This is a 1099 Subcontractor position.

    If interested, please apply here: https://hancockclaims.com/become-a-technician/


    Successful Technicians possess:

    • Ability to safely navigate and inspect any type of roof, specifically steep and high roofs
    • Technical ability to complete inspections in varied weather conditions
    • Strong customer service skills
    • Empathy when dealing with insureds
    • An entrepreneurial spirit
    • Roofing and construction related backgrounds and/or insurance claims experience are a plus but not required

    Requirements:

    • Must have a reliable Truck, Van or SUV with the ability to transport and carry at least a 32’ ladder
    • Ability to complete inspection documentation via a Hancock approved device
    • Demonstrated knowledge of MS Office applications including Outlook and Teams
    • HAAG Certification is a plus
    • The ability to get any required certifications or credentials to become a part of our contractor pool

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  • Just Posted

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Field Technician
  • Hancock Claims Consultants
  • Grand Rapids, MI CONTRACTOR
  • CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
  • 1 Month Ago

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Marketing Manager
  • Viant Medical
  • Grand Rapids, MI FULL_TIME
  • Position Title: Content Marketing Manager Reports to: Sr. Director of Marketing Status: Full Time Description As the Content Marketing Manager, your responsibilities include leading and integrating ma...
  • 18 Days Ago

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Project Manager
  • SunMed Medical
  • Grand Rapids, MI FULL_TIME
  • Project Engineer Annual Salary Range: $90,000-$100,000 SunMed is a respected North American manufacturer and distributor of one of the most comprehensive portfolios of consumable medical devices for a...
  • Just Posted

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Engineering Manager
  • SunMED Medical
  • Grand Rapids, MI FULL_TIME
  • ENGINEERING MANAGER COMPANY DESCRIPTION AirLife is a respected North American manufacturer and distributor of one of the most comprehensive portfolios of consumable medical devices for anesthesia and ...
  • 9 Days Ago

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Loan Review Analyst
  • Macatawa Bank Careers
  • Holland, MI FULL_TIME
  • POSITION SUMMARY Under limited direction of the Chief Risk Officer, the Loan Review position will be the sole FTE dedicated to the bank's independent loan review activity, leveraging experience, analy...
  • Just Posted

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0 Medical Claims Review Manager jobs found in Grand Rapids, MI area

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Remote Licensed Clinical Social Worker
  • Headway
  • Grand Rapids, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Grand Rapids, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Grand Rapids, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Grand Rapids, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Grand Rapids, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/24/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Grand Rapids, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/24/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Grand Rapids, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/23/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Grand Rapids, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/23/2024 12:00:00 AM

Grand Rapids is the second-largest city in Michigan, and the largest city in West Michigan. It is on the Grand River about 30 miles (48 km) east of Lake Michigan. As of the 2010 census, the city population was 188,040. In 2010, the Grand Rapids metropolitan area had a population of 1,005,648, and the combined statistical area of Grand Rapids-Muskegon-Holland had a population of 1,321,557. Grand Rapids is the county seat of Kent County. A historic furniture-manufacturing center, Grand Rapids is home to five of the world's leading office furniture companies, and is nicknamed Furniture City. Its ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$94,645 to $120,673
Grand Rapids, Michigan area prices
were up 1.3% from a year ago

Medical Claims Review Manager in Paramus, NJ
Support management with leading Medical Review team to ensure all types of claims requiring medical reviews are completed in compliance with State, Federal, accreditation standards and other applicable regulations.
February 01, 2020
Medical Claims Review Manager in Nashua, NH
By truly combining claims and bill review, the two systems are kept in sync utilizing the scheduled jobs of the aforementioned standard model; however, for real-time data updates, claims examiners are granted access to the entire live bill review system.
January 13, 2020
Medical Claims Review Manager in Davenport, IA
Complex claim errors can only be caught by physician reviewers with the clinical experience to spot mistakes that automated systems can’t detect.
January 03, 2020