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)
Our client, a National Insurance Company, is looking for a Worker's Compensation Medical Only Adjuster to work a remote basis. The ideal candidate will have experience handling Medical Only claims in the state of TX.
Required Qualifications
Preferred Qualifications
TheBest Claims Solutions is the leading provider of insurance jobs for Claims Adjusters concentrating in Workers’ Compensation, Property, Auto, Commercial Lines, Personal Lines and Catastrophe. TheBest Claims Solutions has been placing insurance professionals in direct hire, temporary and temp-to-hire opportunities with insurance carriers, self-insurance companies and third party administrators for nearly 2 decades and are adding new clients every day.
EQUAL OPPORTUNITY EMPLOYER
TheBest Claims Solutions is committed to creating a diverse environment and is proud to be an equal opportunity employer. Qualified applicants will be considered for employment without regard to race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws.
Clear All
0 Medical Claims Review Manager jobs found in Houston, TX area