Medical Claims Review Manager jobs in Tacoma, WA

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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Claims Manager
  • SERVPRO Team Friermuth
  • Puyallup, WA FULL_TIME
  • Do you love helping people through difficult situations?
    Then don’t miss your chance to join our Franchise as a new Claims Manager. In this position, you will be making a difference each and every day. We have a sincere drive toward the goal of helping make fire and water damage “Like it never even happened”!
    Our Franchise is seeking someone who is comfortable working hard in challenging situations, enjoys meeting new people, has excellent communication skills, enjoys supervising others, and is a serious multi-tasker. If you are self-motivated and have superb interpersonal skills, then you’ll thrive in this work environment. Are you highly dependable and super-excited about routinely exceeding expectations? Then you may be our perfect hero!
    As a valued SERVPRO® Franchise employee, you will receive a competitive pay rate, with opportunity to learn and grow.

    Job Description:
    Perform all job file coordinator tasks related to customer calls, job monitoring, tracking, coordination, and audits of jobs. Create preliminary estimates and job file backup. Perform general office duties, such as drafting correspondence, filing, and creating reports.

    Monday - Friday / 8am - 5pm

    Benefits:
    • Dental insurance- Available day 1
    • Health insurance- Available day 1, with 5 different plans to select from
    • Vision insurance- Available day 1
    • Paid vacation time
    • 401(k) after 1 year with 4% employer match
    • 6 paid holidays 1 floating holiday throughout the calendar year after 90 days
    • Health savings account
    • Paid sick leave
    • Employee referral program
    • Career path planning and training
    • Employee recognition programs

    Responsibilities:
    • Monitor job file status and job file audit status
    • Maintain job file WIPs
    • Monitor and ensure client requirements are followed
    • Review and validate initial field documentation
    • Create preliminary estimate
    • Daily job file coordination, including preparing job file reports, performing job file backup, and completing job file audit process
    • Maintain internal and external communications
    • Complete and review job file documentation for final upload and the audit process
    • Perform job close-out
    Qualifications:
    • 2 year(s) of administrative or office-related experience and business experience
    • Experience in the commercial cleaning and restoration or insurance/service industry is strongly desired
    • Experience with writing estimates, job file processes, and quality assurance, a plus
    • Outstanding written and verbal communication skills, including proper pronunciation and grammar, and a consistently courteous and professional tone of voice at all times
    • Ability to remain calm and professional during tense or stressful situations
    • Excellent organizational skills and strong attention to detail
    • Very self-motivated and goal-oriented
    • Capability to work in a fast-paced, team-oriented office environment
    • Proficiency in Microsoft Office (i.e. Outlook, Word, Excel)
    • Ability to learn new software, including Xactimate and proprietary software
    • Minimum of HSD/GED, Associates/bachelor’s degree preferred
    • Ability to successfully complete a Servpro required background check and drug screen subject to applicable law.
    SERVPRO Team Friermuth supports and hires our military veterans and spouses!

    All employees of a SERVPRO® Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO® Franchise. SERVPRO® Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Industries, Inc., the Franchisor, in any manner whatsoever.

    All employees of a SERVPRO® Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO® Franchise. SERVPRO® Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Franchisor, LLC, in any manner whatsoever.

  • Just Posted

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Entry-level Paralegal - Now Hiring
  • Claims Management Inc
  • Puyallup, WA FULL_TIME
  • Job DescriptionCMI exists to improve the world by championing the injured. We are a rapidly growing firm looking for amazing team members, which in this case, is a skilled and compassionate paralegal....
  • Just Posted

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Case Entry Clerk - Entry Level
  • Claims Management, Inc
  • Puyallup, WA FULL_TIME
  • Claims Management Incorporated is a company that provides paralegal services for attorneys that handle cases for injured people who may have a case against the party that injured them. Claims Manageme...
  • 10 Days Ago

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Subrogation Specialist - Entry Level
  • Claims Management, Inc
  • Puyallup, WA FULL_TIME
  • Claims Management Incorporated is a company that provides paralegal services for attorneys that handle cases for injured people who may have a case against the party that injured them. Claims Manageme...
  • 10 Days Ago

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Field Technician
  • Hancock Claims Consultants
  • Kent, WA 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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Field Technician
  • Hancock Claims Consultants
  • Federal Way, WA 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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0 Medical Claims Review Manager jobs found in Tacoma, WA area

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Vice President, Medical Management
  • PacificSource Health Plans
  • Tacoma, WA
  • Job Description Summary This position is a member of the executive management group and reports to the Chief Medical Off...
  • 4/26/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Tacoma, WA
  • 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
  • Tacoma, WA
  • 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 Professional Counselor
  • Headway
  • Tacoma, WA
  • 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 Clinical Psychologist
  • Headway
  • Tacoma, WA
  • 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 Social Worker
  • Headway
  • Tacoma, WA
  • 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 Marriage and Family Therapist
  • Headway
  • Tacoma, WA
  • 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 Professional Counselor
  • Headway
  • Tacoma, WA
  • 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

Tacoma (/təˈkoʊmə/ tə-KOH-mə) is a mid-sized urban port city and the county seat of Pierce County, Washington, United States. The city is on Washington's Puget Sound, 32 miles (51 km) southwest of Seattle (of which it is the largest satellite city), 31 miles (50 km) northeast of the state capital, Olympia, and 58 miles (93 km) northwest of Mount Rainier National Park. The population was 198,397, according to the 2010 census. Tacoma is the second-largest city in the Puget Sound area and the third largest in the state. Tacoma also serves as the center of business activity for the South Sound re...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$104,890 to $133,736
Tacoma, Washington area prices
were up 2.8% 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