Medical Claims Review Manager jobs in Topeka, KS

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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KS - Topeka - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Topeka, KS 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 for Property and Casualty, Transportation and High Net Worth, with an emphasis on Specialized Programs.

    We are currently looking for licensed adjusters (or individuals who will obtain their license upon onboarding) to assist with daily claims handling for the Kansas area. In this role, you will manage, investigate and resolve homeowner and commercial property losses of moderate to severe complexity with minimal supervision to include completing field investigations, evaluating and analyzing coverage, completing property damage estimates, reporting findings to various clients, and handling files to the conclusion of the claim.

    In this role, you will:

    • Handle claims during local catastrophes
    • Complete field investigations including inspections, interviews, preparing diagrams, taking photographs, and various other tasks
    • Analyze insurance coverage issues on specific claims and make appropriate recommendations to our clients
    • Prepare detailed estimates in Xactimate based on our client’s specifications and parameters
    • Prepare clear, concise, and timely narrative reports for our clients
    • Create ITV reports
    • Evaluate co-insurance calculations and penalties if applicable
    • Maintain continuous and professional communication with our clients to ensure their needs are being met.
    • Analyze and evaluate damages including reserves, property estimates, business personal property inventories, business interruption, and business income losses
    • Investigate, analyze, adjust and negotiate settlements with insured’s in compliance with our client’s direction
    • Coordinate and oversee vendors such as emergency service contractors, origin and cause investigators, general contractors, engineers, etc.

    Qualifications:

    • 5 years of field Property adjusting experience
    • Ability to climb ladders/Access roofs
    • Thorough knowledge and understanding of roofing, HVAC, and various other mechanical specialties
    • Knowledge of Commercial Lines insurance policies
    • Proficient in Xactimate including Sketch
    • Previous experience with Xactanalysis preferred
    • Proficient in Microsoft Office (Word, Excel, and Outlook)
    • Effective negotiation skills
    • Ability to effectively and independently manage workload
    • Proven ability to provide exceptional customer service
    • Strong written and verbal communication skills
    • Exceptional organization and time management skills

    Job Type: Full-time

    Pay: $30.00 - $35.00 per hour

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work Location: On the road

  • 17 Days Ago

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Field Technician
  • Hancock Claims Consultants Technicians
  • Topeka, KS 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 carriers...
  • Just Posted

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Topeka ks
  • Hancock Claims Consultants Technicians
  • Lawrence, KS FULL_TIME
  • 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 pro...
  • 1 Day Ago

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Field Technician
  • Hancock Claims Consultants
  • Topeka, KS 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 carrie...
  • 1 Month Ago

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Review Coordinator
  • HR Partners
  • Topeka, KS FULL_TIME
  • Company: KFMC Health Improvement Partners Position: Review Coordinator Job Classification: Exempt, Full-time Work Schedule: Mutually Determined Reports to: Director of Clinical Care Review and Quality...
  • 18 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • White, KS FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 3 Days Ago

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0 Medical Claims Review Manager jobs found in Topeka, KS area

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District-Wide Receptionist / Case Management Assistant
  • Federal Public Defender
  • Topeka, KS
  • Kansas Federal Public Defender Position Announcement District-Wide Receptionist / Case Management Assistant Topeka or Ka...
  • 4/26/2024 12:00:00 AM

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Student Nurse Tech / SNT Various Units
  • Ardent Health Services
  • Topeka, KS
  • Overview Join our team as a Student Nurse Tech (SNT) in Topeka, Kansas. Various departments and shifts available! Fulfil...
  • 4/26/2024 12:00:00 AM

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PASRR Diversion Coordinator
  • Experis
  • Topeka, KS
  • Our client, is seeking a PASRR Diversion Coordinator to join their team. Job Title: Healthe Services Coordinator (PASRR ...
  • 4/25/2024 12:00:00 AM

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Certified Medical Assistant (CMA) / Pulmonary
  • Ardent Health Services
  • Topeka, KS
  • Overview You may be eligible for a sign-on bonus of up to $5,000. Join our team as a day shift , full-time , Pulmonology...
  • 4/25/2024 12:00:00 AM

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Benefit Specialist
  • Experis
  • Topeka, KS
  • Job Title: Benefit Specialist Location: Osawatomie, KS As a SOAR Benefits Specialist, you will be part of the Client Ser...
  • 4/24/2024 12:00:00 AM

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Management System Analyst
  • Abacus Service Corporation
  • Topeka, KS
  • State of Kansas Temporary Employment Staffing Request State of Kansas departments will complete and send this form to a ...
  • 4/24/2024 12:00:00 AM

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Radiation Therapist
  • Ardent Health Services
  • Topeka, KS
  • Overview You may be eligible for a sign-on bonus of up to $5,000. Join our team as a day shift , full-time , Radiation T...
  • 4/24/2024 12:00:00 AM

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Registered Nurses - PRN Shifts - up to $45/hr
  • ShiftKey
  • Topeka, KS
  • Build your own schedule. Take control of your career. Looking for RN jobs that fit your life? If you're tired of having ...
  • 1/30/2023 12:00:00 AM

Topeka (/toʊˈpiːkə/; Kansa: Tó Pee Kuh) is the capital city of the U.S. state of Kansas and the seat of Shawnee County. It is situated along the Kansas River in the central part of Shawnee County, in northeast Kansas, in the Central United States. As of the 2010 census, the city population was 127,473. The Topeka Metropolitan Statistical Area, which includes Shawnee, Jackson, Jefferson, Osage, and Wabaunsee counties, had a population of 233,870 in the 2010 census. The name Topeka is a Kansa-Osage sentence that means "place where we dug potatoes", or "a good place to dig potatoes". As a plac...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$90,254 to $115,075
Topeka, Kansas 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