Regional Claims Manager jobs in Muskegon, MI

Regional Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Regional Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Regional Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to top management. The Regional Claims Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Regional Claims Manager typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Claims and Billing Clerk
  • Ottawa County
  • Olive, MI FULL_TIME
  • JOB
    Under the direction of the Provider Compliance and Claims Supervisor, gathers and applies information needed to process mental health service claims and resolve billing issues. Reviews source documents for accuracy and completeness and ensures that all claims are billed and posted accurately. This is a full-time benefited position based out of the Community Mental Health building in Holland, Michigan. Travel to other County locations as needed. Typical working hours are Monday-Friday 8:00am-5:00pm.

    EXAMPLE OF DUTIES
    The essential functions of this position include, but are not limited to, any and/or all of the following: Verifies patient insurance eligibility.Prepares, reviews, and transmits claims using billing software, including EDI and paper claim processing.Processes contract agency claims with efficiency and accuracy according to approved rates.Reviews insurance aging as assigned, including claims follow-up and re-submission.Receives and credits payments to appropriate patient accounts and to appropriate funds and cost centers. Audits and verifies requests for disbursement of County funds, including vendor invoices, recurring bills, employee reimbursement requests, and transfers of funds to the state, ensuring that expenses are allowable, properly authorized, and charged to proper accounts.Prepares and transmits a variety of bills and invoices for services rendered by contract agencies.Prepares and reconciles daily deposit of payments received by mail, in person, on the WEB, and through EFT and ACH transactions. Prepares deposits for the Treasurer's Office. Responds to questions from patients billed for services rendered by Community Mental Health, explaining services provided and the county's billing policies. Sets up ability to pay plans for individuals owing outstanding balances to Community Mental Health. Helps support an equitable, safe, diverse and inclusive workplace.Performs other functions as assigned.

    SUPPLEMENTAL INFORMATION
    Required Knowledge and Skills: Good working knowledge of standard accounting principles and practices. Proficient working knowledge of Medicaid, Medicare, health insurance regulations, insurance billing, primary payor rules, and general ledger processes and practices. Good working knowledge of County policies and procedures. Computer literacy, including thorough working knowledge of spreadsheet, database, and electronic health record software. Profound organizational skills and ability to prioritize the workload. Outstanding customer service skills. Exemplary verbal and written communications skills. Exceptional interpersonal and human relations skills. Ability to interact positively and objectively with managers, supervisors, employees, vendors, contractors, consultants, and members of the general public from a wide range of cultural and socio-economic backgrounds and with varying levels of communications skills. Physical Requirements: Must be able to perform essential job functions with or without reasonable accommodations, including, but not limited to, visual and/or audiological appliances and devices to increase mobility. Working Conditions: Work is performed in a normal office environment.Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.Ottawa County is an Equal Opportunity Employer
  • Just Posted

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Claims and Billing Clerk
  • Ottawa County
  • Holland, MI FULL_TIME
  • Under the direction of the Provider Compliance and Claims Supervisor, gathers and applies information needed to process mental health service claims and resolve billing issues. Reviews source document...
  • 4 Days Ago

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PIP Claims Representative
  • Auto-Owners Insurance Company
  • Branch, MI FULL_TIME
  • A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Descriptio...
  • 27 Days Ago

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Regional Controller
  • Robert Half
  • Ludington, MI FULL_TIME
  • A rapidly growing, Ludington area, manufacturing company is looking for a Regional Controller for a permanent opportunity! This Regional Controller will be the head Controller for multiple plants and ...
  • 2 Months Ago

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Independent Insurance Claims Adjuster in Muskegon, Michigan
  • MileHigh Adjusters Houston Inc
  • Muskegon, MI FULL_TIME
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
  • Just Posted

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Independent Insurance Claims Adjuster in Ludington, Michigan
  • MileHigh Adjusters Houston Inc
  • Ludington, MI FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 10 Days Ago

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0 Regional Claims Manager jobs found in Muskegon, MI area

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Chiropractic Assistant
  • Higher Health Chiropractic Michigan
  • Wyoming, MI
  • Company Description Higher Health Chiropractic Michigan is a chiropractic center located in Wyoming, MI. Our mission is ...
  • 4/25/2024 12:00:00 AM

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Chiropractic Assistant
  • Higher Health Chiropractic Michigan
  • Wyoming, MI
  • Company Description Higher Health Chiropractic Michigan is a chiropractic center located in Wyoming, MI. Our mission is ...
  • 4/25/2024 12:00:00 AM

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Billing Specialist
  • Carelinc Medical Equipment & Supply Co Llc
  • Grandville, MI
  • Job TypeFull-timeDescriptionText CareLinc to (616) 727-7091 to apply!Who We Are:CareLinc Medical Equipment is an industr...
  • 4/24/2024 12:00:00 AM

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Plant Human Resources Manager - Holland, MI
  • AUTOKINITON
  • Holland, MI
  • POSITION SUMMARY: The HR Manager provides leadership, directs and manages the Human Resources team and supports all depa...
  • 4/23/2024 12:00:00 AM

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Plant Human Resources Manager - Holland, MI
  • Autokiniton
  • Holland, MI
  • POSITION SUMMARY: The HR Manager provides leadership, directs and manages the Human Resources team and supports all depa...
  • 4/23/2024 12:00:00 AM

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Bartender - Wyoming MI
  • Brinker International
  • Wyoming, MI
  • Role Overview Our bartenders mix more than a great drink! They serve amazing food and drinks while creating a lively atm...
  • 4/23/2024 12:00:00 AM

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Field Property Claim Representative, Grand Rapids Area
  • Hastings Mutual Insurance Company
  • Grand Rapids, MI
  • Hastings Mutual is currently looking for a Field Property Claim Representative! This is a great opportunity to join our ...
  • 4/21/2024 12:00:00 AM

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Internal Revenue Agent (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Grand Rapids, MI
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
  • 4/21/2024 12:00:00 AM

Muskegon (/mʌˈskiːɡən/) is a city in the U.S. state of Michigan, and is the largest populated city on the eastern shores of Lake Michigan. At the 2010 census the city population was 38,401. The city is the county seat of Muskegon County. It is at the southwest corner of Muskegon Township, but is administratively autonomous. The Muskegon Metro area had a population of 172,188 in 2010. It is also part of the larger Grand Rapids-Wyoming-Muskegon-Combined Statistical Area with a population of 1,321,557....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Regional Claims Manager jobs
$149,913 to $209,958
Muskegon, Michigan area prices
were up 1.3% from a year ago

Regional Claims Manager in Tucson, AZ
As a Regional Contract Claims Manager, located in our Broomfield, CO office, you will have responsibility for claims management within your assigned region.
December 13, 2019
Regional Claims Manager in Las Cruces, NM
Paul Martin of Colorado seek an unspecified amount of damages against defendants Shelly Reams, former administrator of the Wyoming Aeronautics Commission; members of the Cheyenne Regional Airport Board; Dave Haring, manager of the Cheyenne airport; and Great Lakes Aviation.
February 18, 2020
Regional Claims Manager in Passaic, NJ
Aligning performance of regional teams, to support delivery of the wider Third-Party Claims Targets & Objectives.
January 16, 2020