Regional Claims Manager jobs in Scottsdale, AZ
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)
Recently Added Regional Claims Manager jobs
- Oscar Health
-
Tempe, AZ
FULL_TIME
-
Hi, we're Oscar. We're hiring a Manager, Claims Optimization to join our Claims Design team.
Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role
The Manager, Claims Optimization leads a team tasked with tactical and strategic initiatives with the goal of improving overall claim outcomes across a series of key performance metrics. The Manager plays a critical role in the overall claims improvement apparatus by providing leadership, structure and organization, enabling the team to succeed.
You will report to the Senior Manager, Claims Design.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
This is a hybrid role in our Tempe, Arizona office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid
Pay Transparency:
The base pay for this role is: $92,880 - $121,905 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities
- Be the subject matter expert for Claims operations through knowledge and expertise of Oscar's claim platform, claim regulatory requirements and operational workflows, and subrogation.
- Manage a complex portfolio of initiatives and deliverables and proactively identify areas of opportunity to improve key performance indicators
- Develop team workflows and guidelines that produce consistent and measurable outcomes; train, teach and mentor team members to become more proficient and effective.
- Improve Post Payment recovery processes, and engage with Post Payment vendors.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- A bachelor's degree or 4 years of commensurate experience
- 4 years experience in operations, healthcare, data analytics, engineering and/or consulting
- 4 years of experience analyzing data to solve complex business problems
- 2 years of experience leading and developing a team
- 2 years experience designing, implementing and improving business workflows
Bonus points
- Process Improvement or Lean Six Sigma training, certification
- Experience developing project plans in collaboration with internal and external stakeholders
- Experience with healthcare claims processing
- Experience managing in a healthcare claims organization
- Experience with SQL and basic SQL abilities
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives..
Pay Transparency:
Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.
Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Reasonable Accommodation:
Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
- 8 Days Ago
- Berkley
-
Scottsdale, AZ
FULL_TIME
- Company Details: As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers countr...
- Just Posted
- Acosta Group
-
Scottsdale, AZ
FULL_TIME
- **RESPONSIBILITIES** **Supervise** and evaluate deduction/vendor claims specialist/analyst. Assign responsibilities. Assist with on-the-job training/mentoring of all claims/deductions specialists and ...
- 1 Month Ago
- Oscar Health
-
Tempe, AZ
FULL_TIME
- Hi, we're Oscar. We're hiring a Manager, Claims Operations join our Claims Operations team. Oscar is the first health insurance company built around a full stack technology platform and a focus on ser...
- 21 Days Ago
- FBL Financial Group, Inc.
-
Gilbert, AZ
FULL_TIME
- Business Center Claims ManagerIf you have a claims background and are ready to take on the opportunity of leading a casualty claims unit, this may be a great opportunity for you!Who We Are: With Farm ...
- 1 Month Ago
- RA Sushi
-
Scottsdale, AZ
FULL_TIME
- Primary Responsibilities: Responsible for directing the efforts and operations of restaurants in assigned regions and for driving sales and profitability while ensuring the guest experience meets comp...
- 20 Days Ago
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0 Regional Claims Manager jobs found in Scottsdale, AZ area
- Metromile
-
Tempe, AZ
- **Auto Claims Adjuster Trainee** at Metromile Tempe, AZ On the off chance you've thought about insurance, it's likely be...
- 4/16/2024 12:00:00 AM
- Farmers Insurance Group
-
Phoenix, AZ
- **We are Farmers!** We are more than just your favorite commercials. We are a passionate, award winning, equal opportuni...
- 4/16/2024 12:00:00 AM
- USAA
-
Phoenix, AZ
- Why USAA? Lets do something that really matters! At USAA, we have an important mission: facilitating the financial secur...
- 4/15/2024 12:00:00 AM
- WALGREENS
-
Scottsdale, AZ
- Responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the e...
- 4/15/2024 12:00:00 AM
- WALGREENS
-
Scottsdale, AZ
- Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provide...
- 4/15/2024 12:00:00 AM
- Selective Insurance Group
-
Phoenix, AZ
- ** Property General Adjuster-Phoenix, AZ** **Job Category****:** CLAIMS **Requisition Number****:** PROPE003617 Showing ...
- 4/13/2024 12:00:00 AM
- Progressive Corp.
-
Gilbert, AZ
- Experienced Claims Adjuster - Commercial Lines **Job Number** : 189694 Join one of FORTUNEs 100 Best Companies to Work F...
- 4/13/2024 12:00:00 AM
- Zurich Insurance Company Ltd.
-
Phoenix, AZ
- Zurich E&S is currently hiring a Senior Excess Casualty Underwriter to support the growth and advancement of the Western...
- 4/13/2024 12:00:00 AM
About Scottsdale, Arizona
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