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)
ABOUT THE ROLE:
The Manager of Claims Operations/Payment Integrity will play a key role in achieving the highest-level of claims excellence through creation and implementation of consistent business processes aligning with strategic goals of the XO Health Operations Department. The Manager of Claims Operations/Payment Integrity will work closely with the SVP of Operations and Payment Integrity and other departments to develop, communicate, implement, execute, and measure claim business processes.
RESPONSIBILITIES:
EXPERIENCE REQUIRED:
The qualified candidate will have:
Clear All
0 Regional Claims Manager jobs found in Stamford, CT area