Claims Processing Director jobs in Summerville, SC

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Hub processing
  • Advance Auto Parts
  • Charleston, SC FULL_TIME
  • Job Description

    The Hub Operations Lead is responsible for the day to day operations and workflow of all HUB functions to include execution of store Hub order fulfillment, Inventory control and all associated processes. Depending on the size and scope of the HUB operations, some HUB Operations Leads will lead 1 or more team members assigned to HUB operations.  These roles are HUB Inventory Specialist and HUB drivers.  The individual in this role should have good knowledge of store systems, basic parts knowledge, good interpersonal skills and prior experience leading other Team Members. The role has in-depth knowledge of the store inventory and requires the ability to network with nearby stores, Hubs, pdq and external suppliers for order fulfillment. The role owns responsibility for maintaining Hub company standards.  This position is full time. Position may require MVR certification, and should complete all training materials and attend all store meetings.

    Primary Responsibilities

    • Responsible for Hub operations and resolution of Hub orders and processes in a timely manner
    • Responsible to provide direction, organize and delegate work and ensure execution related to leading HUB related Team members (Hub /Loop Drivers and Hub Inventory Specialist)
    • Review Hub orders, pulling parts, stage product, finalize paperwork
    • Interaction with internal and 3rd party Drivers on paperwork, instructions
    • Engaging store to facility network to determine part sourcing and logistics solutions, work with ordering store for fulfillment options if unavailable in network
    • Work with GM, DM and CSC support for proper inventory mix and levels
    • Inventory accuracy and functions as it relates to the parts department and HUB inventory to include- Onhand accuracy of inventory, shrink results, Cycle Counts, Outages, Planograms, Maxi changes, Price Changes, Front & Face, Truck lead
    • Manage and comply with all Hub records and all paperwork policies and procedures
    • Urgently Communicate any risks or concerns regarding order fulfillment or shipments to the appropriate store leader(s)
    • Lead stocking activities from replenishment orders, to include scanning in product and ensuring completion within 24 hours

     Secondary Responsibilities

    • Additional Inventory activities including Overstocks, Callbacks, Resets
    • Safely deliver parts to customers as needed
    • Assist with Front Room Inventory functions
    • Assist with cores and defects
    • Fixed Activities: Store Cleanliness including floors, bathrooms, facing, dusting, parking lot
    • Assist as needed with MOD and other store related actions

     Success Factors

    • Friendly communication
    • Ability to locate and stock parts
    • Safety knowledge and skills
    • Operating inventory systems and store equipment, including forklift, pallet jack and/or hand jack
    • Operating POS and Parts lookup systems
    • Ability to execute and train inventory systems and store equipment
    • High attention to detail

    Essential Job Skills Necessary for Success as a Hub Operations Manager

    • Must be competent at oral and written communications and handle basic math computations.
    • Should have prior retail experience, including basic merchandising and inventory management skills.
    • Able to drive forklift, if certified and applicable, and use a hand truck and pallet jack.
    • Should be well mannered, neat in appearance and possess the ability to meet and deal with the public in an unbiased manner.
    • Previous work records should demonstrate stability and performance results.
    • Scheduling factors necessitate that the individual should be able to come to work on short notice, and/or work flexible hours including nights and weekends.
    • Immediately report to General Manager and/or District Manager any violation of company policy or procedure.

    Prior Experience that Sets a Hub Operations Manager up for Success 

    Inventory management in a retail environment or logistics center of operations

    Education

    High school diploma or general education degree (GED)

    Certificates, Licenses, Registrations

    None

    Physical Demands 

    The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job, with or without reasonable accommodation. While performing the duties of this job, the employee will predominantly be walking or standing. The employee is required to be able to talk and hear and use hands and fingers to handle or feel; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 50 pounds and occasionally lift and/or move up to 100 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception, and ability to adjust focus.

    Work Environment

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job, with or without reasonable accommodation. While performing the duties of this job, the employee is usually working inside; however, they will occasionally be outside and exposed to various weather conditions while performing such tasks as installing batteries and wiper blades. The employee is also occasionally exposed to moving mechanical parts; high, precarious places; toxic or caustic chemicals; risk of electrical shock; explosives; and vibration. The noise level in the work environment is usually moderate.

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Processing I
  • W International
  • Goose Creek, SC FULL_TIME
  • Job Title: Processing I Job Category: Manufacturing Department/Group: Manufacturing Job Description About Us: W International is dedicated to recruiting and developing diverse, high-performing talent ...
  • 1 Day Ago

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Processing Technician
  • Default Board
  • Charleston, SC FULL_TIME
  • GENERAL DONOR CENTER — ENTRY-LEVEL Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We’re growing fast. [You c...
  • 16 Days Ago

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Processing Technician
  • Octapharma Plasma, Inc.
  • Charleston, SC FULL_TIME
  • GENERAL DONOR CENTER — ENTRY-LEVEL Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We’re growing fast. [You c...
  • 17 Days Ago

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Sterile Processing Technician Sterile Processing
  • Triage Staffing
  • Charleston, SC OTHER
  • Start Date: ASAP Shift: 8H Days ( 10:00 AM-6:30 PM )Location: Charleston, SCLength: 13 weeksWeekly Hours: 40.0Beds: At least 2 years’ experience
  • 14 Days Ago

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Claims Clerk
  • MSC Mediterranean Shipping Company SA
  • Charleston, SC FULL_TIME
  • Claims ClerkMSC USA - Charleston JOB SUMMARY Processes marine cargo claims.KEY RESPONSIBILITIES & DUTIES Closely tracks and reports on cargo claims files as they develop.Keeps and maintains records in...
  • 1 Month Ago

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0 Claims Processing Director jobs found in Summerville, SC area

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Director of Finance And Accounting
  • Hyatt Hotels Corporation
  • Isle of Palms, SC
  • Wild Dunes Resort Nestled on the northern tip of Isle of Palms, a lush barrier island off the coast of South Carolina, W...
  • 4/17/2024 12:00:00 AM

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Director of Finance And Accounting
  • Hyatt Hotels Corporation
  • Isle Of Palms, SC
  • Wild Dunes Resort Nestled on the northern tip of Isle of Palms, a lush barrier island off the coast of South Carolina, W...
  • 4/16/2024 12:00:00 AM

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Human Resources Director
  • Encompass Health
  • North Charleston, SC
  • The Human Resources Director (HRD) is a Senior Leader that plans, organizes, and directs all aspects of human resources ...
  • 4/15/2024 12:00:00 AM

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Cook
  • U.S. Food and Drug Administration
  • Goose Creek, SC
  • ** Cook** **Department of the Air Force** ** Air Force Nonappropriated Fund (NAF)** **Location** Few vacancies in the fo...
  • 4/15/2024 12:00:00 AM

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LIFE INSURANCE SALES AGENT REMOTE
  • The Janet Brennan Agency
  • North Charleston, SC
  • Why work with us? Have your Life & Health Insurance license? Are you willing to put in the study for a week to pass the ...
  • 4/15/2024 12:00:00 AM

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Remote Life Insurance Agent
  • Lagniappe Agency (Symmetry Financial Group)
  • Summerville, SC
  • Organization Description: No Cold Calling. Unique Sales and Ownership Opportunity. Commission Only Position Are you some...
  • 4/14/2024 12:00:00 AM

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LIFE INSURANCE SALES AGENT REMOTE
  • The Janet Brennan Agency
  • Summerville, SC
  • Why work with us? Have your Life & Health Insurance license? Are you willing to put in the study for a week to pass the ...
  • 4/14/2024 12:00:00 AM

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Licensed Insurance Business Office Administrator
  • LIGHTHOUSE INSURANCE BENEFITS
  • Summerville, SC
  • Job Description Job Description A small and growing independent locally owned insurance agency office located in Summerv...
  • 4/14/2024 12:00:00 AM

Summerville is a town in the U.S. state of South Carolina situated mostly in Dorchester County with small portions in Berkeley and Charleston counties. It is part of the Charleston-North Charleston-Summerville Metropolitan Statistical Area. The population of Summerville at the 2010 census was 43,392, and the estimated population was 50,213 as of June 1, 2018. The center of Summerville is in southeastern Dorchester County; the town extends northeast into Berkeley and Charleston counties. It is bordered to the east by the town of Lincolnville and to the southeast by the city of North Charleston....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$149,887 to $201,419
Summerville, South Carolina area prices
were up 1.5% from a year ago

Claims Processing Director in Portsmouth, NH
Insurance claims and processing clerks work closely with insurance brokers and agents, handling the administrative duties behind insurance policy renewals, claims processing and new policies.
December 28, 2019
Claims Processing Director in Santa Barbara, CA
Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software.
February 08, 2020
Claims Processing Director in San Diego, CA
Pulpstream makes it possible for you to have one system for tracking all claims.
January 07, 2020