Claims Processing Manager jobs in Rock Hill, SC

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing 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. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Remote Claims Manager
  • First American Financial Corporation
  • Fort Mill, SC OTHER
  • Who We Are

    ServiceMac is a new sub-servicing entity backed by some of the leading practitioners of the mortgage servicing industry. ServiceMac is focused on providing superior technology, products, and services for the mortgage and real estate industries backed by highly personalized service and support. Through continuous innovation and acquisition, our offerings comprise of personalized solutions that span the mortgage continuum and enhance security, compliance, customer satisfaction, and profitability. Our inclusive, people-first culture has earned our company numerous accolades, including being named to the Fortune 100 Best Companies to Work For® list for eight consecutive years. We have also earned awards as a best place to work for women, diversity and LGBTQ employees, and have been included on more than 50 regional best places to work lists. First American will always strive to be a great place to work, for all.

    What We Do

    This role may have direct reports or may be a functional manager with no direct reports who manages an operational function with organizational impact. Manages an operational function or the day-to-day operations of a segment of the organization’s operations in compliance with established procedures for the organization. Participates in developing, interpreting, and implementing policies and procedures. Ensures employee conformance to established practices and proper training of staff. Prepares related reports and audits current procedures to monitor efficiency of operations. Instills the notion within all employees at all levels of the organization that the business unit’s primary goal is to provide the highest quality service possible to all customers.

    HOW YOU'LL CONTRIBUTE

    • Responsible for servicing mortgage accounts to ensure the claim is processed in compliance with all state and federal laws while maintaining compliance with Investor, Insurer, Agency and company guidelines. This includes the following:

    • Monitors all loans in the claims queue to ensure all required milestone(s) are met.

    • Completes claim filing/activities by interacting and instructing various parties such as attorneys, investors, insurers, and any other party involved with the claim.

    • Monitors/Audits claims, identifying trends or risks associated with the portfolio.

    • Must ensure acceptable quality assurance metrics are met

    • Provides recommendations to management on process improvement opportunities within the department and outside where applicable to minimize risk exposure.

    • Follows departmental and business policies with strict adherence.

    • Prioritizes allocated work to ensure timely and accurate resolution to both external and internal partners.

    • Stays current with pending regulatory and state law changes that could impact Claim processes.

    • Monitors vendors performance by reviewing all proceedings, records and timeframes in addition to working all system/database activities throughout the default process

    • Diligently follows up on all outstanding requests and telephone calls from internal and external partners

    • Manages exception reporting used as key controls for minimizing risk

    WHAT YOU'LL BRING

    Required Education, Experience, Certification/Licensure

    • 5 years of Default Liquidation Claim Experience Required

    • 3 years of Progressive Management Experience

    • GSE and Government Claim experience

    • ICE technology: MSP and LoanSphere Claims experience

    • Knowledge of advance computer software programs to include Windows, Microsoft Word and Excel, Internet and Microsoft Outlook experience preferred

    • Requires an extreme attention to detail and ability to adhere to strict guidelines and procedures

    • Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary internal and external customer service

    • Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices

    • Excellent oral communication skills, including ability to effectively coach, motivate, and lead staff

    Salary Range: $66,980 - $130,020

    This hiring range is a good faith and reasonable estimate of the salary range of possible compensation at the time of the posting and is subject to change. The actual compensation offered will be determined by various factors, which may include a candidate’s education, training, experience, and geographic location.

    What We Offer

    By choice, we don’t simply accept individuality – we embrace it, we support it, and we thrive on it! Our People First Culture celebrates diversity, equity and inclusion not simply because it’s the right thing to do, but also because it’s the key to our success. We are proud to foster an authentic and inclusive workplace For All. You are free and encouraged to bring your entire, unique self to work. First American is an equal opportunity employer in every sense of the term.

    Based on eligibility, First American offers a comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick leave and other great benefits like an employee stock purchase plan.

  • 30 Days Ago

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Auto Liability Claims Manager
  • Sunbelt Rentals
  • Fort Mill, SC FULL_TIME
  • Join Our Team!Sunbelt Rentals strives to be the customer's first choice in the equipment rental industry. From pumps to scaffolding to general construction tools, we aim to be the only call needed to ...
  • 1 Month Ago

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Processing specialist
  • OceanaGold
  • Kershaw, SC FULL_TIME
  • Job Description Principal Position Objective Undertake planning for planned maintenance activities and develop engineering details, scope of work, quality, and safety plans for field execution of main...
  • 26 Days Ago

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Specialist- Processing (Mechanical Planner)
  • OceanaGold
  • Kershaw, SC FULL_TIME
  • Company DescriptionOceanaGold is a multinational gold producer committed to the highest standards of technical, environmental and social performance. For more than 31 years, we have been contributing ...
  • 27 Days Ago

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Freight Processing Lead
  • Big Lots
  • Rock Hill, SC FULL_TIME
  • Description When you join our team, you’ll enjoy extra savings with a 20% discount on almost everything in store – even food! And a 30% discount on Indoor and Outdoor furniture. Additional benefits in...
  • 1 Month Ago

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Independent Insurance Claims Adjuster in York, South Carolina
  • MileHigh Adjusters Houston Inc
  • York, SC FULL_TIME
  • ADJUSTERS NEEDED NOW!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 fo...
  • 8 Days Ago

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0 Claims Processing Manager jobs found in Rock Hill, SC area

Rock Hill is the largest city in York County, South Carolina, United States and the fifth-largest city in the state. It is also the fourth-largest city of the Charlotte metropolitan area, behind Charlotte, Concord, and Gastonia (all located in North Carolina, unlike Rock Hill). As of the 2010 Census, the population was 66,154. In 2016, the population had increased to 72,937. The total population of Rock Hill inside the city limits and outside the city limits as of 2017 was estimated at 117,375 people. The city is located approximately 25 miles (40 km) south of Charlotte and approximately 70 mi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$91,942 to $118,749
Rock Hill, South Carolina area prices
were up 1.5% from a year ago

Claims Processing Manager in Austin, TX
These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
January 26, 2020
Claims Processing Manager in Topeka, KS
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
Claims Processing Manager in Youngstown, OH
A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
December 11, 2019