Claims Processing Director jobs in Colorado

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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Director of Claims
  • Missouri Employers Mutual
  • Denver, CO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual.

    At MEM, we’ve created a casual, values-driven work culture that’s making a
    positive impact on the way people live and work. We offer a hybrid work model,
    with positions to accommodate the changing needs of today’s employees. Our
    team enjoys a variety of different work environments, which allows for more
    flexibility, less time spent commuting, and greater ability to address personal and
    family needs. This is a place where you can grow with confidence – because
    that’s what safety and success really mean to us.

    MEM is headquartered in Columbia, MO, and our virtual team serves our
    policyholders and partners from across the U.S.

    JOB PURPOSE
    The Director of Claims is integral in steering the strategic direction and
    operational excellence of the claims department at MEM. Responsibilities for this
    role include leading a team of claims professionals, partnering with executive
    leadership to develop and execute strategies that drive towards overall claims
    risk management and mitigation, while driving a focus to continuously improve
    return to work and claim outcomes.

    This further includes monitoring and enhancing quality assurance and technical
    training programs, in accordance with MEM strategic objectives. Leadership at
    this level will drive the team towards efficiency, effectiveness, and high-quality
    service delivery, ensuring the company's competitive edge in the workers'
    compensation insurance market.

    ESSENTIAL DUTIES AND RESPONSIBILITIES

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    Leadership and Direction
    Identify and communicate the actions needed to implement the function's
    strategy and business plan within the business area or department; explain the
    relationship to the broader organization's mission, vision, and values; motivate people to commit to these tenets and do extraordinary things to achieve
    business goals.
    Policy Development and Implementation
    Oversee the development of policies and procedures to ensure consistent and
    efficient implementation of best practices.
    Resource Allocation
    Prioritize and allocate resources based on complexity and risk, so that the team
    can operate efficiently and ensure high quality service and outcomes.
    Relationship Management
    Oversee agent and policyholder relationships to ensure effective communication
    and realization of customer value. This also includes regular cross-functional
    partnerships with units across the business (e.g., SRS, CompLegal).
    Team Management
    Provide support to team members to enable effective delivery of services
    according to expected standards. Includes leading in the areas of performance
    management, coaching, and identifying development needs.
    Performance Management
    Help establish and monitor department metrics and key performance indicators
    to drive action and results. Manage and report on the performance of the
    department; set appropriate performance objectives for direct reports and
    departmental teams and hold individuals accountable for achieving them; take
    appropriate corrective action where necessary to ensure the achievement of
    team/individual objectives.
    Solutions Analysis
    Develop innovative solutions by integrating and analyzing complex and diverse
    information sources and market trends.
    Regulatory and Compliance Management
    Ensure appropriate processes and controls are in place to comply with legal and
    regulatory requirements.
    Organizational Capability Building
    Use the organization's formal development framework to identify the team's
    individual development needs. Plan and implement actions, including continuing
    professional development specified by professional or regulatory institutions, to
    build their professional capabilities. Provide informal training or coaching to
    others throughout the organization in own area of expertise to enable others to
    improve performance and fulfill personal potential.
    Budgeting
    Develop and manage an operational budget that aligns with the company
    strategy and priorities.

    QUALIFICATIONS:
    Education:
    Bachelor's Degree or Equivalent Experience

    Experience:
    10 years workers compensation claims experience
    10 years management experience

    Our home office is located in vibrant Columbia, Missouri — #6 in Livability’s 2019 Best Places to Live.
  • 1 Month Ago

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CO - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Denver, CO FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 6 Days Ago

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Interim Director of Sterile Processing
  • Thaxton Interim Leadership
  • Aurora, CO TEMPORARY,CONTRACTOR,FULL_TIME
  • Job #1760702 Education/License/Certification: BSN or BA in health care related field required. Masters degree preferred. Current California RN license required. Graduate of accredited school of nursin...
  • Just Posted

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Director, Claims - Workers Compensation
  • Pie Insurance
  • Denver, CO FULL_TIME
  • The Director, Workers' Compensation Claims will develop, lead, and steward Pie’s workers' compensation claims strategy. This role is responsible for managing and implementing claims programs for the w...
  • 9 Days Ago

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Prefab Metal Building
  • Southern Director
  • Mc Coy, CO FULL_TIME
  • Job Overview:We are seeking a skilled and experienced Prefab Metal Building professional to join our team. As a Prefab Metal Building, you will be responsible for constructing and assembling metal bui...
  • 2 Days Ago

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Sorority House Director
  • House Director Professionals
  • Fort Collins, CO FULL_TIME,CONTRACTOR
  • We are currently seeking a qualified candidate to fill the full-time position of Sorority House Director. This position requires the House Director to live in the house located in Fort Collins, Colora...
  • 20 Days Ago

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Director of Claims
  • Selby Jennings
  • Chicago, IL
  • Responsibilities: Develop and own the entire claims management process, working closely with our TPA with oversight of c...
  • 3/28/2024 12:00:00 AM

S
Insurance Claims Director
  • Strategic Logistics
  • Goldsboro, NC
  • Job Description Job Description Express is now hiring for the below position. This will be a direct hire position. Start...
  • 3/28/2024 12:00:00 AM

A
Director of Claims Quality
  • AppleOne Employment Services
  • New York, NY
  • Our client is a large health plan located in NYC. The client is looking to hire a Director of Claims Quality. This perso...
  • 3/27/2024 12:00:00 AM

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Claims Director
  • Berkley
  • New York, NY
  • Company Details: Berkley Professional was founded in October 2008 as an operating unit of W. R. Berkley Corporation, one...
  • 3/27/2024 12:00:00 AM

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Claim Director-Environmental
  • Chubb
  • Jersey City, NJ
  • Job Description Chubb is seeking a Claim Director on the Environmental Claims team on a 3/2 hybrid work model. The Envir...
  • 3/27/2024 12:00:00 AM

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Sr. Claim Director - Aerospace
  • Chubb
  • Chicago, IL
  • Chubb seeks a Senior Claim Director on the Aerospace Casualty claims team that provides specialized claim handling on be...
  • 3/27/2024 12:00:00 AM

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Director of Claims Management
  • MoveUp Consulting
  • Wooster, OH
  • Job Description Job Description Job Title: Director of Claims Management Location: REMOTE - Wooster, OH Company: MoveUp ...
  • 3/24/2024 12:00:00 AM

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Claim Director - Complex Specialty
  • Axis
  • New York, NY
  • This is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We...
  • 3/24/2024 12:00:00 AM

Colorado (/ˌkɒləˈrædoʊ, -ˈrɑːdoʊ/ (listen), other variants) is a state of the Western United States encompassing most of the southern Rocky Mountains as well as the northeastern portion of the Colorado Plateau and the western edge of the Great Plains. It is the 8th most extensive and 21st most populous U.S. state. The estimated population of Colorado was 5,695,564 on July 1, 2018, an increase of 13.25% since the 2010 United States Census. The state was named for the Colorado River, which early Spanish explorers named the Río Colorado for the ruddy silt the river carried from the mountains. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$159,847 to $214,797

Claims Processing Director in Cedar Rapids, IA
The Manager-Claims Process evaluates existing business processes, procedures, and results to identify variance, recommend best practices that ensure high quality/low cost outcomes, and gain alignment across the business.
January 22, 2020
Getting a clear picture of your claims processes is key to containing future costs.
December 23, 2019
Claims Processing Director in Salem, OR
To file a claim, you would need to call the claims department or stop by your local agent’s office.  Some insurance companies also accept claims filed over the Internet.  Regardless of how you submit the claim, the information required will be similar.
February 17, 2020
Claims Processing Director in Baltimore, MD
Officials said the advance work will allow the files to be assigned immediately to claims processors for a decision within 30 days.
February 21, 2020