Claims Processing Director jobs in District of Columbia

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, Returns Processing Administration
  • Office of the Chief Financial Officer (OCFO)
  • Washington, DC FULL_TIME
  • SERVICING PERSONNEL OFFICE/UNIT: Office of Human Resources
    POSITION SERIES: DS-0501  
    POSITION GRADE: DS-16  
    IF "OPEN UNTIL FILLED," FIRST SCREENING DATE: February 23, 2024
    TOUR OF DUTY: To Be Determined
    AREA OF CONSIDERATION: Unlimited
    PROMOTION POTENTIAL: None  
    NO. OF VACANCIES: One (1) or more
    AGENCY: Office of Tax and Revenue, Returns Processing Administration
    DURATION OF APPOINTMENT: Permanent
    COLLECTIVE BARGAINING UNIT: This position is not in a collective bargaining unit.

    BRIEF DESCRIPTION OF DUTIES: This position is in the Office of the Chief Financial Officer (OCFO), Office of Tax and Revenue (OTR), Returns Processing Administration (RPA). The incumbent is responsible for planning, coordinating and implementing a portion of the District’s tax program. Duties include, but are not limited to: managing the Returns Processing programs for both paper and electronic filings and Remittance Processing Programs; overseeing the scanning of paper returns into data images; monitoring electronic return and payment submissions; monitoring the tax forms design and development program; and coordinating efforts between OTR and the Lockbox vendor for payment and returns processing and their operations within the terms of the District Tax Code and applicable regulations. Performs other related duties as assigned.Nine (9) years of progressive experience, to include three (3) years of managerial experience performing the related duties and responsibilities such as planning, organizing, coordinating, directing, reviewing, monitoring and evaluating the activities of a mail and payment processing center or tax returns processing unit; developing internal business/strategic plans to achieve goals and objectives; and enhancing processes to improve the receipt and processing of all mail or tax returns, payments and customer service. Knowledge of tax codes, regulations, and policies as it relates to tax returns and technical tax information in order to ensure accurate distribution and processing preferred.Experience that provides the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level in the normal line of progression for this position.

    COVID-19 VACCINATION: 

     

    The Office of the Chief Financial Officer values the safety of our employees, our residents, and our visitors. In support of these values, OCFO employees are strongly encouraged to be immunized against COVID-19. 


     COLLECTIVE BARGAINING UNIT:
     
    Employment with the OCFO is at will.  However, the discipline and/or discharge of bargaining unit employees is governed by the collective bargaining agreement.
     
    EEO STATEMENT: 
     
    The OCFO is an Equal Opportunity Employer. All qualified candidates will receive consideration without regard to race, color, religion, national origin, sex, age, marital status, personal appearance, sexual orientation, family responsibilities, matriculation, physical handicap, or political affiliation.
     
    HOW TO APPLY: 

    All Applicants, including departmental employees and other DC Government Employees, must submit an OCFO employment application at cfo.dc.gov. (Resume may be attached). Incomplete applications will not be considered.  Employees affected by restructuring must submit their application with the application transmittal form. All applications, transcripts, and supporting documents must be received by close of business (5:00 PM) on the closing date of the announcement or they will not be considered.

    NOTE:  It is imperative that all information on the employment application, resume and supporting documents be both accurate and truthful and is subject to verification.  Misrepresentations of any kind may be grounds for disqualification for this position or termination.
     
    JOB OFFERS:
     
    Official job offers are made only by the OCFO’s Office of Human Resources. 
     
    PHYSICAL EFFORT:
     
    Sedentary 
     
    REASONABLE ACCOMMODATION REQUESTS:
     
    If you are scheduled for an interview and require any reasonable accommodation in our interview process, please inform the hiring representative who contact you to schedule your interview.  Whenever possible, please give the hiring representative sufficient time to consider and respond to your request.  
     
    RESIDENCY PREFERENCE:  
     
    An external applicant for a position in the OCFO who is a bona fide resident of the District of Columbia at the time of application, may claim a hiring preference over a non-resident applicant by completing the 'Residency Preference for Employment' form, DC 2000RP, and uploading and attaching it to their employment application. To be granted preference, an applicant must: (1) be qualified for the position; and (2) submit a claim form at the time of application. Except for employees entitled by law to preference, preference will not be granted unless the claim is made at the time of application. This preference is only granted upon initial appointment.
     
    NOTICE OF NON-DISCRIMINATION:  
     
    In accordance with the D.C. Human Rights Act of 1977, as amended, D.C. Official Code section 2-1401.01 et seq., (Act) the District of Columbia does not discriminate on the basis of actual or perceived: race, color, religion, national origin, sex, age, marital status, personal appearance, sexual orientation, familial status, family responsibilities, matriculation, political affiliation, disability, source of income, or place of residence or business. Sexual harassment is a form of sex discrimination, which is also prohibited by the Act. In addition, harassment based on any of the above, protected categories is prohibited by the Act. Discrimination in violation of the Act will not be tolerated. Violators will be subject to disciplinary action. 
     
    NOTICE OF BACKGROUND INVESTIGATION AND PENALTIES FOR FALSE STATEMENTS:
     
    Employment with the OCFO is subject to the completion and satisfactory result of a background investigation conducted by the OCFO.  For most positions, the investigation is conducted after commencement of duty, at which time you will be provided background and release of information forms to complete.  For more information, see the Employment Opportunities section at the OCFO website (www.cfo.dc.gov).  Certain highly sensitive positions however warrant completion of the OCFO background investigation prior to commencement of duty.  You will be informed if this is required.
     
    Applicant understands that a false statement on any part of your application, including materials submitted with the application, may be grounds for not hiring you, or for firing you after you begin work (D.C. Official Code, section 1-616.51 et seq.) (2001).  The applicant understands that making a false statement on the application or on materials submitted with the application is punishable by criminal penalties pursuant to D.C. Official Code, section 22-2405 et seq. (2001).
     
    SALARY REDUCTION OF REEMPLOYED ANNUITANTS: 
     
    An individual selected for employment in the District Government on or after January 1, 1980, who is receiving an annuity under any District government civilian retirement system, shall have his or her pay reduced by the amount of annuity allocable to the period of employment as a reemployed annuitant.
     
    VETERANS PREFERENCE: 
     
    Applicants claiming veteran’s preference must submit official proof with the application.

    WORKING CONDITION:

    Office Environment

  • 1 Day Ago

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Director of Risk & Claims Management
  • medstar
  • Washington, DC FULL_TIME
  • Reporting to the Assistant Vice President of Quality and High Reliability with matrix reporting to the Vice President for Risk Management Services for MSH., the Director of Risk and Claims Management ...
  • 1 Month Ago

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Senior Strategy and Research Advisor
  • Office of the National Cyber Director
  • Washington, DC FULL_TIME
  • This position is located in the Executive Office of the President (EOP), Office of the National Cyber Director (ONCD), reporting to the Assistant National Cyber Director (ANCD) for Strategy and Resear...
  • 12 Days Ago

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Director of Patient Safety Risk & Claims Mgmt
  • MEDSTAR HEALTH
  • Washington, DC FULL_TIME
  • General Summary of PositionReporting to the Assistant Vice President of Quality and High Reliability with matrix reporting to the Vice President for Risk Management Services for MSH., the Director of ...
  • 2 Days Ago

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Processing tech
  • Johns Hopkins Medicine
  • Washington, DC FULL_TIME
  • Sibley Memorial Hospital, a member of Johns Hopkins Medicine, has a distinguished history of serving the community since its founding in 1890. As a not-for-profit and full-service community hospital, ...
  • 21 Days Ago

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Processing specialist
  • National Restaurant Association
  • Washington, DC FULL_TIME
  • Description The National Restaurant Association and National Restaurant Association Educational Foundation are proud to be part of a highly respected industry, providing hospitality, opportunity, and ...
  • 1 Month Ago

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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 ...
  • 3/29/2024 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...
  • 3/29/2024 12:00:00 AM

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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

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Director of Claims
  • Masis Professional Group
  • Charlotte, NC
  • SUMMARY: Assists with the management of the claims department. Manages complex claim files and manages personnel in the ...
  • 3/28/2024 12:00:00 AM

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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

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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

Washington, D.C. is located in the mid-Atlantic region of the U.S. East Coast. Due to the District of Columbia retrocession, the city has a total area of 68.34 square miles (177.0 km2), of which 61.05 square miles (158.1 km2) is land and 7.29 square miles (18.9 km2) (10.67%) is water. The District is bordered by Montgomery County, Maryland to the northwest; Prince George's County, Maryland to the east; Arlington County, Virginia to the south; and Alexandria, Virginia to the west. The south bank of the Potomac River forms the District's border with Virginia and has two major tributaries: the An...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$176,127 to $236,675

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