Claims Processing Director jobs in Fort Wayne, IN

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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File Reviewer
  • Elevate Claims Solutions
  • Fort Wayne, IN FULL_TIME
  • Elevate is searching for additional remote contract review staff to assist with commercial and residential claims quality file reviews. Hours are flexible within certain time parameters.

    There are part time and full time contract positions. Compensation is on a 1099 basis, per file, for work performed.

    Position Duties & Responsibilities

    • Reviews claim submissions from the field staff and audits work product for accuracy, professionalism, and adherence to Elevate, carrier, and industry requirements.
    • Packages and provides interim and finished work product to the carriers and advances diaries and / or invoices and closes files as necessary.
    • Alerts management of developing or potential issues on claim files as observed.
    • Alerts management to exceptional performance on claim files as observed.
    • Provides direction and guidance to staff to ensure that they have sufficient knowledge and skill to provide exemplary customer service and resolve claims timely and equitably across all lines of business.
    • Reviews client guidelines in order to ensure adherence to client requirements and policyholder expectations.
    • Conducts closed file audits as assigned to ensure that claims are handled according to company policies and procedures.
    • Assists in design of workflows, processes, and techniques with a focus on continual process development.


    Requirements & Qualifications

    • Three years minimum experience of increasing claims responsibility.
    • Prior file review experience in a claim handling setting.
    • Experience in both carrier and independent adjusting roles is preferred.
    • Experience in commercial and personal lines claims is required.
    • Demonstrated effective verbal and written communication ability.
    • Effective customer service, organization, influence, critical thinking, conflict management, and teamwork skills.
    • Demonstrated self-motivation with the ability to plan, organize, and complete tasks independently without close supervision.
    • FileTrac experience is preferred.
    • Xactimate / Xactanalysis experience is required.
    • Symbility experience is a plus.
    • Complex loss experience is a plus.
  • 5 Days Ago

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Forklift Operator
  • Bryan Plastics Processing, LLC
  • Bryan, OH FULL_TIME
  • Job Description Bryan Plastics Processing, LLC is looking for a day and night shift forklift operator to work on our production line. You will be responsible for safely moving materials and loading th...
  • 21 Days Ago

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Claims Analyst
  • Stealth Partner Group, LLC
  • Bluffton, IN FULL_TIME
  • Join Our Team as Claims Analyst at Stealth Partner Group, an Amwins Group Company! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Stealth Partner Group, an Amwins Gr...
  • 7 Days Ago

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Claims Examiner
  • Lutheran Hospital of Indiana
  • Fort Wayne, IN FULL_TIME
  • Job Summary: Responsible for the daily adjudication/review of medical, dental, vision, mental health and FSA claims. Claims may be auto-adjudicated or manually processed. Ensures claims are adjudicate...
  • 1 Day Ago

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Claims Attorney
  • Brotherhood Mutual
  • Fort Wayne, IN FULL_TIME
  • Job Title: Claims Attorney FLSA Status: Exempt Job Family: Claims Department: Claims JOB SUMMARY Effectively analyze and resolve serious/complex claims and/or litigation consistent with department sta...
  • 13 Days Ago

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Sterile Processing Technician
  • COMMUNITY MEMORIAL HOSPITAL
  • Hicksville, OH OTHER
  • Job Details Job Location: Community Memorial Hospital - Hicksville, OH Position Type: Part Time Salary Range: Undisclosed Job Shift: Day Job Category: Health Care DescriptionQualifications
  • 6 Days Ago

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0 Claims Processing Director jobs found in Fort Wayne, IN area

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ENVIRONMENTAL ENGINEER
  • Air National Guard Units
  • Fort Wayne, IN
  • Summary THIS IS AN INDIANA NATIONAL GUARD TITLE 5 EXCEPTED SERVICE POSITION This position is in the Excepted Service und...
  • 5/13/2024 12:00:00 AM

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Weekend/PRN Case Aide
  • YWCA OF VAN WERT COUNTY
  • Van Wert, OH
  • Job Description Job Description Van Wert YWCA seeks professional, motivated and compassionate individual for PRN/Weekend...
  • 5/13/2024 12:00:00 AM

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Project Manager (Metal Building Construction)
  • Western Steel Buildings
  • Fort Wayne, IN
  • Position Summary: Western Steel Buildings is seeking a Project Coordinator to strengthen our Pre-Engineered Metal Buildi...
  • 5/12/2024 12:00:00 AM

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LOAN SPECIALIST (COMML)
  • Agriculture, Rural Development
  • Columbia City, IN
  • Summary This position is located in Office of Indiana State Director, Community Programs, Rural Development (RD), United...
  • 5/11/2024 12:00:00 AM

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Client Service Supervisor
  • Gallagher
  • Fort Wayne, IN
  • About Us: Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's glob...
  • 5/10/2024 12:00:00 AM

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HVAC Technical Service Specialist
  • Welbilt
  • Fort Wayne, IN
  • Job Details Job Location Fort Wayne Mfg Lincoln Oven - Fort Wayne, IN Position Type Full Time Travel Percentage Up to 10...
  • 5/10/2024 12:00:00 AM

Fort Wayne is a city in the U.S. state of Indiana and the seat of Allen County, United States. Located in northeastern Indiana, the city is 18 miles (29 km) west of the Ohio border and 50 miles (80 km) south of the Michigan border. With a population of 253,691 in the 2010 census, it is the second-most populous city in Indiana after Indianapolis, and the 75th-most populous city in the United States. It is the principal city of the Fort Wayne metropolitan area, consisting of Allen, Wells, and Whitley counties, a combined population of 419,453 as of 2011. Fort Wayne is the cultural and economic c...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$148,370 to $199,379
Fort Wayne, Indiana area prices
were up 1.3% 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