Claims Processing Director jobs in Lawrence, MA

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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Claims Assistant
  • On Call International, Inc.
  • Salem, NH FULL_TIME
  • Claims Assistant Opportunity
    Have you or a family member ever had the chance to do a study abroad program? Has the fear of that opportunity not being safe ever crept in? What if you were traveling to Italy and a family member broke their arm? Would you know what to do in that situation?
    Our company provides travel risk management for opportunities such as study abroad programs and a travel assistance service to help people every day through all kinds of situations. Are you looking for a company that does work that matters? Do you have strong business skills? This could be the perfect opportunity for you!
    We have an exciting opportunity for a Claims Assistant in our Salem, NH office 4 days a week. This position will report to the Specialty Claims Supervisor. As a successful Claims Assistant, you will be responsible for supporting the day-to-day tasks and activities of the TPA(third party administrator) group within the claims team. You will primarily focus on managing the TPA claims mailbox, answering claimant queries, providing timely follow-ups, receiving/filing claims and sending claims acknowledgements. This role will incorporate all aspects of claims handling by recording, tracking, and processing member, client, and vendor invoices regarding reimbursement for services On Call provides.
    Environment
    You will receive training and support to ensure your success in the new role. The Claims team offers an environment filled with collaboration and unity as we work together as a team. From department potlucks to exciting engagement opportunities like barbecues and indoor putt-putt, our office has opportunities to participate in more than just your work and to enjoy time with your team!

    Key Responsibilities:
    • Conduct claimant communication professionally with compassion while sharing claim specific information.
    • Read and interpret insurance policy documentation required and follow procedures and guidelines to manage claimant relations.
    • Maintain timely communication and collaboration with the claims team and other departments within the company and participate in team learning opportunities and cross-training.
    • Inbound/outbound phone calls to claimants while acting in the best interests of On Call.
    • Participate and assist in claims related administrative tasks including data entry, monthly account reconciliations, client reporting requirements, quality checks and documentation requirements.
    • Perform multiple high priority tasks accurately and provide timely updates. Set up and maintain a diary of follow-up and deadline dates.
    • Provide ad hoc information as requested to support TPA claim adjusters for processing and/or special projects.

    Position Knowledge, Skills, and Requirements:
    • Strong understanding of using Email programs like Outlook and basic understanding of software applications and web browsers.
    • Ability to manage multiple tasks simultaneously.
    • Experience using Microsoft Office package (Excel, Access, PowerPoint, Word)
    For more than two decades, On Call International, a leading provider of travel risk management and travel assistance services, has helped millions of people with their travel problems, big and small. From serious medical and security emergencies, to lost passports and missing luggage, On Call is dedicated to our mission of helping travelers every day—and now YOU have a unique opportunity to help us carry out this mission!
    Tokio Marine HCC Group of companies offers a competitive salary and employee benefit package. We are a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals. The Tokio Marine HCC Group of Companies is an equal-opportunity employer.
    Please visit www.tmhcc.com for more information about our companies.

    #LI-BR1

    #LI-Hybrid

    #INDTMHCC

    #LI-CC2

  • 8 Days Ago

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Sterile processing tech
  • United Surgical Partners
  • Salem, NH FULL_TIME
  • North Atlantic Surgical Suites is an ambulatory surgical center specializing in total knee and hip replacement surgery and orthopedic spinal surgery. Conveniently located in Salem New Hampshire, the s...
  • 20 Days Ago

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Sterile processing technician
  • Holy Family Hospital
  • Haverhill, MA FULL_TIME
  • Position Summary : Sterile Processing Tech PT 24 Hours, Variable shift start time depending on physician schedule 7am-3 : 30pm or 9am-5 : 30pm $4500 Sign on Bonus. Job Description : Prepares, installs...
  • 3 Days Ago

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Sterile Processing Technician
  • Trustaff
  • Newburyport, MA FULL_TIME
  • As a Sterile Processing Technician, you are a critical part of ensuring a clean, pathogen-free patient environment. Sterile Processing Techs document, inspect, and decontaminate medical instruments an...
  • 6 Days Ago

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Sterile Processing Tech
  • 10bits
  • Newburyport, MA CONTRACTOR
  • 10bits is a Healthcare and Professional Staffing Company. From nursing staffing, temp to hire, and permanent to healthcare contracts, 10bits provides hospitals and medical facilities with high-quality...
  • 6 Days Ago

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Sterile Processing Technician
  • Stalwart Nurses
  • Beverly, MA FULL_TIME
  • Job Title: Sterile Processing Tech Stalwart Nurses Staffing Agency is seeking Sterile Processing Techs for the Beverly and Peadbody, MA areas. Job Description and Requirements: Job Title: Sterile Proc...
  • 9 Days Ago

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0 Claims Processing Director jobs found in Lawrence, MA area

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Director of Personal Lines Underwriting
  • Arbella Insurance Group
  • Quincy, MA
  • Organization Background Established in 1988, the Arbella Insurance Group is an A rated company by AM Best, with over $1 ...
  • 3/28/2024 12:00:00 AM

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Director Personal Lines Underwriting
  • Arbella Insurance Group
  • Quincy, MA
  • Why Arbella? At Arbella, we're focused on people. We work hard to attract and retain the best. That means providing a gr...
  • 3/28/2024 12:00:00 AM

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Director of Engineering
  • Reading Municipal Light Department
  • Reading, MA
  • Under general direction of the GM, the Director of Engineering is responsible for the daily operation of the Electric Di...
  • 3/28/2024 12:00:00 AM

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Director, Strategic Product Manager
  • Veracode
  • Burlington, MA
  • Director, Strategic Product Management for Developer Experience Looking for an innovative, high-growth company in one of...
  • 3/28/2024 12:00:00 AM

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Cargo Claims Adjuster
  • Transplace, Inc.
  • Lowell, MA
  • ** Cargo Claims Adjuster** **Job Category****:** Admin & Support **Requisition Number****:** CARGO04332 Showing 1 locati...
  • 3/27/2024 12:00:00 AM

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Underwriting Director - Cargo (Remote)
  • Intact Insurance
  • Canton, MA
  • Job Description We currently have an opportunity for an Underwriting Director to join our Specialty Ocean Marine team in...
  • 3/27/2024 12:00:00 AM

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Environmental Health and Safety Manager
  • Analog Devices, Inc.
  • Wilmington, MA
  • **Environmental Health and Safety Manager (24806)** Facilities Regular Experienced Wilmington, Massachusetts, United Sta...
  • 3/25/2024 12:00:00 AM

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Risk Management Specialist-RN
  • Boston Medical Center
  • Boston, MA
  • POSITION SUMMARY: The Risk Management Specialist is responsible for participating in the development, implementation, an...
  • 3/24/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 7.4 square miles (19 km2), of which 7.0 square miles (18 km2) is land and 0.4 square miles (1.0 km2) (6.07%) is water. Lawrence is on both sides of the Merrimack River, approximately 26 miles (42 km) upstream from the Atlantic Ocean. On the north side of the river, it is surrounded by Methuen. On the south side of the river, the town is bordered by North Andover to the east, and Andover to the south and southwest. Lawrence is approximately 30 miles (48 km) north-northwest of Boston and 27 miles (43 km) southeast of Manc...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$168,976 to $227,065
Lawrence, Massachusetts area prices
were up 1.6% 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