Claims Processing Director jobs in Michigan

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, Reprocessing Services - Central Sterile Processing - Full Time - Days
  • Central Sterile Processing - Full Time - Days - Henry Ford Health - Careers Careers
  • Jackson, MI FULL_TIME
  • Administrative accountability for leading, managing, supervising and evaluating all aspects of administrative and operational services within Sterile Reprocessing. Assures professional, clinical, and educational excellence in all aspects of Sterile Reprocessing. Provides oversight for the development of safety practices, and enforces regulatory compliance. Assumes responsibility, in conjunction with and in collaborative relationships with the business unit Managers of Sterile Reprocessing. Provides management oversight for the development of sterilization safety standards, quality control of sterilization processes and regulatory compliance. Reports directly to the Vice President and Chief Nursing Officer and has a collaborative relationship with Director, Surgery Services and System Director, Sterile Processing to ensure best practices.   

    EDUCATION/EXPERIENCE REQUIRED:

    • Bachelor's degree in Nursing required 
    • Five (5) years of progressively more responsible experience, preferably within sterile reprocessing and surgical services  
    • Demonstrated success in leading sterile reprocessing units
    • Excellent written and verbal communication skills; strong facilitative interpersonal skills; excellent problem solving skills
    • Demonstrated innovative, creative leadership style; participative management style
    • Knowledge of quality management and service excellence
    • Interpersonal skills to effectively lead assigned personnel and to communicate with patients, families, and hospital personnel
    • Analytical skills to evaluate procedures, techniques, assess problems and identify solutions
    • Clinical knowledge to evaluate both safety and maintenance of regulatory standards within sterile reprocessing 
    • Computer skills including Word and Excel
       

    EDUCATION/EXPERIENCE PREFERRED:

    • Master's degree in Public Health, Nursing or related field is highly preferred
    • Two (2) years in a Managerial role preferred
       

    CERTIFICATIONS/LICENSURES REQUIRED:

    • Current license to practice in the State of Michigan as a Registered Nurse
    Additional Information
  • 21 Days Ago

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MI - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Balitmore, MI 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...
  • 4 Days Ago

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Cannabis Processing Tech / Material Prep (2nd Shift, full-time)
  • Machine Grow and Processing
  • Ionia, MI FULL_TIME
  • About Us:Machine Grow and Processing (MGP) is a leading player in the cannabis industry, dedicated to producing high-quality extracts and products. Our team developed the TrapHouse Company and 3Lefts ...
  • 15 Days Ago

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Mortgage Processor
  • Respect Processing
  • Sterling, MI FULL_TIME
  • Job OverviewWe are seeking a detail-oriented and organized Mortgage Processor to join our team. As a Mortgage Processor, you will play a crucial role in ensuring the smooth and efficient processing of...
  • 4 Days Ago

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Public Adjuster
  • Michigan Fire Claims
  • Auburn, MI FULL_TIME
  • Michigan Fire Claims, Inc. is seeking a full-time licensed public adjuster for fire and water damage claims. We are a public adjusting company who specializes in representing the homeowner in the even...
  • 4 Days Ago

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Field Technician
  • Hancock Claims Consultants
  • Grand Rapids, MI CONTRACTOR
  • CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
  • 4 Days 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

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$156,917 to $210,860

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