Claims Processing Director jobs in Rock Hill, SC

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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Processing specialist
  • OceanaGold
  • Kershaw, SC FULL_TIME
  • Job Description

    Principal Position Objective

    Undertake planning for planned maintenance activities and develop engineering details, scope of work, quality, and safety plans for field execution of maintenance work.

    Track and report on maintenance performance indicators.

    Key Tasks and Responsibilities

    Operational :

    • Undertake planning for planned maintenance activities and maintenance projects in accordance with planning procedures.
    • Develop work requests into a meaningful backlog with cost estimates, duration, critical parts & permit / HSE requirements defined.
    • Develop procedures for regular maintenance related tasks that define job planning, training, permit and safety requirements.

    Collate this information into standard work packages for regular maintenance activities.

    • Report weekly and monthly on maintenance performance indicators and present these to the Maintenance Superintendent with initiatives for continuous improvement.
    • Develop the plan to provide supervision and management of internal & external resources outside of normal business hours when required for shutdowns and other major works.
    • Developing and maintaining a safe working environment through compliance with the company’s Health & Safety Program
    • Complying with the Maintenance Planner / Scheduler’s roles and responsibilities defined in the planning and scheduling, planned, and break-in work processes.
    • Backlog management, including weekly and monthly backlog reviews, purging aged work orders as required
    • Maintains backlog to effectively manage maintenance work
    • Scoping jobs as necessary to include : All necessary job steps, required tooling, drawings and diagrams, parts, manpower, and safety elements to be addressed
    • Determining the required parts on each work order in the backlog; verifying parts are available and ordering parts as necessary
    • Coordinating with procurement to generate material purchase orders and agreed delivery dates
    • Determining the need for special support equipment and orders / schedules as necessary
    • Chair and lead the weekly planning and scheduling meetings
    • Determining the work order planned start date
    • Controlling work orders to the 'Approved' and Ready to Schedule’ status
    • Assisting in the development and maintenance of cost forecasting and budgets
    • Utilizing Condition Based Monitoring Reliability data
    • Implementing Demonstrated Best Planning Practices
    • CMMS Power User (SAP, Pronto or similar)
    • Planning and coordinating equipment commissions / decommissions
    • Review completed PMs and update agreed changes to parts list and tasks
    • Review and utilize technician feed back to develop new, and maintain current standard job plans

    Safety :

    • Ensures that all tasks comply with Company health and safety requirements and policies and procedures and strengthens the culture of safety in the workplace.
    • Demonstrate safety awareness.
    • Participate in safety meetings and site safety programs.

    Other

    Carries out all other duties that may reasonably be required.

    Qualifications

    Qualifications : High School Diploma

    High School Diploma

    Driver License

    Experience :

    At least 5 years’ production (heavy industrial plant) maintenance experience, including maintenance planning and scheduling.

    Previous planning experience in a continuous production / process plant environment.

    Has significant experience of fixed equipment, crushing, grinding, milling plant, rotating equipment and pressure vessels.

    Previous experience as a scheduler is a significant asset

    Supervisory / lead experience is preferred

    Additional Information

    Physical Requirements :

    • While performing the duties of this job, the employee is regularly required to stand, sit, demonstrate manual dexterity, climb stairs, talk, hear and see.
    • Occasionally may be required to lift moderately heavy objects (up to 25 pounds) during the course of the workday.
    • Work is in a surface mine plant setting, which may include exposure to extremes in temperature and humidity.
    • Personal protective equipment is required when performing work in a mine environment, including hard hat, hearing protection, safety glasses, safety footwear, and as needed, respirator, rubber steel-toe boots, protective clothing, gloves and any other protective equipment as required.
    • Haile Gold Mine, Inc. promotes a drug / alcohol free work environment through the use of mandatory pre-employment drug testing and on-going random drug testing.

    OGC VALUES : CARE RESPECT INTEGRITY PERFORMANCE TEAMWORK

    OceanaGold is committed to providing equal employment opportunities.

    If you share the same values and have what we are looking for, please apply online now via our careers website :

    https : / / careers.oceanagold.com / jobs

    Shortlisting will commence immediately. Applicants must be eligible to work in the USA.

    NO APPLICATIONS FROM EMPLOYMENT AGENCIES WILL BE ACCEPTED

    Last updated : 2024-03-27

  • 27 Days Ago

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Remote Claims Manager
  • First American Financial Corporation
  • Fort Mill, SC OTHER
  • Who We Are ServiceMac is a new sub-servicing entity backed by some of the leading practitioners of the mortgage servicing industry. ServiceMac is focused on providing superior technology, products, an...
  • 1 Month Ago

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Auto Liability Claims Manager
  • Sunbelt Rentals
  • Fort Mill, SC FULL_TIME
  • Join Our Team!Sunbelt Rentals strives to be the customer's first choice in the equipment rental industry. From pumps to scaffolding to general construction tools, we aim to be the only call needed to ...
  • 1 Month Ago

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Specialist- Processing (Mechanical Planner)
  • OceanaGold
  • Kershaw, SC FULL_TIME
  • Company DescriptionOceanaGold is a multinational gold producer committed to the highest standards of technical, environmental and social performance. For more than 31 years, we have been contributing ...
  • 28 Days Ago

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Freight Processing Lead
  • Big Lots
  • Rock Hill, SC FULL_TIME
  • Description When you join our team, you’ll enjoy extra savings with a 20% discount on almost everything in store – even food! And a 30% discount on Indoor and Outdoor furniture. Additional benefits in...
  • 1 Month Ago

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Independent Insurance Claims Adjuster in York, South Carolina
  • MileHigh Adjusters Houston Inc
  • York, SC FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 9 Days Ago

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0 Claims Processing Director jobs found in Rock Hill, SC area

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Licensed Insurance Agent (100% Commission)
  • Weyenberg Group
  • Charlotte, NC
  • Job Description Job Description Remote or In-Person (Hybrid Position to Work from Home or Anywhere in the Country) Are y...
  • 4/25/2024 12:00:00 AM

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Paralegal
  • Brookfield Renewable
  • Charlotte, NC
  • Join the team of an established leader in clean energy, with 5,900 megawatts of operating and under construction wind, u...
  • 4/25/2024 12:00:00 AM

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Director of Specialty Bill Review Services - Remote
  • Rising Medical Solutions
  • Charlotte, NC
  • As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strate...
  • 4/25/2024 12:00:00 AM

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson LLP
  • Charlotte, NC
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/25/2024 12:00:00 AM

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Procurement Manager
  • ANDRITZ
  • Charlotte, NC
  • Job description: ANDRITZ HYDRO USA operates in a niche market that provides overhaul and rehabilitation to hydro power p...
  • 4/25/2024 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 ...
  • 4/22/2024 12:00:00 AM

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Treasurer
  • TTX Company
  • Charlotte, NC
  • Job Description JOB SUMMARY Reporting to the Chief Financial Officer, responsible for leading all aspects of the Treasur...
  • 4/22/2024 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 ...
  • 4/21/2024 12:00:00 AM

Rock Hill is the largest city in York County, South Carolina, United States and the fifth-largest city in the state. It is also the fourth-largest city of the Charlotte metropolitan area, behind Charlotte, Concord, and Gastonia (all located in North Carolina, unlike Rock Hill). As of the 2010 Census, the population was 66,154. In 2016, the population had increased to 72,937. The total population of Rock Hill inside the city limits and outside the city limits as of 2017 was estimated at 117,375 people. The city is located approximately 25 miles (40 km) south of Charlotte and approximately 70 mi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$153,535 to $206,321
Rock Hill, South Carolina area prices
were up 1.5% 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