Claims Processing Director jobs in Santa Fe, NM

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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Assistant F&B Director
  • Assistant Director of Food & Beverage
  • Santa Fe, NM FULL_TIME
  • Job summary -

    Responsible for the management and successful operation of all aspects of the outlet functions, in accordance with hotel standards.  Directs, implements and maintains a service and management philosophy which serves as a guide to respective staff.

    Essential Duties and Responsibilities – (Key Activities)

    The following are specific responsibilities and contributions critical to the successful performance of the position:

            Develop F&B and Assistant F&B Managers

            Develop marketing and operations strategy for F&B outlets to ensure successful revenue generation as outlined by budget

            Maintain complete knowledge of and comply with all departmental policies, service procedures and standards.

            Ensure that standards are maintained at a superior level on a daily basis.

            Maintain complete knowledge of:

    All liquor brands, beers and non-alcoholic selections available in restaurant.

    The particular characteristics and description of every wine/champagne by the glass and major wines on the wine list.

    Designated glassware and garnishes for drinks.

    All menu items, preparation method/time, ingredients, sauces, portion sizes, garnishes, presentation and prices.

    Daily menu specials, 86'd items.

    Dining room layout, table/seat/station numbers, proper table set-ups, room capacity, hours of operation, price range and dress code.

    P.O.S. and manual system procedures.

    Daily housecount, arrivals/departures, V.I.P.'s.

    Scheduled in-house group activities, locations and times.

    Correct maintenance and use of equipment.

    All department policies/service procedures.

            Maintain complete knowledge and strictly abide by state liquor regulations, particularly those prohibiting service to minors, intoxicated persons and drunk driving.

            Check storage areas for proper supplies, organization and cleanliness.  Instruct designated personnel to rectify any cleanliness/organization deficiencies.

            Establish par levels for supplies and equipment.  Complete requisitions to replenish shortages or additional items needed for the anticipated business.

            Requisition linens/skirting required for business and assign staff to transport such to the restaurant.

            Meet with the Chef to review daily specials and 86'd items; update board throughout shift.  Ensure that staff are aware of such.

            Periodically check with the Front Desk to review updates on housecount and arrivals.

            Review sales for previous day; resolve discrepancies with Accounting.  Track revenue against budget.

            Prepare weekly work schedules in accordance with staffing guidelines and labor forecasts.  Adjust schedules throughout the week to meet the business demands.

            Ensure that staff report to work as scheduled.  Document any late or absent employees.

            Coordinate breaks for staff.

            Assign work and side duties to staff in accordance with departmental procedures.  Communicate additions or changes to the assignments as they arise throughout the shift.  Identify situations, which compromise the department's standards and delegate these tasks.

            Monitor the preparation of station assignments, ensuring compliance to departmental standards.

            Conduct pre-shift meeting with staff and review all information pertinent to the day's business.

            Inspect grooming and attire of staff; rectify any deficiencies.

            Inspect, plan and ensure that all materials and equipment are in complete readiness for service; rectify deficiencies with respective personnel.

            Constantly monitor staff performance in all phases of service and job functions, ensuring that all procedures are carried out to departmental standards; rectify any deficiencies with respective personnel.

            Inspect table set-ups; check for cleanliness, neatness and agreement to departmental standards; rectify deficiencies with respective personnel.

            Inspect all aspects of the restaurant environment ensuring compliance with standards of cleanliness and order.  Direct respective personnel to rectify deficiencies.

            Ensure that the Host(ess) stand is clean, organized and stocked with designated supplies.

            Review the reservation book, pre-assign designated tables and follow up on all special requests.

            Ensure that specified amount of menus and wine lists are available and in good condition for each meal period.

            Check the pick-up station and side stations, ensuring agreement to standards of cleanliness, supply of stock and organization.

            Monitor and assist Host(ess) in greeting and escorting guests to their tables according to departmental procedures.  Ensure that tables are seated to best service the guests.

            Anticipate heavy business times and organize procedures to handle extended waiting lines.

            Anticipate guests' needs, respond promptly and acknowledge all guests, however busy and whatever time of day.  Promote positive guest relations at all times.

            Be familiar with all hotel services/features and local attractions/activities to respond accurately to any guest inquiry.

            Monitor and handle guest complaints by following the six step procedures and ensuring guest satisfaction.

            Monitor guest reactions and confer frequently with service staff to ensure guest satisfaction.

            Check the status of all orders and ensure that they are delivered within designated timelines.

            Monitor and ensure that all tables are cleared and reset according to department procedures.

            Monitor and maintain cleanliness and working condition of departmental equipment, supplies and work areas.

            Assist restaurant staff with their job functions to ensure optimum service to guests.

            Answer outlet phone within 3 rings, using correct salutations and telephone etiquette.

            Access all functions of the P.O.S. system in accordance to specifications.  Restock journal tape and change ribbons as needed.

            Handle void checks in accordance with Accounting procedures.

            Assist servers with expediting problem payments.  Ensure all cashiering procedures are processed in compliance with Accounting standards.

            Issue manual checks when the system is down and ensure accountability of such.

            Run system-closing reports and ensure that all servers' checks are closed before they sign out.

            Ensure all closing duties for staff are completed before staff sign out.

            Conduct a 1-week formal training program on the required job functions with criterion expected and department orientation with new hires.  Conduct ongoing training with existing staff.

            Provide feedback to staff on their performance.  Handle disciplinary problems and counsel employees according to hotel standards.

            Foster and promote a cooperative working climate, maximizing productivity and employee morale.

            Respond to all pages by beeper promptly.

            Prepare and submit daily/weekly payroll and tip distribution records.

            Complete work orders for maintenance repairs and submit to Engineering.  Contact Engineering directly for urgent repairs.

            Document pertinent information in department logbook.

            Complete all paperwork and closing duties in accordance with departmental standards.

            Review status of assignments and any follow-up action with on-coming supervisor.

            Exhibit a friendly, helpful and courteous manner when dealing with guests and fellow employees.

            All other duties as required.

    This list of essential functions is not exhaustive and may be supplemented as necessary.

    Other Standard Responsibilities -

    Experience -

    ·        Minimum three years’ experience as an F&B Manager,  preferably in a luxury or ultra-luxury environment.

    General Skills -

    ·        Must be able to perform job functions with attention to detail, speed and accuracy; prioritize, organize and follow-up; be a clear thinker, remaining calm and resolving problems using good judgment; follow directions thoroughly; understand a guest’s service needs; work cohesively with co-workers as part of a team; work with minimal supervision; maintain confidentiality of guest information and pertinent hotel data.

    Technical Skills -

            Knowledge of various food service styles (i.e., French service, Russian service, tableside flambé service, butler style service)

            Ability to satisfactorily communicate in English with guests, management and co-workers to their understanding

            Ability to compute basic mathematical calculations

            Familiarity with food and beverage cost controls.

            Basic computer skills

           

    Education or Certification –

    College degree in Hospitality Management preferred

    Language –

    ·        Required to speak, read and write English, with fluency in other languages preferred.

    Physical Requirements -

    ·        Must be able to endure various physical movements throughout the work areas, reach up and down, remain stationary at times throughout work periods, lift up to 50 pounds, and satisfactorily communicate with guests and co-workers to their understanding.

     

    Others –

    • While this job description is intended to be an accurate reflection of the duties involved in this position, the company reserves the right to add, remove or alter duties when business need dictates.



  • 9 Days Ago

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Sterile Processing
  • ICONMA
  • Espanola, NM FULL_TIME
  • Sterile Processing Location : Espanola, NM Duration : weeks Description : Certified Sterile Processing Distribution Perform duties of decontamination, assembly, high level disinfection and / or steril...
  • 1 Day Ago

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Claims Manager
  • Flux Resources, LLC
  • Las Vegas, NM FULL_TIME
  • Job Responsibilities Overall resource management, supervision, and policy implementation and enforcement for employees who are deployed to a disaster and are working within a FEMA organizational chart...
  • 26 Days Ago

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Sterile Processing Technician
  • Siri Info Solutions
  • Espanola, NM FULL_TIME,CONTRACTOR
  • Job: Sterile Processing TechLocation: Espanola, NM 87532Duration: 13 weeks / 36 guaranty hrs.Shift: DAYS - start time 0600 (8/10 hours Varied)WEEKENDS: currently we have 2 spd techs sharing call respo...
  • 1 Day Ago

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Sterile Processing Tech
  • GetMed
  • Espanola, NM FULL_TIME
  • Job Description Our client in Espanola, is seeking a qualified Traveler for 13 WEEKS. Traveling offers the unique opportunity to gain diverse experiences, both personally and professionally. With GetM...
  • 1 Day Ago

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Sterile Processing Technologist
  • Compunnel Healthcare
  • Espanola, NM FULL_TIME
  • Description -Responsible for the proper decontamination, inspection, assembly and sterilization of surgical instruments. Operates processing equipment. Proficient in instrument decontamination and ass...
  • 1 Day Ago

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0 Claims Processing Director jobs found in Santa Fe, NM area

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Insurance & Membership Specialist
  • American Automobile Association
  • Santa Fe, NM
  • Insurance & Membership Specialist AAA-New Mexico Hiring Event Meet our Hiring Managers Bring Your Resume On the Spot Int...
  • 3/29/2024 12:00:00 AM

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Globe Life: American Income Life/AO Union Insurance Agent
  • American Income Life AO - John Crespin
  • Santa Fe, NM
  • AIL/AO is seeking enthusiastic, hard-working, and friendly individuals across the United States, to join our team and pr...
  • 3/28/2024 12:00:00 AM

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Licensed Property & Casualty Insurance Agent (Remote) – (English or Bilingual Spanish)
  • Concentrix
  • Santa Fe, NM
  • Job Title: Licensed Property & Casualty Insurance Agent (Remote) (English or Bilingual Spanish) Job Description ****Must...
  • 3/28/2024 12:00:00 AM

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Director, Spiritual Care/ Full-Time
  • Christus Health
  • Santa Fe, NM
  • Description POSITION SUMMARY: The Manager of Spiritual Care is responsible for the management of the CHRISTUS St. Vincen...
  • 3/26/2024 12:00:00 AM

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Health Services Assistant - NNM
  • Presbyterian Healthcare Services
  • Santa Fe, NM
  • Overview Responsible for supporting Health Services Coordination functions including, but not limited to, medical record...
  • 3/26/2024 12:00:00 AM

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Human Resources Generalist
  • Santa Clara Pueblo Administrative
  • Espanola, NM
  • Position Title: Human Resources Generalist Department: Human Resources Department Salary Grade: 1034 Per Class Code Posi...
  • 3/25/2024 12:00:00 AM

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Loss Prevention Security Officer Loss Prevention-Security/ Full-Time
  • CHRISTUS Health
  • Santa fe, NM
  • Description POSITION SUMMARY: The Loss Prevention/Security Officer assists in the maintenance of a safe and secure work ...
  • 3/25/2024 12:00:00 AM

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Property & Casualty Licensed Insurance Rep (Remote) – (English or Bilingual Spanish)
  • Concentrix
  • Santa Fe, NM
  • Job Title: Property & Casualty Licensed Insurance Rep (Remote) (English or Bilingual Spanish) Job Description ****Must h...
  • 3/25/2024 12:00:00 AM

Santa Fe (/ˌsæntəˈfeɪ/ or /ˈsæntəˌfeɪ/; Tewa: Oghá P'o'oge, Navajo: Yootó) is the capital of the U.S. state of New Mexico. It is the fourth-largest city in the state and the seat of Santa Fe County. This area was occupied for at least several thousand years by indigenous peoples who built villages several hundred years ago, on the current site of the city. It was known by the Tewa inhabitants as Ogha Po'oge ("White Shell Water Place"). The city of Santa Fe, founded by Spanish colonists in 1610, is the oldest state capital in the United States. Santa Fe (meaning "holy faith" in Spanish) had a p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$149,515 to $200,914
Santa Fe, New Mexico area prices
were up 2.5% 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